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20 Year Old On TRT- Gyno?


Hey guys, thanks for taking time and stopping by.
I'm 20 yo, 5'11, 174, 11% bf. Since I was 16, I have been obsessed with fitness. I have strength trained consistently 5 days a week or more since then. (more into the aesthetics side of things, hence my weight) around 14, I developed a slight case of gyno. it sucked, but I moved on.

For about 6 months, I had not felt masculine. Really low libido, feeling soft, and general lack of "alphaness". I tried a lot of things, Vegan diet, DAA, and much more. Alas, I went to the Dr. and had bloods done. My free test came back at 113. Doc was very concerned, and immediately put me on 200mgs of Test Cyp weekly. No A.I. and no HCG (found that interesting). I will be starting my 4th week tomorrow, and noticed a bit more sensitivity in my nipples. Though I don't feel it in the gyno glands, just more so in the areola/nipple. I have a arimistane on hand, and was curious to know if y'all would think that's worth while. Or, should I contact my physician in hopes of prescribing some Arimidex?

P.S. I am seeing an endo very soon to find out what the underlying issue is. I am also aware that I am VERY young to be having to deal with low T and be on TRT.

T3 uptake: 32.7
T4: 4.9
Calculated T7: 1.60
TSH: 1.6

Thank you for your help.


Please post all labs in list format with lab ranges.

You can directly edit your post above.

Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman

  • advice for new guys
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Thyroid may be part of the problem. Please eval overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Have you been using iodized salt?

Over training can mess with your hormones!

Your doctor is incompetent if he did not test before TRT:

50mg T cyp/eth self injected twice a week, SC or IM, #29 0.5ml 1/2" insulin syringe, upper leg
0.5mg anastrozole at time of injections
250iu hCG SC EOD to preserve fertility, otherwise risk of infertility

Gyno indicates E2 was high, perhaps prolactin too. That can be from poor E2 clearance by the liver. AST/ALT labs are useful. Some meds, Rx or OTC can impair E2 clearance.

200mg T per week is stupid, but the fad now.
If you do not reduce T dose, you may need ! 2mg/week anastrozole