Should I have my dosage increased?

[mbmiles88]

Just to be clear, in the beginning of the treatment, they started me at 100mg a week and doubled it after they didn't see much difference after a month or two. Now that I've been doing 200mg a week for a few months and am only at 540 should I have them double it again?

 

[Megatron28]

The most I have ever seen a doctor put someone on is 250mg/week for TRT.

 

[mbmiles88]

Just to be clear, why is that, are there any negative side effects or anything of doing higher than that?

 

[Brunodk]

Nice that your E2 level is stable. What is your protocol?

I'm on 280mg a week split into 2 doses and take 1000 iu of HCG split into 2 doses.

 

[mbmiles88]

So can anyone make a recommendation on what they think I should do?

 

[Megatron28]

See post #2. I gave you a recommendation in that post.

 

[mbmiles88]

See post #2. I gave you a recommendation in that post.

Thanks, I am going to take your recommendation and split into two doses per week, but you don't recommend any more than 200 mg per week? Also, should I add HCG into the mix and also what will happen when my doctor puts me on an AI, will this help my testosterone level?

 

[Megatron28]

Thanks, I am going to take your recommendation and split into two doses per week, but you don't recommend any more than 200 mg per week? Also, should I add HCG into the mix and also what will happen when my doctor puts me on an AI, will this help my testosterone level?

I would stay on the 200mg dose you doctor has you on.

Lots of guys like taking HCG while con TRT. Gives them a sense of well being. I think it would be worth trying. I plan on adding it to my protocol.

We don't know if you need an AI. Switch to the pinning twice a week and get your blood work again in about a month. Let's see how your estradiol and TT look on that protocol. HCG can affect your estradiol numbers too.

 

[mbmiles88]

I would stay on the 200mg dose you doctor has you on.

Lots of guys like taking HCG while con TRT. Gives them a sense of well being. I think it would be worth trying. I plan on adding it to my protocol.

We don't know if you need an AI. Switch to the pinning twice a week and get your blood work again in about a month. Let's see how your estradiol and TT look on that protocol. HCG can affect your estradiol numbers too.

My doctor actually told me last week that my estradiol levels are high and that they are going to start me on the AI. I am just kind of confused on how that works, when I start that, I understand that my estradiol levels will go down, but does this also affect my testosterone level?

 

[Megatron28]

My doctor actually told me last week that my estradiol levels are high and that they are going to start me on the AI. I am just kind of confused on how that works, when I start that, I understand that my estradiol levels will go down, but does this also affect my testosterone level?

Yes, when your testosterone is inhibited from aromatizing, that means more of it remains in the form of Testosterone. Thus your TT is higher.

Google "testosterone aromatization to estradiol" to learn more about the Aromatase Enzymes in your body.

 

[mbmiles88]

So I found out that my estradiol is at 50. My doctor is increasing my testosterone dosage from 200mg weekly to 220mg weekly and prescribed me arimidex to be taken 1mg twice weekly. Does this sound good? And is that a very high estrogen level?

 

[Brunodk]

So I found out that my estradiol is at 50. My doctor is increasing my testosterone dosage from 200mg weekly to 220mg weekly and prescribed me arimidex to be taken 1mg twice weekly. Does this sound good? And is that a very high estrogen level?

That seems like a high starting dose of arimidex. You could completely crash your E2 and feel way worse. 50 is not that high so I'd be surprised if you need 2mg of arimidex weekly to manage it.

 

[mbmiles88]

That seems like a high starting dose of arimidex. You could completely crash your E2 and feel way worse. 50 is not that high so I'd be surprised if you need 2mg of arimidex weekly to manage it.

So how much do you recommend I take?

 

[Mprtz]

Is E2 of 50 even out of range for your lab? Do you have any symptoms of high E? I'd start with 0.25mg twice weekly, though even that may take you lower than necessary.

Sometimes MDs prescribe 1mg because that's the only commonly available tablet dose. Split the tabs or get smaller doses compounded.

 

[mbmiles88]

Hi, I was told that I want to keep it below 20. I'm not sure what the symptoms are so I can't say I have symptoms of low E2 .

 

[Megatron28]

Sweet spot on the Sensitive Estradiol Assay is between 20-30. Most guys don't feel good when their E2 goes below 20. You get serious fatigue and joint pain,

 

[Alpin]

Sweet spot on the Sensitive Estradiol Assay is between 20-30. Most guys don't feel good when their E2 goes below 20. You get serious fatigue and joint pain,

and anxiety.

 

[Megatron28]

I never felt anxious with high or low E2. I think that is if you are already anxious that it might get exasperated.

 

[Alpin]

way to much ADEX....
50 pg/ml is not overly high E2...
You should start with way less ADEX.....
0.25 mg E3D and go from there...
I've split my injections for both HCG and T to E3D and it feels like any ADEX dose is too much if taken more than E3D...
I'd cut the 1/4 tab of ADEX in half to be honest....
take as least as possible. E2 can get driven real low on TRT.

 

[Alpin]

I never felt anxious with high or low E2. I think that is if you are already anxious that it might get exasperated.

If I lower my E2 too much....
I can't eat, I'm shaky, nervous and have to work out for at least 2.5 hours to come down....