I have been reading these boards a lot lately but this is my first time posting. Some information about me: I am 34 years old, 5'10", 290 lbs, acne prone (shoulders, upper back, face). I try to be fairly active (as much as a regular Joe would be anyway) as I do some weight lifting 3-4 times a week for about 30-45 minutes as well as cardio(elliptical, some jogging,) again 3-4 times a week for 30-45 minutes.

The last 10 or so years have been a real struggle as I have steadily been gaining weight despite my best efforts. My exercise habits were about half of what I posted above. Additionally I suffered from constant depression which was compounding the problem.

**Enter TRT**

My doctor run some tests on me and it turns out my Testosterone levels were rather low = 242 (300 - 1080 ng/dL). As a result he put me on 300mg of Test Cyp every 2 weeks. (although I administer it as 150mg every week). I have been on this treatment for about 7 months. My mood has greatly increased and I feel overall better. I am now much better at following the above mentioned exercise routine and have since lost 10lbs (used to be 300).

**my questions**

1) My skin is even more oily than it was before and the acne is also worse. My Dermatologyst has me using tretinoin 0.025% and Clindamycin-Benzoyl topicals and while they have helped my face and part of my arms be fairly clear I have noticed acne showing up sort of everywhere else. I have read about acutane but I rather try something not quite so fierce on the liver yet. Any suggestions besides the 'take extra showers?' - I already do that but I am losing this battle. I understand that the use of an AI or even a 5a-inhibitor like Avodart may help this situation. I defer to your experience.

2) 10 lbs in 7 months does not seem like great progress.... I would think now that I am on par with a regular Joe and I am exercising routinely that I should be losing more weight than that. I am not all flab. There is for sure some good muscle (a little) in me - but there is more fat Any suggestion in this area are also welcome

3) Gyno - I have always had (I guess) a mild case of gyno - I thought having some mam-boobs was normal since I am fat. Ever since TRT and the weight lifting, I have put on some definition on my chest (some muscle, enough to know its there) but there is definitely a concentration of 'stuff' (fat?) around my nipples. I also recall some occasions where my nipples were sensitive for no apparent reason. Would you guys recommend a mild dose of some AI to address this issue?

I didn't mean to bombard your with a wall of text for my first post and I really appreciate you taking the time to read this.