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What is normal at week four: Improved energy, mood, and motivation Better sleep quality and recovery Returning or increasing libido Mild water retention (usually resolves) Slight increase in hematocrit (monitored, not typically concerning) What needs attention: Estradiol climbing above range (may need management) Hematocrit rising rapidly (may require dose adjustment or therapeutic phlebotomy) Persistent mood swings or irritability (could indicate estrogen imbalance) No symptom improvement despite adequate testosterone levels (suggests other contributing factors) Your provider at Rewind will walk through these results with you in detail, explain what each marker means for your specific situation, and make any necessary protocol changes

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