Read the finding a TRT doc sticky and explore the suggestions there.
You seem to arguing to talk yourself out of doing what is known to work:
- men on TRT mostly have E2 levels that are too high.
- AI lowers E2 levels
- Low dose AI effectively modulates E2 levels
- E2=22pg/ml is known to be a good target levels, because guys report that they feel better
- The side effects of AI are from E2–>0 which by definition does not occur with the above
- testes ache for many, wither and die on T without hCG, smells like organ failure to me
- above caused by LH–>0 from TRT
- low dose creates the same LH receptor activity as baseline LH activity, define HRT
I can’t believe that that I have to repeat this to a doctor. Stop looking for reasons that you cannot, and get motivated. You only need to find a doc who will script off-label use of drugs that are documented as safe.
We know that dealing with endocrinologists is mostly stupid. Welcome to our world.
BTW, a year or so ago, a doctor was here [Florida] who was looking at what was going on. He studied what is here then did his own research. Then he started PM’ing me and stated that he had changed his medical practice. He was no longer satisfied treating people’s diseases. He wanted to be in health management, not disease management. He modelled his new practice based on the protocols recommended here. What he found, and what he read that I wrote, made a lot of sense to him. You might compare and contrast your thinking to that professionals epiphany. And note that this type of thing is practised by a large number of physicians, however, they are a relatively rare. And they are making a lot of money as well.
You think that someone is going to do hugely expensive combined double blind medical trials to verify that these things work? How about a study of T without AI where men go postal and grow tits? And T without hCG where men, some young men, will go sterile, testes become irreversibly tiny, crashed pregnenolone and DHEA levels, and scrotums that pull up tight and make men look like prepubescent boys.
Internet clinics are a huge rip-off. And they have a opportunity to make money, and over prescribe, because the rest of the medical community to address these problems effectively.
I do not hesitate to call out doctors. Do not take this personally. I am, in my own way, trying to help you in the best way that I know. Yes, I get angry with doctors who are idiots, welcome to my world.