Thanks for taking the time to read this and hopefully this will help anyone else that is in the same boat. Feel free to ask any questions if I leave anything out because I am going to try to keep a very long story short.
I am 25 years old, male, average but but never a muscular build or much definition in spite of years of improving my bodybuilding workouts and nutrition and years of constant research. Growing up and even still I have never felt quite right and I can only explain that in terms of the symptoms related to my recently diagnosed condition of Hypogonadotropic Hypogonadism which I was told I have been living with for my whole life (makes sense now). I made it 25 years of feeling terrible and it was just figured out that I have low test due to an under active pituitary. I guess I have always had crap healthcare but it's what was available.
When I was diagnosed with HH a few months ago my Total Testosterone was 114 ndgl so, I was put on 1000 Iu's HCG sub-q injunctions 3x week for a total of 2 months. I then had my dosage increased by my Endocrinologist to 2000 Iu's 3x week (Monday , Wednesday, and Friday). It has been about 4 months since I started this and according to my blood work done last week, my total test is 1490 ndgl and my Free Testosterone was high as well but I don't have that number in front of me at the moment and it's really not all that important in this application IMO.
Recently I started to develop some painful lumps under my nipples (yes, both of them but it started with only my left which seems to be incredibly common). I think this is real gyno from both having the low testosterone prior to HCG therapy and also From the giant and sudden rise in testosterone aromatizing into estrogen causing further gyno progression to the point where it is actually an every day issue for me.
In an attempt to combat this issue, I was given a prescription for Nolvadex (Tamoxifen) 10 mg to take daily as well as a prescription for Aromasin (Exemestane) 25 mg to take daily. In all of my research on SERMS and AI's, and I'm researching constantly, I am finding very conflicting information regarding the dosage, combinations, and even the general use of these drugs.
My Endocrinologist is the highest recommended in my area and he happens to be the only one that I have access to so I cannot change to another one no matter what which is why I am coming to you guys for help in fine tuning my understanding of how HCG works with these other drugs.
The Endo told me himself this is a rare condition and that he doesn't really know it well and needs to do research before answering any questions and did so before prescribing the HCG in the first place and He also knows very little about the Nolvadex and Aromasin that he prescribed me so I really need help as I am having some issues that have just sort of started this morning and I'm not sure what to blame medicine(s) on or if it is from a sudden Hormonal imbalance between T, E, Progesterone from these medications but, I am suddenly extremely angry, sort of enraged inside, and I have been very calm and at peace for a some time now.
I feel anxiety so strong I can't stand it and I have always been able to hold myself together and I am usually strong and shape minded when dealing with emotions but right now I feel like I'm pms'ing embarrassing but I need to be honest and I know I'm not the first guy out there to deal with similar symptoms after reading about climid and letro logs.
I feel emotional and when I got angry this morning over a meaningless and small argument, I was in tears because I was just feeling a sense of rage that made my eyes and nose runny as if I was sad or something, and I don't even know how to explain it. It was irrational and out of the norm.
My Endocrinologist does not have any answers for me and is even confused on the dosing protocol for my mediations and although this does not substitute for medical advice, I was wondering what if any, where some of your recommendations? I am hoping to here from anyone that has dealt with any of these drugs and especially HCG treatment with the combination of Gyno reveseral protocol and the proper dosing for these medications. Than you so much for any help, I really do appreciate it.