In a calorie deficit on clen/t3 and these my liver values. Btw I have chronically higher AST/ALT. These are actually my all time lowest including when I was natural.
Just introduced Glutathione to bring them down
Let’s say I do a 10IU IM injection and test around the 3 hours mark. Is that a good time? If I get indications it’s legit, does this mean 4ius isnt as effective for me seeing my IGF1 levels like this?
OK, so if these were my numbers this would be my take:
Higher T3 increases GH receptor expression in the liver, which means more IGF per unit of GH.
However, calorie deficit and low insulin suppress GH receptor expression much more strongly, resulting in less IGF per unit of GH.
If you think about it, this makes evolutionary sense. When there's a calorie deficit, ie, low food supply, that's not an ideal time to build muscle. It's more important to mobilize fat stores and perform tissue repair (via higher circulating GH), than turning that GH into IGF to boost the "anabolic environment".
Unfortunately you also have some kind of liver problem, which also suppresses GH receptor expression, making IGF production per unit of GH even lower.
So you have high circulating GH, great for fat burning and things like skin renewal, not as useful for anabolism which is the reason BBs want high IGF.
HIV patients get those huge doses, 18iu for example, in part because to combat muscle wasting large doses are needed to overcome their trashed livers which have what's called "GH resistance" (not much IGF per unit of GH produced), to get IGF into normal levels.
So to increase IGF you need to do one or more:
Increase the dose (easiest and most effective way if you can tolerate any sides)
Increase protein intake a lot
Shrink the calorie deficit you're in
Address whatever's causing liver issues
----
If your main goal right now is to lose fat, especially visceral and liver fat, you could just keep doing what you're doing. Because IGF is borderline and likely to cause muscle catabolism, if you change nothing else, I would bump the dose up a little at least to get into the middle of the normal IGF range.