Looking for a bit of advice.
The backstory as to why I’m here is long and I don’t to bore you with details so I’ll try to keep this short.
TDLR at the bottom if you haven’t got the time.
I could just really use some advice.
I’ve been on TRT in the past. I decided around 2 years ago that I didn’t like the idea of being on it for the rest of my life so I quit, cold turkey.
After a while my T came up to fairly normal levels (24 n/mol/L) for someone my age/build (30, 5’ 9, 165lbs).
Since then life has been no different with or without TRT and I experience the same symptoms which get better for a while, then much worse at random intervals.
Symptoms are as follows:
constant fatigue/no energy
poor/too much sleep
bouts of depression/anxiety
abdominal fat on belly that won’t go, regardless of exercise, calorie control…
Going on TRT didn’t help these symptoms until I added an AI (anastrazole) then I saw some relief.
I always had high estrogen and it seems that I aromatise most of the T that is in my body,
Some other things that make me suspect high E2 is to blame:
- If I do anything that would promote high T such as interval training or weight lifting, I feel good for a day then suddenly get hugely depressed and anxious and all my regular symptoms get worse.
- E2 suppresses thyroid. My body temperature is always low (95f and never more than 97) I had thyroid checked including bloodwork (low-normal) and an MRI which came back normal. Iodine supplementation had no effect.
- Zinc levels are low. I supplemented with high-quality zinc as low levels are correlated with high E2 but this had no effect on symptoms.
- Symptom relief when I have smoked in the past (cigarettes) - There’s a link between low E2 and smoking.
My diet is pretty good - I eat clean (most of the time), track and get plenty of macros, I don’t drink or smoke and run 3 times a week.
I have tried an AI-only protocol which brought my numbers down but had no real effect on the symptoms. The best I ever felt was a week into taking clomid but this was short-lasted and I quickly went into the complete opposite direction which caused me to try TRT.
So, I’m just looking for some advice as to what the hell I should do as I feel like my health is just out of control at the moment and it’s messing my life up.
I’m speaking to the Doc today to try and get some more bloodwork done and see what’s going on.
Ideally I don’t want to be on TRT, so if I can get to root of why my body converts too much T into E then I can fix it but I don’t know where to start. If I can’t control this naturally then I will consider getting back on TRT and focusing on dialling in my numbers.
What would you do if you were in my shoes?
TLDR: Not on TRT. Normal T production but high E2. High aromatase suspected. Can I fix this naturally or is TRT the best route?