most people think libido crash one year in = time to up your dose. usually it’s not that simple. if you had solid results for a full year on your current amount, your T dose is probably still right. what shifted is downstream - prolactin creeping up, estrogen getting out of ratio, DHT dropping. happens all the time as your body processes testosterone over time. that’s a lab conversation with your doc, not a dose increase. i’m a tech, not a prescriber, so the clinical side isn’t my call. but i see this pattern constantly: people want to bump the dose when their bloodwork actually shows secondary hormones went sideways. sleep tanked? diet changed? liver stress from something else? all of that affects how your body processes T. year one was smooth because the rest of your system was stable. something shifted now. get full labs done - total T, free T, prolactin, estradiol, DHT if possible. show your prescriber the actual data instead of guessing.