I have been on trt for over two years now and can’t seem to get everything in line.
I started off as many with 200 mg shot every 2-4 weeks, eventually switching to self injections of 100mg testosterone cypionate per week. I felt better but not great, libido swing mostly so I had labs and sure enough total estrogen was 115 on a scale 40-115. All of my labs are from labcorp. I persuaded my doctor into prescribing arimidex, I used 1/4mg every other day and lowered my e2 too low to 10 and total estrogen to 77 in less than a month.
I Had aching joints and no libido at all. I didn’t bother to have total estrogen checked since all I have read is that e2 is all that matters. I have also added 250iu of hcg subcutaneous injection the day before shot and increased frequency to every four days at 60mg per injection. E2 has remained low no matter how little arimidex I take so I stopped using it completely for one month and e2 rose to a near perfect 20. Below is a list of my most recent labs.
Total testosterone 721 348-1197 range, two days after last injection of 60mg
Free test 23.4 Range 6.8-21.5
Dht 58 Range 30-85
Shbg. 17.4 Range 16.5-55.9
Prolactin 10.1 Range 4.0-15.2
Cortisol 17.1 Range 2.3-19.4 lab at 10am
E1 70 Range 12-72
E2 20 Range 3-70
E3 <0.1 Not estab.
Total estrogen 161 Range 40-115
TSH. 3.44 increased from 1.16 after switching from synthroid to armour synthroid 30 days ago
Increased armour to one grain from 3/4 grain. Was on dose of .088 synthroid.
My total test numbers have fluctuated greatly on the 60 mg inj every forth day.
Lab one day after injection. 517
Two days after. 1009 and 721
Three days after 679 and 616
I am at a loss of what to try next, doctor suggested 1/4 mg arimidex once per week but I don’t think e2 is the problem it’s the e1. I think I am going to reduce down to 40 mg every four days and do the hcg 250iu only once per week. When I switched from synthroid to the armour thyroid I felt great for about a week and slowly my energy level has decreased as my TSH has increased.