Briefly: 44 years old, fit but not muscular, have had low T symptoms and numbers for a few years. Started taking Androgel a few years back (through my family doc), and gradually upped the dose until my total T level was in normal range (max was 577 ng/dL). However, started having symptoms of excess estradiol, so started taking Arimidex 1 mg three times a week (I'm a doc, so I can prescribe myself that, but not the Androgel). Through all this, never checked any labs except total T.
Moved cities, and ran out of Androgel and didn't have a new doc, so finally went to go see him and have labs checked. I used no T replacement for 1 month prior to my labs, although I continued the Arimidex as above. I thought this was interesting:
Total T 598 ng/dL (ref range 240-950). This is actually higher than it ever was when I was on T!
Free T 12.4 ng/dL (ref range 9-30)
Estradiol <15 ng/L (ref range 15-40 for male)
So, I'm clearly blocking Test>>>Est quite well. The total T looks reasonable to me, but why is my free T so low in comparison (near bottom of range)? And am I blocking aromitase too much (very low estradiol)? Should that worry me?
Now of course my doc (who knows exactly what I'm doing) is reluctant to prescribe Androgel because my total and free T are "in range". If I could, I'd start taking a lowish dose of Androgel and back off on the Arimidex a little to try to bring total and free T into the upper ends of the range and sneak the estradiol into measurable at least. Ideas?