Reason why this happen is not because of the drug, but driving the e2 too low will reduce ones ability to burn fat since some estrogen helps in lipolyisis and decrease insulin sensitivity. Understanding the interaction of hormones is crucial when dealing with these issues because every thing effects other hormonal pathways and receptor sensitivity. It all about proper bioindividuality and BALANCE !! If one is scare then have an ultra sound done then have your DR monitor liver function via blood. Fatty liver I am finding is brought upon major dysbiosis as well as impact in the livers abiity to burn and process fats. This is probably due to the rise in SHBg due to its impact in NASH. I am getting closer and closer for explaination of this anomaly. in 90% of people with SHBG I have found to have major dysbiosis or candida which lends to the idea of back to increase of endogenous waste which is over burden the liver. I bet you Dr mouton would agree with me on this.
Very interesting thoughts.
I have had numerous ultrasounds over the years, last one about 16 months ago, showed mild fatty liver. A few years ago when I like to have a few drinks at night I had moderate fatty liver with hepatomegaly. Hhat cleared up when I stopped drinking. Had plenty of blood work, most recent one 3 weeks ago, checked liver, prothrombin time, Platelets, ferritin study etc, all normal.
But I am very cautious with anything that could aggravate the liver.
Last blood test my E2 was 63 and Total T 950
I have the A-dex but still haven't taken it.
I am getting re-tested next week and if the E2 is still high I will start a low dose.
Im on the pellets, so its almost 3 months and I'm due for a new round. I can feel my T levels receding now so I'm assuming my E2 should be a little lower.
I had one doctor tell me he doesn't treat with A-dex unless E2 is over 75
If I do start the A-Dex it will be 1/4 pill every 4 days and see how that goes. I know its minimal when compared to people taking 1 pill every day! so hopefully there will be no negative effect on the liver. But perhaps the high E2 is worse for the liver