I do agree that there is no way of knowing if e2 is high without blood woork. But, he is possessing an estrogen related side effect; lethargy. He is running 500mg of Test a week with no AI. There a VERY good chance his e2 is high.
He should have been running an AI from.day one as a preventative measure. When exogenous is put into the body it converts into estrogen, plain and simple. He most definitely should start running an AI right now and then follow up with blood work to see where he sits.
To the OP, everyone aromatizes at a different rate so a correct AI doses will vary from.person to person as well, be somewhat dependant of dose of an aromatizing compound. You dont want to crash you e2, some in good. I would suggest running Arimidex @ .25mg every other day then once you get blood work you can see whether you need to raise or lower dose or neither. But, an AI must be run from start to finish. My nipples dont tingle is NOT a good indicator of whether your estrogen is high or not.
And btw. Roid rage is a myth. If you have rage and anger management issues to begin with AAS could amplify them. So if thats the case dont take them. Steroids did not make 'cops throw you up against a wall'. That was you, if it did in fact happen. Be smart.
First and foremost we need to establish something here, when there is an outside source "exogenous", administration of testosterone it does not necessarily convert per your notion... testosterone has three courses of action " its main course of action being testosterone" , converting to DHT, or converting to estrogen... so to speculate with the assumption that this is entirely estrogen-related hands down no questions asked is the most narrow minded approach in this entire thread...
Without seeing a full female panel blood work no one should be telling him what he needs to do, in lieu suggestions would be appropriate for counter measures.... if you read my prior posts I'm doing process of elimination, instead of diagnosing in which none of us ability to do considering the circumstances and the information that is provided...
Let's not go by textbook, instead let's look at real life experiences outside of our very own..
In regards to sensitivity in the nipples its a keen indicator in the vast majority of individuals with high estrogen levels as well as water retention.. we do not even know if he possesses the enzymes that are converting his test into estro, now should he use anti as a precaution? It's always wise to have them on hand.. keep in mind he is going to have elevated estrogen this is due to the administration of testosterone, this is known as the system balance and checks, when one level goes up so will the other, this is not entirely bad and it's often blown out of proportion and targeted for all the wrong reasons.. the static system likes o have a fine balance within the internal network..shall I say the terminology?
To the OP... You mentioned that you are on 4ius EOD..what time is your injection? Try lowering your HGH to 2ius ED and take at night ( due to the 24 hour loop and its like 3 to 4 hours after administration), it may make you tired throughout the day if you take AM injections...I question if this is due to your thyroid..EVERYTHING is pointing that way IMO because you been on high for this long above therapeutic dosages... growth hormone can directly af
fect t3/t4 levels over time... the body will lower t4 levels over time due to the conversion into t3, these levels will run low overtime if there is not aexogenous source...I would suggest taking t4 and your body will process and convert what it needs... this it's basically protocol when on long durations of growth hormone, especially when someone is taking well above therapeutic dosages...
Get some blood work done as soon as you can and keep us posted