40 y/o M - 200mg Cyp x 1 pin per week - 12 weeks in. Was doing .25mg Anastrozole once per week. Based on the bloods below am considering .5mg twice a week. Intention is to maintain the T dose constantly.
So far I have experienced
- Possible breast changes - could be paranoid though
- Balls have not shrunk at all
- Really bad back acne
- Libido exceptionally high
- Morning wood is daily and strong
Had bloods back. E2 is elevated. Should I lower dose of T, have a better AI protocol, split the dose? Any advice would be appreciated. Is there a sweet spot I should aim at for the E2 number?
HAEMATOLOGY
Red Blood Cells
HAEMOGLOBIN (G/L) *173 g/L 130.00 - 170.00
HCT 0.491 L/L 0.38 - 0.50
RED CELL COUNT 5.16 x10^12/L 4.40 - 5.80
MCV 95 fl 81.00 - 98.00
MCH *33.6 pg 27.00 - 33.00
MCHC (G/L) *353 g/L 300.00 - 350.00
RDW *10.0 % 11.50 - 14.40
White Blood Cells
WHITE CELL COUNT 6.0 x10^9/L 3.00 - 10.00
NEUTROPHILS 3.04 x10^9/L 2.00 - 7.50
LYMPHOCYTES 2.08 x10^9/L 1.20 - 3.65
MONOCYTES 0.61 x10^9/L 0.20 - 1.00
EOSINOPHILS 0.14 x10^9/L 0.00 - 0.40
BASOPHILS *0.15 x10^9/L 0.00 - 0.10
Clotting Status
PLATELET COUNT 234 x10^9/L 150.00 - 400.00
MPV 9.5 fl 7.00 - 13.00
BIOCHEMISTRY
Kidney Function
SODIUM 139.3 mmol/L 135.00 - 145.00
UREA 3.3 mmol/L 2.76 - 8.07
CREATININE 69 umol/L 62.00 - 106.00
ESTIMATED GFR 117.7 60.00 - 250.00
Normal range: >60
Afro-caribbean ethnicity: Multiply result above by 1.21
Liver Function
ALKALINE PHOSPHATASE 83 IU/L 0.00 - 130.00
ALANINE TRANSFERASE 23.6 IU/L 0.00 - 50.00
CK 86 IU/L 39.00 - 308.00
GAMMA GT 20 IU/L 10.00 - 71.00
Proteins
TOTAL PROTEIN 71.6 g/L 66.00 - 87.00
ALBUMIN 40.2 g/L 35.00 - 50.00
GLOBULIN 31.4 g/L 19.00 - 35.00
Iron Status
FERRITIN 172 ug/L 30.00 - 400.00
Cholesterol Status
TRIGLYCERIDES 1.72 mmol/L 0.00 - 2.30
CHOLESTEROL 3.13 mmol/L 0.00 - 4.99
HDL CHOLESTEROL *0.92 mmol/L 1.00 - 1.50
LDL CHOLESTEROL 1.43 mmol/L 0.00 - 3.00
NON-HDL CHOLESTEROL 2.21 mmol/L 0.00 - 4.00
Heart Disease Risk
HDL % OF TOTAL 29.39 % 20.00 - 100.0
Thyroid Function
THYROID STIMULATING HORMONE 3.2 mIU/L 0.27 - 4.20
FREE THYROXINE 14.800 pmol/L 12.00 - 22.00
FREE T3 5.39 pmol/L 3.10 - 6.80
Hormones
TESTOSTERONE *72.1 nmol/L 8.64 - 29.00
FREE-TESTOSTERONE(CALCULATED)*2.45 nmol/L 0.20 - 0.62
17-BETA OESTRADIOL *170 pmol/L 41.00 - 159.00
SEX HORMONE BINDING GLOB 26.3 nmol/L 18.30 - 54.10
PROLACTIN 251 mIU/L 86.00 - 324.00
Prostate
PROSTATE SPECIFIC AG(TOTAL) 0.806 ug/L 0.00 - 1.39