- Joined
- Apr 13, 2006
- Messages
- 394
When you are on the SERM and AI, you are stimulating GNRH, LH , and Test production, probably pretty high, above the normal range. You are also keeping estradiol super low while possibly upregulating aromatase production (even if using suicidal, this still happens). When you stop the AI and SERM, you immediately go in to a HIGH estradiol state, shut down GNRH and LH and Test. 32 ng/dl might not seem that high, but it is when your test is that low, because ALL e2 comes from test in men, so in order to get 32 ng/dl, you have to be converting the shit out of that tiny amount of test you are making. You have dug yourself a hole.
You can do a couple of things, you can go off the AI, then taper off the SERM and wait 3-6 months for test levels to recover to whatever they will. You can go on TRT for life.
There is a really good chance you have high prolactin and that is part of the issue, a HUGE percentage of people (up to 25%) are thought to have pituitary tumors that can lead to higher than normal prolactin. Prolactin would cause all the effects you are having and lowering E2 ultra low would provide relief.
But if my test levels were high that would have showed up on my blood work correct? I had been on Nolva and an AI for 6 weeks before my blood work. But my Testosterone was in the basement and my LH was almost nonexistent.