The mechanism seems very interesting to me
Let’s look at the supplements you are using they are basically feeding your body amino acids which in turn stimulates HGH production.
Maybe adding TRT was taking things over the edge creating the emotional frantic feelings.
It would be interesting to know what the outcome Would have been if he just dropped the HRT and left himself running HGH as
HGH stimulates testosterone production by itself.
Here’s some more info on HGH you will see something called CDP - choline … Have you Ever heard of this stuff before im going to look into it as it maybe a cheaper option to stimulating HGH.
Here’s the link its only basic stuff but interestingly it from a prostate / sexual health website.
You seem a very well educated guy and medically minded please let me know your opinions.