For sure blood work immediately! I would drop the deca and lower the test to strove 300 until you figure it out, I've done exactly this, started nova 40-50mg first 2 weeks 25mg after that non stop and of you can't wait for labs to get back maybe throw the Alex in at .5mg eod first 2 weeks well the exogenous hormones are clearing out by the 3rd week you should notice the tenderness possibly clearing up.. just my own experience and protocol, honestly the first time it happened it was too late and I had to abandon the run for some time.

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