First Cycle/Lab Work Eval

How old are you?

https://steroidwiki.com/forum/post/11783/

Your labs look pretty good overall, but the AST and ALT numbers stand out to me. Training hard right before the blood test can raise those levels, so I’d suggest taking a few days off and then testing again to see if they come down.
The low testosterone is clear, but before starting 300 mg, I’d want to figure out why it’s low. Once you begin injections, you won’t really know if your natural levels could have bounced back.
I wouldn’t worry much about creatinine if you’re muscular or train regularly. Mine has been a bit high before too, and it turned out to be nothing.
Other than that, your lipids, glucose, CBC, and most of the rest look good. I’d sort out the liver enzymes first, then I’d feel better about starting. There’s no reason to begin a cycle if something else is already off.
By the way, Mate, how old are you?

@FinanceMenace, before you pin that first 300mg of Test P, we need to have a serious talk about what these markers are actually telling you, because you are misreading the risk profile here.
First, your liver enzymes (AST/ALT) and Creatinine are elevated. While RafeKian is right that hard training can spike these, at 1.38 mg/dL for creatinine and an eGFR of 76, you are already showing signs of Stage 2 chronic kidney stress. If you add 6 IU of GH nightly to this, the water retention and increased glomerular pressure could push those kidneys into a danger zone very quickly. GH is great, but it is not "natty plus" when your renal filtration is already struggling.
More importantly, look at your HORMONE panel. Your Total Test is abysmal at 190 ng/dL, but your LH and FSH are perfectly mid-range. This is a massive clinical red flag. It means your brain is sending the signal to produce testosterone, but your leydig cells are simply not responding. This is primary hypogonadism. Jumping on a cycle now will just mask the underlying pathology without fixing the "why."
Also, your Free T3 is clinically low at 1.8 pg/mL. This explains the low androgens and likely your struggle with body composition. Your metabolic furnace is essentially turned off. Adding exogenous androgens to a body with crashed thyroid levels and stressed kidneys is a recipe for systemic inflammation and zero gains.
My advice: drop the GH for now. You don't need 6 IU to start. You need to investigate your thyroid and renal health first. Fix the foundation before you try to build a skyscraper on top of it. If you go ahead with 300mg of Test P, you’ll just be trading long-term health for a temporary 5lb water pump.
Data doesn't lie, but it requires an objective eye to read it. Stay safe.