Originally Posted by
FOXDIE
i always thought serm's dealt with estrogens. my estrogen levels were never high, even before TRT and after
SERMs don't manipulate estrogen levels they manipulate extrogen receptors in brain (hypothyalamus) . SERMs block those receptors fooling hypothylamus in to believing that there is no T in the body and if your pitutarty and testicles are healthy . You make more T naturally. SERMs are not advised long term as they can cause impotence and low libido. It is generally used as infertility treatment for women and a method to shock HPTA axis fo men by anti gaing doctors.
. i also thought that dr. john crisler as well as others have stated that hcg or estrogen manipulation wasn't proper TRT, and that results were only felt truly with the addition of testosteorne AND hcg/serm/ai/etc.
also why would he try and use a serm? then hcg? on young men? why would the approach be different then that of with an adult?
Olderman dont have a healthy hypothyalmus , thats why . It goes down with age
a nd thanks for pointing out that he believes healthy younger men on a good doage scheudle will not need an AI
I said generally. It's not so black and white . Bloodwork is the only way to know.
now i am quite resolved to quit taking any AI for at least a month, stabilize at 60mg of Tcyp e3d, and then do extensive blood testing. from there i can work further.
and as far as libido goes, i had libido before my T went so low. thats cause my e2 was in a good range i assume. i just had trouble getting erections. now i have relativley little problem getting erections, and with cialis virtually no problem. i just dont ever ever ever feel horny. i never get erections or a rush in my body/brain seeing a hot girl or having her leg brush mine, etc etc. i havent had a sex dream in over a year. even when i had low T, my libido was good and i had sex dreams constantly. i now rarely think about sex throughout the day. i used to all the time.
so i think that as a fit, young man i should just stop messing with my e2 and let things pan out.
thanks!
i must note that my t3 and t4 are not in the upper 1/4 but in the upper 1/3 so i can improve on that. my temps arent a constant 98.6 so my dosage should be increased, but of course my current doc, she doesnt want to because she feels im well within healthy range, and that any more will send me over the range....whatever. i always thought getting my temps to 98.6 was important....my temps now peak out at 98.1 and can go as low as 97-96.8
i also must note that i have ulcerative colitis, which was the first thing to go in my body...shortly after i was diagnosed with low T and low thyroid....colitis is pretty much in remission though, so i wouldnt believe this is a huge factor right now...
i also am taking wellbutrin xl...it increases dopamine, which makes me generally feel better, more driven, and "loving". it also affects serotonin and norepenephrine but if you go to a!skapatient.co!m and read up on it youll find that almost EVERY man and woman has increased sex drive, sexual thoughts, etc etc...so i figure if i hit my right e2 range, the wellbutrin and cialias will amplify any changes and let me really see where its good and where its not...
thanks to all, and sorry i have so much going on in my situation. sorry i post so much. sorry i try and change so much at once. but its hard being in your early 20's and having multiple significant health problems, and i just wanna be my "old" self again.
Don't we all. I am only 32 and struggling with all this **** . Understand this is not a perfect science , these docs only try what is known and it is not a guarnteed solution. You are young , wait , try to live a goos life see things improve . If not you will always have TRT as an option.