I have been pretty much managing my own TRT since my PCP gave me a choice, T-Cyp 200mg E14D or gels. And no self administration. So I found a nice Urologist who I showed my labs to, who gave me a script for 10ml (2000mg).. Score! at least I thought. I went in for some labs at his office, fairly confident that they would be ok because I had been getting them myself... but 2 weeks later they said my Free T was too high (I think 28) and that they would like me to cut my dose in half.
I'm not going to cut my dose in 1/2 because I know what that will do to my levels.. I keep a spreadsheet that plots where my TT should be given my dose, and it comes out almost exactly right... But I have to say I have not been paying much attention at all to FREE t. So I am cutting back about 30% (to 26mg EOD from 35mg).
The catch is that I wanted to get my E2 level checked, because I have been putting on weight magically (to my dismay)...201 to 211 in a week of normal eating... So I got T / FT/ E2 test the other day- E2 was at 57, just one day after my EOD shot (TT was 820 and FT 25.7) This has me freaking out a bit. One other time I had E2 in the 50's is when I was doing weekly 100mg shots, when my TT was >1300. So having this high of an E2 with what I consider "smooth" T dosing is a surprise.
I faxed the urologist the labs, with a note "would an Aromatase inhibitor be appropriate?" His nurse called and said to talk to the doctor who ordered the E2 test. I told her it was a retail lab, but didn't hear anything back. I've gotten the impression twice now that this guy wants to treat my T only..
Without a PCP to fall back on, I'm stuck with "how to get my E2 down on my own". I'm hoping this reduction will help. I'm going to get tested this week and see how it's trending. I know fat loss is a big one too.. So I'm jumping on with that. If I have to, I'll start shopping for a sympathetic PCP who will manage the other aspects of my hormone therapy. My T is 100% covered by insurance, so an Anti Aging Clinic is not an option.
I don't see any Gyno, thank goodness. just some moodiness, total offsetting of the T benefits, and lack of libido.
I'd fly to anywhere in the southeast if someone know of a good PCP / Endo / Whatever who is cool about digging in to understanding what is really at play and not just throwing protocols at me.
If you're curious, I'm attaching my labs and recent T levels.