TRT, since doc increased dosage.. starting to have physical symptoms of high estrogen

RS5TM

New member
Otherwise healthy 31 year old man. Started TRT about two years ago initiated by my physician. Initial labs before starting were all normal ranges for someone at 30.

Started for a year at about 250mg a week (lipo cream). Have done regular labs throughout replacement. High normal range free and total at 250mg a week. Maintained that for a year regularly taking NAC, liver support, zinc supplementation, IV B vitamin supplementation regularly.

Problems started when I was inj. 600mg a week for about one month on top of 250mg cream every week. No SERMS/AI. after a month at this I ended up in a cell for 5 weeks, obviously no taper happened, no pct in that setting. Tanked hard (depression severe...) Crashing T levels. Symptoms begin at this point nipple pain, changes in nipple appearance slightly, no tissue growth that I can tell. Testicles in my stomach constantly cold intolerance as well. Beginning to see acne on my back. (Warning sign to me)

I get out 4 months ago. Go back to my doc and ditch inj. Form entirely and restart test. lipo cream at 550mg a week and he gives 5000IU HCG that I used twice a week while reinitiating trt at 550mg. Went through 5000iu hcg after a month. 3 months go by leading to current .

Most recent labs show FSH / LH slightly below normal low ranges. Out of range slightly. Nipple pain worsening still, acne on my back. Doc rxing as of current says to just stop exogenous test alltogether . That would be hell.. I imagine. Im waiting for comprehensive labs (full hormone panel , everything, not jsut FSH LH that I will have results to this coming Thursday. Will post..)

My doc doesn't seem to know what he's rxing or how to control high levels of estrogen or aromstisation.. I'm realizing. I have made.my.own errors with my use as well. Moving forward

Soonest I can get in to my specialist Endo,/uro who can resolve this with other medications is October 2nd. Until then...

Because of nipple pain, bacne, minor test atrophy I am guessing that I'm running both high free and total T as I have for years... Along with high aromitsation rates and my guess is my labs that I get in a few days will show high edtrogen levels. Hence the bacne.. nipple pain, change in nipple size.
Another problem.. ED and libido crash. I will post my labs in a couple days here when I have them.
I'm SOL until October 2nd.. I am continuing Trt at this moment at 550mg a week.. i have introduced 1mg arimidex EOD starting the day after my blood was drawn for comprehensive hormones.

This is the only thing I can think of to do at the moment and the arimidex appears to be greatly helping acne on my back . It's gone on dsy 7 adex. Nipples still a little sore. Night and morning erections returning and libido slightly.

I know I may be in a predicament. I am. This Thursday I will post my labs. When I go in to go over my labs with my doc i will run another full panel that will show that's happening since introducing the adex 1mg EOD.

Was introducing arimidex the right thing to do with my symptoms? I cannot confirm until Thursday that I was running high estrogen levels but I had all the physical / emotional symptoms.

I believe arimidex will raise my Lh FSH and lower estrogens . While I continue trt at 550mg WK until October 2nd when I meet with a doc who can properly get me into a pct protocol.

Overall thoughts on this?
 
Yes, you needed an, AI, Arimidex is a good call, I would guess you'll be feeling better.

Your doc had you on 550-600mg test pw with no ai? High E levels definitely mess with the head. I hope you are feeling better bud.
 
I have done my years of reading.. I have made some mistakes I admit to this.
However yes.. even at 550mg a week my doc said no need for an AI and he is firmly against them. He did not give an explanation.

I should've known better.. but yes 550-600mg test a week with no AI. I'm scheduled with a doc who really does know proper pct, AIs, etc.. unfortunately can't get in until October 2nd

I hate going on adex on my own volition.. but figure if my doc doesn't want to rx it and just says 'stop t alltogether ' hes not just lacking In knowledge but also a maniac. That would be hell.

Glad my memory served me... Im on about a week maybe a little more of adex. I'm going to continue 1mg EOD I am already starting to feel better at that dose. I won't change dosage or frequency on the adex until I run labs at the end of the week to see exactly where I'm at on arimidex.

Should it stop nipple pain? Acne going away . Libido returning. The roller coaster from high e. Is starting to level out on the arimidex.

Thanks for the reply.
 
It is great to hear that things are getting better. With ADEx in the mix, the gyno will now not get any worse, and may improve, but may take a while to subside.
To completely get rid of the Gyno, I would check out a SERM Raloxifene, which is supposed to be the best for reversing existing gyno, tamoxifene is an option as well. Remember, you still need to stay on and AI, while using the SERM as the SERM wont keep E low, just helps with the gyno.

Also, since you are on your own in dosing the AI, you might want to eventually switch to Aromasin as it is easier to dial in without crashing E on the other end. Deffinetely stay on an AI (any ai) as long as your test is at those doses. Also, using a dht compound like Proviron or Mast helps with E as well.

But for now, I would stay on the test and the adex, and add in a daily SERM, preferably raloxifene, until the gyno disappears. I hope that this helps.
 
550 mg a week is NOT considered a trt dose. Trt dosage typically max out at 200 mg a week or so. The doctor basically has you on a dose of test that is a continual nonstop steroid cycle that you effectively never come off of. Very unhealthy. I would consider looking to get your test dose reduced to around 200 mg a week and do occasional blast intermittent cycles from time to time. At 200 mg a week you may also be able to eventually drop your ai too. What dosage test did your doctor initially start you on when you began treatment? The doctor must be a complete moron to put patients on such a high dose test and at that without even an ai.
 
Ive used anastrozol (0.5mg) a day before bloods, and my estrogen went down from 6.0 to 2.5 .. Normal range for men is around 5.0

Ive done that cause last time my doc was really mad that my estro was 6.0 ... LoL
 
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