Blood work results. Test, Free Test and E2. Ouch

[musclehealth]

Been on trt for years with ups and downs, insurance problems, surgeries etc. I have finally got back on track and working with a TRT clinic. Insurance only does 2x year bloodwork so I pay for out of pocket....

-Currently on 150mg Test Cyp per week IM.
-No AI at this point.

Test results 3 days after last injection:

Testosterone Serum : 934
Free Testosterone (direct): 41.6
Estradiol Sensitive: 73

Any suggestions? I need to bring down my E2 levels. Starting Arimidex tablets .5mg every 3 days to start and see how it goes.

How does my free and total look at that dose? I am guessing I will feel much better once the E2 goes down.

Thanks!:headbang:

 

[musclehealth]

I added the units and ranges because I did not in the origional....

Testosterone Serum : 934 ng/dl (range said 348-1197)
Free Testosterone (direct): 41.6 pg/ml (Range said 9.3-26.5)
Estradiol Sensitive: 73 pg/ml (range 3-70. sounds way too high)

 

[Adonis89]

try 100mg cyp/week and do EOD shots or at least 2x per week. Helps balance E2 out.

alternatively you could use more AI, but that wouldn't be my choice long term.

I'd try the first option and do more labs in 3-4 weeks, keeping everythign else the same.

Problem with longer term AI use in men I've seen is that aromatization becomes more sensitive and upregulates in some fashion. A few HRT doctors notice this phenomenon also, which is why they prefer not using an AI if possible.

Also - get lean. Will help lower E2 conversion.

 

[Stewie]

A direct measurement of Free testosterone can be inaccurate. A more reliable means is through the configuration of Total Testosterone/ Albumin/ SHBG. Gives a more reliable measurement of Free and Bio available testosterone. If you have those post them.

As far as your E2, yes it is a tad high. I'm a not a big proponent of a one time snap shot of any blood marker, as it may not necessarily represent a true value. Lab errors as well as the length of time the blood set before testing the analysis of it. Although not common, yet the likely hood is possible.

How has your E2 been on previous labs?
You mentioned you'd feel better if your Estradiol goes down. How is your sense of wellbeing, libido, erection quality, mood?

 

[musclehealth]

A direct measurement of Free testosterone can be inaccurate. A more reliable means is through the configuration of Total Testosterone/ Albumin/ SHBG. Gives a more reliable measurement of Free and Bio available testosterone. If you have those post them.

As far as your E2, yes it is a tad high. I'm a not a big proponent of a one time snap shot of any blood marker, as it may not necessarily represent a true value. Lab errors as well as the length of time the blood set before testing the analysis of it. Although not common, yet the likely hood is possible.

How has your E2 been on previous labs?
You mentioned you'd feel better if your Estradiol goes down. How is your sense of wellbeing, libido, erection quality, mood?

Previous labs showed E2 high also. I noticed my nips are puffy, a little water weight holding and a little bit of depression. Erections are hit or miss. Some days im rock hard and others I am not. Ejaculating has been a problem, too much effort. LOL

Just took 1/2 tab of Arimidex to try and level it out. I get it prescribed from walgreens.

 

[emeric delczeg]

try 100mg cyp/week and do EOD shots or at least 2x per week. Helps balance E2 out.

alternatively you could use more AI, but that wouldn't be my choice long term.

I'd try the first option and do more labs in 3-4 weeks, keeping everythign else the same.

Problem with longer term AI use in men I've seen is that aromatization becomes more sensitive and upregulates in some fashion. A few HRT doctors notice this phenomenon also, which is why they prefer not using an AI if possible.

Also - get lean. Will help lower E2 conversion.

Good advise.

 

[Kaladryn]

I'd do .25mg EOD. I'm also guessing you had bloodwork done 4-5+ days after your last shot? If so, then you should really lower your dose for long term cruising. Better to cruise on physiological doses, and blast more often, than to cruise at too high of a dose (even if total mg is the same)...

 

[goatfishtwo]

I'd do .25mg EOD. I'm also guessing you had bloodwork done 4-5+ days after your last shot? If so, then you should really lower your dose for long term cruising. Better to cruise on physiological doses, and blast more often, than to cruise at too high of a dose (even if total mg is the same)...

How often is more often? Curious about this concept.

 

[BigMatt]

try 100mg cyp/week and do EOD shots or at least 2x per week. Helps balance E2 out.

alternatively you could use more AI, but that wouldn't be my choice long term.

I'd try the first option and do more labs in 3-4 weeks, keeping everythign else the same.

Problem with longer term AI use in men I've seen is that aromatization becomes more sensitive and upregulates in some fashion. A few HRT doctors notice this phenomenon also, which is why they prefer not using an AI if possible.

Also - get lean. Will help lower E2 conversion.

This is crucial, Very important. Good advice

 

[Kaladryn]

How often is more often? Curious about this concept.

Like all dosage questions, that question is purely subjective to one's willingness to accept risk. So even if you did know what everyone did and could determine an "average" it would be useless without knowing how that related to each person's risk acceptance level.

I personally like long, low does blasts and long cruises. Competing tends to mess with this conservative approach though.

 

[emeric delczeg]

Been on trt for years with ups and downs, insurance problems, surgeries etc. I have finally got back on track and working with a TRT clinic. Insurance only does 2x year bloodwork so I pay for out of pocket....

-Currently on 150mg Test Cyp per week IM.
-No AI at this point.

Test results 3 days after last injection:

Testosterone Serum : 934
Free Testosterone (direct): 41.6
Estradiol Sensitive: 73

Any suggestions? I need to bring down my E2 levels. Starting Arimidex tablets .5mg every 3 days to start and see how it goes.

How does my free and total look at that dose? I am guessing I will feel much better once the E2 goes down.

Thanks!:headbang:

Don`t worry about your estrogen, the ratio of testosterone to estrogen is the most important, the balance between these two hormones is just as important as the absolute quantities, the normal ratio for young adult male is 5 to 1.

 

[Kaladryn]

Don`t worry about your estrogen, the ratio of testosterone to estrogen is the most important, the balance between these two hormones is just as important as the absolute quantities, the normal ratio for young adult male is 5 to 1.

Optimal ratio for T:E is around 30:1 maybe 25:1 if you like E2 a little higher, he is 13:1

 

[Pressing]

My TRT Dr. recommends E at 20-25.

 

[emeric delczeg]

Optimal ratio for T:E is around 30:1 maybe 25:1 if you like E2 a little higher, he is 13:1

Before age 30 is 50 to 1, and after age 30, testosterone levels gradually decline.

 

[emeric delczeg]

Optimal ratio for T:E is around 30:1 maybe 25:1 if you like E2 a little higher, he is 13:1

He has it almost 13 to 1

 

[bigchris99]

My doc likes my E2 under 20. On 400 mg cyp a week, i have to take 4-5 mg of arimidex weekly. Everyone is different i guess.

 

[Kaladryn]

My doc likes my E2 under 20. On 400 mg cyp a week, i have to take 4-5 mg of arimidex weekly. Everyone is different i guess.

Under 20 is too low and how in the hell can you get under 20 on 400mg test with Arimidex? And you randomly take 4-5mg? How is that dosed? What was your last E2 level relative to your test level?

 

[bigchris99]

I'm on 400 mg cyp a week and if memory serves me correct, my test was 1500 and E was at 29. This was with 1mg arimidex three times a week. He wants me under 20 so he bumped me to 1mg four times a week..

 

[Pressing]

I'm on 400 mg cyp a week and if memory serves me correct, my test was 1500 and E was at 29. This was with 1mg arimidex three times a week. He wants me under 20 so he bumped me to 1mg four times a week..

How many days after your last injection was that 1500 number?

 

[Adonis89]

My doc likes my E2 under 20. On 400 mg cyp a week, i have to take 4-5 mg of arimidex weekly. Everyone is different i guess.

Is that your cruise dose? Why not use physiologicl T doses, little to no AI and if you have to, add a low dose non aromatizing anabolic at 100mg or so (Dr. G method) and/or GH.

Not suggesting Dr. G's method is some biblical solution, but at least he's got a sample group of patients with whom he's trying it and having good results (both health and HRT-wise).