Got my 8 week labs and want to check doctors advice

[Bert Gamble]

I got my lab work done after 8 weeks on testosterone replacement therapy (TRT). My initial protocol was .7 ML of 210MG/ML Test Cyp 1 time per week, and 250 IU of Human Chorionic Gonadotropin (HCG) two days before the Test.

Labs cam back:

Total Test was 1486
Free Test was 40.6
E2 was 133

Doctor has changed protocol to .5 ML Test 1 time per week, 250IU Human Chorionic Gonadotropin (HCG) two days before the Test, and added .5 Anastrozole twice a week. One on the day of the Test shot, and one the day before the Human Chorionic Gonadotropin (HCG) shot.

Is this in line with what you experienced guys have seen done in the past? I know that my E2 is really high. Is the amount of Aromatase inhibitor (AI) that I will be taking sufficient to bring it down to a better level?

Thanks

 

[totalburnout]

Start by taking .25mg Arimidex EOD.

If you're going to use .5mg, only use it in the beginning a time or two to knock the estrogen back. You can always take more if needed but if you crush your estrogen, you'll need to either wait it out and suffer or take more T without Aromatase inhibitor (AI), to build some estrogen back up.

Also not sure I understand your T doses. What are the doses in mg? I'm assuming .5ml is 100mg and .7ml is 140mg but your 210 is confusing me. Do you mean a 10ml bottle?

When was your bloodwork done in comparison to your T injection? Is that a peak number (1-2 days after injection), a trough number (day of your next injection) or somewhere in the middle?

How do you feel?

 

[methos]

It sounds like your doc is giving you reasonable advice. Everyone reacts differently to Aromatase inhibitor (AI). I have a similar T level to you but I have to take 250mg per week to achieve that. I also take 3mg per week of Arimidex to combat E2. I try to get my E2 in the mid 20's. Same with SHBG. I stopped taking Human Chorionic Gonadotropin (HCG) because it seemed to spike my E2. I pin twice per week and run bloodwork injection day before pinning.

 

[Bert Gamble]

Start by taking .25mg Arimidex EOD.

If you're going to use .5mg, only use it in the beginning a time or two to knock the estrogen back. You can always take more if needed but if you crush your estrogen, you'll need to either wait it out and suffer or take more T without Aromatase inhibitor (AI), to build some estrogen back up.

Also not sure I understand your T doses. What are the doses in mg? I'm assuming .5ml is 100mg and .7ml is 140mg but your 210 is confusing me. Do you mean a 10ml bottle?

When was your bloodwork done in comparison to your T injection? Is that a peak number (1-2 days after injection), a trough number (day of your next injection) or somewhere in the middle?

How do you feel?

Thank you for your reply,

The T doses would be as you indicated, but the bottle says 210 MG/ML instead of the normal 200MG/ML, so the actual dosage is a bit higher.

The blood work was done on the third day after injection. I inject on Friday, and had the BW on Monday.

I feel ok, but definitely not better while on testosterone replacement therapy (TRT). I have started working out, so I have seen some muscle growth, but do not know if it is more than I would have if I were not on testosterone replacement therapy (TRT). My nipples are very hard most of the time, but they are not painful or itchy. I was hoping that the testosterone replacement therapy (TRT) would help with my ED, but it has actually gotten worse. I used to take a half a tablet of Levitra, but now I have to take a whole one. The doctor believes that I need to get the E2 number down into the 20's, so has told me to start taking the Aromatase inhibitor (AI). They are 1MG pills that have been cut in half at the pharmacy. I don't know if I can cut them again without destroying them.

 

[totalburnout]

You can cut them in half again. That's what I do with my doses. Again, I'd recommend possibly starting with a 1mg dose or .5mg dose once or twice to kill the estrogen levels off initially. My personal experience, as someone who isn't necessarily prone to gyno but is prone to high E2, is that doses over .25mg are too much. I simply increase the frequency if needed. For my body .25mg in the morning and .25mg at night would be more beneficial than .5mg at once.

 

[Bert Gamble]

You can cut them in half again. That's what I do with my doses. Again, I'd recommend possibly starting with a 1mg dose or .5mg dose once or twice to kill the estrogen levels off initially. My personal experience, as someone who isn't necessarily prone to gyno but is prone to high E2, is that doses over .25mg are too much. I simply increase the frequency if needed. For my body .25mg in the morning and .25mg at night would be more beneficial than .5mg at once.

Thanks a lot. I really appreciate your help. I don't get to do BW for 4 months, and am a little nervous. I want to get the number down without crashing. I will ask the Dr if I can get the BW done early on my own dime. What do you think?

 

[willnorthwest]

you dont need to ask the Dr. if you can get bloodwork done on your own. it's your body, get whatever test done you need bro. go to Private MD - Buy Lab Tests Online and you can either order the "Estradiol Sensitive" test or you can order the "Hormone Panel for Females". yes, thats correct, Hormone Panel for Females, it's way cheaper than the male hormone panel, but it will still give you Total Testosterone Count, Estradiol (although it wont be the Sensitive assay), LH, FSH, as well as a Complete Blood Count. Results will come in 24 to 48 hours
I use privatemdlabs at least twice a month to monitor my bloods. Also, google "privatemdlabs coupon" and you can get an online coupon good for 15% off your order.

 

[totalburnout]

Thanks a lot. I really appreciate your help. I don't get to do BW for 4 months, and am a little nervous. I want to get the number down without crashing. I will ask the Dr if I can get the BW done early on my own dime. What do you think?

That sounds like a good plan. Before going out of pocket, you can ask him if he'll write the script for the bloodwork earlier. If not, you can use the links in the sticky'd threads to get the female hormone panel. It should be under $100.

I'll shoot you straight, your E2 is very high. You'll feel amazing if you get your levels in check. You can get as aggressive as you're comfortable with in the beginning and then dial it back. If I get over zealous and kill my estrogen with too much Aromatase inhibitor (AI), I'll inject hCG or T without the Aromatase inhibitor (AI) and when I'm feeling more normal, I'll go back to the .25mg adex EOD

 

[IMT staff]

your E2 is so high it is lowering your free roaming testosterone percentage but inducing SHBG.

Need to get that down ASAP

 

[1693]

It sounds like your doc is giving you reasonable advice. Everyone reacts differently to Aromatase inhibitor (AI). I have a similar T level to you but I have to take 250mg per week to achieve that. I also take 3mg per week of Arimidex to combat E2. I try to get my E2 in the mid 20's. Same with SHBG. I stopped taking Human Chorionic Gonadotropin (HCG) because it seemed to spike my E2. I pin twice per week and run bloodwork injection day before pinning.

Holy crap methos....3mg per week....that sounds like enough for a 600mg test cycle....you are one of those easy E2 convertors.....wow!
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Sounds like you got good advice Bert, Good Luck!