Really high testosterone on TRT

[pmd]

I been on TRT for about two months. I am 43 yo.

My first doctor started me on a blend of cyp/prop, 1 cc every two weeks.

I tested at 626 testosterone and estrogen was perfect. I was feeling fantastic.

I switched doctors and he put me on straight cypionate, 1cc every two weeks.

After about 4 weeks I crashed bad and my testosterone was in the 200's and my estrogen was way up.

Dr put me on Armidiex 1mg daily and 2cc cypionate every 10 days.

My estrogen is back in check and my testosterone is at 1600.

The issue is that my mood is in the dumps, lack energy and libido is so so. I wouldn't say I feel depressed, but I am off. I am also having trouble focusing and remembering things. A lot of the same symptoms that had me go to trt.

I think I may be having some side effects from the Arimidex.

Thoughts?

 

[methos0123]

That is WAY too much arimidex...7mg per week??? That's what women with cancer take! Also, if your test is 200mg/ml, then that's a sh**load of test at one time. You need to ask if you can self inject, and start at 50mg every 3.5 days. Also, if you can do that you might not need any arimidex.

 

[toco]

Agreed. Have you had labs done to check everything out? Or are u just going by how you feel and THINKING your e2 is in check?

Look at finding another doctor. Self inject. As stated above, start at e3d. Retest and see where your e2 is at. I don't know of anyone needing 1mg ed of armidex on TRT lol. Shit on a cycle of 750mg test I know of people only taking armidex e2d at 0.25mg

 

[El paja]

Bro that to much arimidex, talk to him

 

[pmd]

That is WAY too much arimidex...7mg per week??? That's what women with cancer take! Also, if your test is 200mg/ml, then that's a sh**load of test at one time. You need to ask if you can self inject, and start at 50mg every 3.5 days. Also, if you can do that you might not need any arimidex.

Yes 7mg per week and yes 200mg/ml. I just injected myself this week for the first time.

I go back to see dr next week. The doctor has a good reputation, maybe I misunderstood his instructions, but the pill bottle says one a day.

In the mean time I am not going to take Arimidex for a few days. Unfortunately the doctor is away for the holiday and I can not consult with him at this time.

Thanks

 

[halfwit]

Yes 7mg per week and yes 200mg/ml. I just injected myself this week for the first time.

I go back to see dr next week. The doctor has a good reputation, maybe I misunderstood his instructions, but the pill bottle says one a day.

In the mean time I am not going to take Arimidex for a few days. Unfortunately the doctor is away for the holiday and I can not consult with him at this time.

Thanks

Pretty sure that estradiol is no longer "in check" and you've dropped it well below the optimal range for men. .5 to 1mg per WEEK is typical at that dose (of course we all vary), I hope there was some miscommunication at play here! As mentioned above, you really should inject 100mg every 3.5 days (I do Sunday and Thursdays myself) as this helps keep things nice and steady and you won't see nearly as many spikes in the supraphysiological area (1600ng/dL) nor will you see huge spikes in estradiol.

My .02c

 

[Spunkey71]

You said your testosterone is at 1600, when was your testosterone checked in relation to your previous injection?

 

[SilverBackGorilla]

My doc is much like yours, said 1mg per day. I told him Megatron and Halfwit said he was full of shit and he backed me down to .5mg every 3.5 days. I'm in 200mg a week of cyp and test is at 1219. Need a recheck soon though. Don't forget to donate blood every 56 days if possible. Good luck buddy.

 

[Megatron28]

My endo started me on .50mg of adex every day. That was on about 160ng of test per week back then if I recall correctly. It took be about 3-4 days to crash my E2 on that E2 dose. One of the worst weeks of my life.

 

[Alpin]

1 mg daily of ADEX....damn!
that's a lot!
Your E2 should be very crashed with that dose!
I find 0.25 mg E4D does the trick nicely for me.

 

[pmd]

You said your testosterone is at 1600, when was your testosterone checked in relation to your previous injection?

I had 2 cc's of test on 11/7/13. I had blood drawn on 11/15/13. I went back for result of 1600 on 11/22/13.

Previous to 11/7/13 I had been on 1cc every 2 weeks, for about 4 weeks before I crashed and my testosterone was in the 200's. This is the reason he upped my cypionate dose. My estrogen had risen as well, so this is when he started me on arimidex. Been on Arimidex for about 21 days daily at 1mg.

I did some research on line and came to the conclusion that the Arimidex dose is too high. You guys confirmed it. This has certainly been a bad experience. It's like someone shut my emotions off. Strange feeling. Not happy, not sad, no energy, feel weak and hard time focusing.

 

[Rida5d]

Another story showing how doctors could fuck up real bad.
Check ur Estradiol brother, ask for a sensitive essay, (the one I can't get where I live)
Elevating Crashed estrogen levels need more work then lowering elevated E

 

[Megatron28]

I had 2 cc's of test on 11/7/13. I had blood drawn on 11/15/13. I went back for result of 1600 on 11/22/13.

Previous to 11/7/13 I had been on 1cc every 2 weeks, for about 4 weeks before I crashed and my testosterone was in the 200's. This is the reason he upped my cypionate dose. My estrogen had risen as well, so this is when he started me on arimidex. Been on Arimidex for about 21 days daily at 1mg.

I did some research on line and came to the conclusion that the Arimidex dose is too high. You guys confirmed it. This has certainly been a bad experience. It's like someone shut my emotions off. Strange feeling. Not happy, not sad, no energy, feel weak and hard time focusing.

I would go off the adex until you start feeling better. You need to let your estradiol voice back.

It wouldn't hurt to run labs to see where you are at too. Manybof us use Private MD - Buy Lab Tests Online. They have the Hormone Panel for Females (For men too) which costs about $50. Often that is good enough, but it does not include the estradiol sensitive assay. You may want to get the sensitive one too. Or look at the Hormone Panel for Males. It costs more, but it includes the sensitive estradiol.

 

[pmd]

I plan on going off the arimidex until I start feeling better as suggested. I have an appt for blood draw this Thursday.

I am very thankful to all of you for your guidance. If you will allow me to indulge, I would like to pick your brain some more.

Fact 1:
At the very beginning my total testosterone was found to measure at 400 with one lab and 475 with another lab. Even at these levels I had the classic low test symptoms.

Fact 2:
I felt like never before in my life at 626 total testosterone.

Question: Is it really necessary to do TRT do go from 400-475 to mid 600's? Is it possible to just do an anti-e or hcg?

I know this doctor is against hcg. He has told me he is not that kind of doctor and that it is not FDA approved for use, or something like that. I have read that clomid alone may have positive results.

Thanks

 

[Megatron28]

I plan on going off the arimidex until I start feeling better as suggested. I have an appt for blood draw this Thursday.

I am very thankful to all of you for your guidance. If you will allow me to indulge, I would like to pick your brain some more.

Fact 1:
At the very beginning my total testosterone was found to measure at 400 with one lab and 475 with another lab. Even at these levels I had the classic low test symptoms.

Fact 2:
I felt like never before in my life at 626 total testosterone.

Question: Is it really necessary to do TRT do go from 400-475 to mid 600's? Is it possible to just do an anti-e or hcg?

I know this doctor is against hcg. He has told me he is not that kind of doctor and that it is not FDA approved for use, or something like that. I have read that clomid alone may have positive results.

Thanks

What you are asking about is called a Restart. If you were diagnosed with Secondary Hypogonadism a restart is a possibility. I'm surprised your doc never discussed this with you given you TT numbers -- unless you have Primary Hypogonadism of course.

 

[Alpin]

I plan on going off the arimidex until I start feeling better as suggested. I have an appt for blood draw this Thursday.

I am very thankful to all of you for your guidance. If you will allow me to indulge, I would like to pick your brain some more.

Fact 1:
At the very beginning my total testosterone was found to measure at 400 with one lab and 475 with another lab. Even at these levels I had the classic low test symptoms.

Fact 2:
I felt like never before in my life at 626 total testosterone.

Question: Is it really necessary to do TRT do go from 400-475 to mid 600's? Is it possible to just do an anti-e or hcg?

I know this doctor is against hcg. He has told me he is not that kind of doctor and that it is not FDA approved for use, or something like that. I have read that clomid alone may have positive results.

Thanks

TT fluctuates by 100 ng/dl or so...
a series of consistent blood work done every 2-3 months will give you a better baseline of what you are dealing with.
I'd drop the ADEX and then do labs to see what your baseline levels are.
Get a sleep study done too.

 

[Alpin]

I took ADEX 0.25 EOD and had TT at 582 ng/dl as a baseline while on it. It does increase LH, FSH, TT and Bio Avail. T while on it.

 

[Megatron28]

I took ADEX 0.25 EOD and had TT at 582 ng/dl as a baseline while on it. It does increase LH, FSH, TT and Bio Avail. T while on it.

Apollon, was this while you were on TRT injecting testosterone like the OP? Or was this when you ran arimidex mono-therapy?

 

[pmd]

TT fluctuates by 100 ng/dl or so...
a series of consistent blood work done every 2-3 months will give you a better baseline of what you are dealing with.
I'd drop the ADEX and then do labs to see what your baseline levels are.
Get a sleep study done too.

I have been to two doctors so far and not one has given me an actual diagnosis, whether primary or secondary. This doctor I am seeing is very highly recommended for this locally, which is surprising to me thus far from what I am seeing.

I have had a sleep study done and it was fine. He found that I spend more time in phase two and that my heart skips a beat occasionally. I go to a cardiologist normally just as a preventative measure. The cardiologist said all is fine. Though I still have to discuss my heart skipping a beat during my sleep.

I highly suspect that I don't need cypionate and can be brought within normal levels with some ant-estrogen or other treatment.
I have battled with low t symptoms for years and have always averaged in the mid 300's to the high 400's. It wasn't until I was in the mid 600's that I felt great physically and mentally. I felt more confident and assertive at this level. My workouts were fantastic.

In any manner I have dropped the ADEX and will follow up with my concerns with my doctor.

 

[Megatron28]

Do you have your pre-TRT LH and FSH results? That will point to a primary or secondary diagnosis.