Hello all. Maybe some of you more experienced can help. Im 3 years in and having issues getting dialed in. I’m fairly close but I still struggle with estrogen issues every few months (both low and high.) I’m 45, good shape. Run 6x a week and a BMI of maybe 22. some days I feel great and others my energy is oddly crap
When I first began trt, both my estrogen u/s (13) and my T (305) values were too low
Ive experimented with Raising and lowering my T and waiting 4 or 5 weeks but found that if I don’t take enough testosterone my estrogen drops too low and I have bad symptoms and obviously if I inject too much my E rises out of control. What has my doctor confused is I over respond to Anast and have dropped my E to 0 3x in 3 years.
I now inject EOD subcutaneous To try to not use an AI and My dosage now is 110mg a week split into 4. I take 25 units of HCG EOD in the alternate days. On this protocol my estrogen slowly creeps up so that after 2-3 months I’m way too high. If I take a small dosage of an AI like anast, it drops me rapidly so I’m a little bit of an over responder and have to be careful with dosage. Every 2- 3 months I’m stuck in this limbo where I don’t know if my E is high or low and I’m stuck waiting a week or 2 until I can figure out what’s up. When I take an AI I can drop too low so it’s like a month without sex while I test getting this right. I don’t mind the tests but it effects my life sometimes as I have Erectile dysfunction for a few weeks or I feel odd sexually. I take DIM daily and I’ve dabbled in Proviron but I can’t decide if it really helps my estrogen issue.
Do you guys think it’s worth switching to T to an every day schedule? I’m wondering based on my T levels if I maybe should even increase a little.
Here are my most recent tests (I just cut and paste the things I thought were important) I think my estrogen is slightly borderline high (2 weeks ago I was experiencing E issues and took a tiny dose of an AI) and I took a micro dose After seeing this value to knock it down a tiny bit. I have more tests if needed.
Any advice would be greatly appreciated. I’ve had a few doctors and none are really knowledgeable
ESTRADIOL, ULTRASEN,LC/MS 29
T4 (THYROXINE), TOTAL 6.9
TESTOSTERONE, FREE 87.4
SEX HORMONE BINDING GLOB 32
TESTOSTERONE,TOTAL, MS 584
DHEA SULFATE 126
FSH <0.7 L
LH <0.2 L