Started low dose TRT and after 6 to 8 weeks I noticed what apperaed to be some GYNO forming. NO history of it ever. I stopped the TRT immediately and my doc got me letrozole - taking 2.5mg per day. I also went in for labs before I started it, assuming I would have high E2 based on the typical symptoms, which I experience, and the new gyno. But my E2 came back pretty solid - at 19pg/mL. Labs are below, all done with Quest. I do not have much pre TRT as neither my doc nor I knew what to test…
Post TRT (6-8 weeks, 40mg T-cyp Mon and Fri IM):
TT: 542 (250-1100)
FT: 84.8 (35-155)
DHT: 34 (16-79)
FSH: <.7 (1.6-8) one final time to ensure shut down
LH: <.2 (1.5-9.3)
Prolactin ; 6.4 (2-18)
Estradiol: 19 (<39)
PSA: .5 (<4)
Body: 5’11", about 205, approx 10% BF, 33" waist. I hold fat around my midsection, but I have never been seriously overweight.
workout: as much as I can. weights and cardio, more cardio these days as I travel a good bit.
No medical history, never used any AAS or much of anything at all.
I will give more info if it is necessary - not sure it is for this.
On the letrozole 2.5mg ED and off TRT for about 10 days. I have not noticed much of a difference in the gyno, but I feel like crap, of course. Taking some Phentermine to help with energy and keep working out.
I want to go back on TRT and my doc will go to 50mg Mon and Fri and keep my on an AI - I would switch to 1.0mg anastrozole per week in divided doses. He is doing some more research on hCG but will clear it if I push - I have a great doc!
But I am freaked out about the gyno! So where do I go from here?