Crashed Again on TRT

Thanks for the update. I definitely would suggest SC injections for TRT. For me there is much less, if any, scarring.

I also personally have had E2 crash in the past when I was on 0.5mg twice a week. I had to completely layoff the Adex for about a month and then restart with much smaller dose. Currently I’m doing 0.25 every 2 weeks

Do you take the. 25 when u feel symptoms which just happens to be every 2 weeks?

Currently my regimen is .35ml every 5 days, and .25 of an Adex – and I’m feeling great. Decided to give up on the .5 every 10 days and try to hold E2 more stable to see how I’d feel. Can’t complain about doing it this way so far, and it’s been about 6 months.

My doc has suggested I switch to SubQ injections, so I may be trying that in the coming months, although I’m hesitant to change anything up when I’m on a roll.

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Hi there Man & Congratulations Hakrjak on your Long T.R.T Journey,good to meet you i’m Danny & just like to ask how old are you now? and what Year exactly did you go on T.R.T now being 2018 we in. Also what Injection / protocol worked ideal for you and keeping everything balanced? also what body fat percentage are you. And body type if you know which one Mesomorph or Ectomorph? I just curious about those things.

I don’t know if I’m supposed to open up convos this old but DAMN, this is spot on the same kind of stuff I’m dealin with right now…Not being able to keep erections and crashing e2…Are you still doin well Hakrjak? I’ve been on T for a year and I’m still not dialed in and its made my E2 worse…I’m 30 taking .4 ml twice a week, hcg 500 mcg twice a week cycled and aromasin 6.25 twice a week…but now i’m definitely laying off for awhile…

There’s your problem. Stop this asap.

I cut up aromasin into 10 smaller pieces and it’s still too much, if you inject frequently (Test & HCG) you can minimize the estrogen production.

I found success injecting my doses every 2 days and decreasing the weekly dosage 20%, estrogen dropped considerably coming from a twice weekly protocol. T-cypionate can cause large spikes in estrogen in some men, smaller injections more frequently, smaller estrogen spikes and can help you dial-in more easily.

Yeah AI’s are so powerful…I was mostly just doing 6.25 once a week and I still crashed it. I’ve had ongoing ED issues after starting TRT that hopefully the twice a week dosing will fix. All of my lab results for most of the year including E levels, thyroid, prolactin, etc were in the middle of the ranges while I was dealing with the ED issue which makes it a mystery…But yeah exact same symptoms as hakrjkr. Crashing it is an obvious feeling, hopefully my e2 raises soon because its a pretty shitty feeling being under the recordable range…0 motivation, energy and sexual prowess. The ED issue on TRT that I see a lot of men struggle with like me is undoubtedly highly complex, although Hakrjkr’s story seems like a light at the end of the tunnel if I stay on.

I think it’s Cypionate that causes the problem. Propionate has a much shorter half life and is easier to manage sides. Cypionate just takes longer to see the adjustments. JMHO

The dose of AI is way too high. So Cypionate half life is long and AI is short, so you’ll never get it right at a high AI dose.

I also had ED issues, and my E2 was pretty normal, but sometimes a little high. I think another issue, is we don’t usually test E2 or DHt before jumping into TRT. Just a slight uptick in E2 can cause major issues, and sometimes DHT doesn’t go up much during Cypionate injections, couple that with a high or moderate high E2, and no more libido. Some men have used T-gel to help in the DHT arena.

Without a good baseline of E2 and DHT along with Testosterone prior to TRT then there is no control to the experiment that is TRT.

Great thread. I’ve been reading up a lot on this and have noticed a direct correlation between my well being and my sleep. Cutting alcohol, easing up on training, and eating healthy have all helped, but sleep is the most important factor. Currently, sleep cycle is out of whack, but I am taking steps to correct it. I encourage anyone (TRT or not) struggling with fatigue to read the above posts.

Wow, it’s been a long time since I posted but felt obligated to keep this thread updated since I’ve been feeling great for many years after settling on a regimen that works for me. I’m 44 now, and have been on TRT for 11 years total. The above observations are still all true. I’m still flying to see Dr. Mills at UCLA Urology in Los Angeles, and at this point I understand he has thousands of patients on various treatments feeling various levels of wellness depending on what they’re using, so I highly recommend him if some of you guys haven’t figured out what works for you yet. My TRT regimen continues to be very similar to what I’ve posted above (I only need to use like 1/5th of an Anatrozole pill now), and my IBS continues to still be well under control with a few changes in that regimen over the years that I’ve discovered help me. Those changes include taking amino acid supplements daily (after I noticed that Glutamine was very helpful knocking down and keep away IBS flares), and adding liquid Tumeric and Collagen to my morning shakes – trying to do the low inflammation thing. A little Cialis on the weekends isn’t a bad thing, and has really improved my performance in the gym (I bought a Peloton 1 year ago, and it’s been some of the best money I’ve spent, btw). I never did switch to SC injections, but maybe sometime down the line.

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It’s been over 2 years since I’ve updated this thread. Things still going great! I’m going to be 47 soon, and a few notes worth mentioning:

  • IBS is in complete remission thanks to Glutamine. I no longer take scoops of it daily, as I feel I’m getting enough in my daily Amino Energy drink to serve as a good maintenance dose, but I do use scoops if I’m feeling run down, or find myself picking up a stomach bug on vacation in say, Mexico. Works great. I’ve had another colonoscopy in the last 12 months, and everything checks out clean as a whistle. I still take daily collagen, but have dropped the Tumeric – feeling like it may not have been necessary because no reaction to dropping it.
  • I’ve learned that weekend Cialis actually doesn’t agree with my body very well, and that I respond better to a small daily dose (5 mg) best. I was having problems with one of my ears feeling “blocked” and seeing an ENT for a while, and when they couldn’t find anything wrong, I decided to start logging my ear health on a spreadsheet and taking Cialis consistently for the purposes of adhering to a scientific method. Low and behold, the ear problems went away almost as soon as I began taking daily Cialis, and have been gone for almost a year now. Dry eyes and other side effects have also diminished in this time, so my guess is that the bounce back effect on the vessels is worse if you don’t take this medication consistently. Also, I live at altitude (6500 ft), so I can definitely feel an increase in my athletic performance when on daily Cialis!
  • Peloton is still some of the best money I have ever spent. I first bought the bike, and now have the tread. Both the wife and I use those devices at least 5 days a week, and have never been more lean or fit in our lives! Highly recommend.

Vitamin D supplements can help with IBS as well.