On TRT for 4 months now with positive results. Looking for some assistance dialing in my dosing. I purposely only report Free Test, Total test and E2 in my test results below for ease of reading. My first two blood test were extensive and include most of what is normally requested in these forums. My last blood test was only FT, TT, E2 as a reference for myself.
8/7: Pre-TRT bloodwork
FREE TESTOSTERONE (DIRECT)(9.3-26.5)pg/mL: 8 Low
TESTOSTERONE, SERUM(264-916)ng/dL: 583
ESTRADIOL (7.6-42.6)pg/mL: 19.2
Prescribed 200mg once per week Test Cyp, 1mg Anastrozole 24hrs after test injection, 500iu Hcg 2x per week.
Bloated up like a balloon and felt pressure in my joints, not pain, more like they were full of fluid. Asked Doc to split test cyp dosing to 100mg twice a week with anastrozole split to 0.5mg 24 hrs after each injection. He agreed and I received the following test results after 11 weeks of that protocol.
11/9: 11 week bloodwork
FREE TESTOSTERONE (DIRECT)(5.05-19.8)pg/mL: 27.41 High
TESTOSTERONE, SERUM(241-827)ng/dL: 1278 High
ESTRADIOL, sensitive (8.0-35.0)pg/mL: 42 High
Still pretty bloated, asked how I could reduce my E2. Doc said I could double my anastrozole dose to reduce E2 (1.0mg twice per week). Instead, I reduced my Test Cyp dose to 50mg twice per week and left anastrozole and HCG the same. 6 weeks later I got the following test results.
12/21: 17 week bloodwork
FREE TESTOSTERONE (DIRECT)(9.3-26.5)pg/mL: 26.9 High
TESTOSTERONE, SERUM(264-916)ng/dL: 1223 High
ESTRADIOL, sensitive (8.0-35.0)pg/mL: 14.3
So my current protocol is as follows:
50mg Test Cyp IM, Monday AM, Thursday PM
0.5mg Anastrozole Tuesday AM, Friday PM
500 iu Hcg SC Wednesday AM, Saturday AM
I feel good and look better than I did before. The questions I have are the following:
Is my E2 too low? Should I aim to get it between 20-30?
Would it make sense to increase my Test dose until my E2 gets into the range stated above? There was very little change in Test levels when I reduced my Test dose from 200mg/wk down to 100mg/wk. Should I leave anastrozole the same and increase Test instead?
Is my TT and FT too high? There was very little change in my levels after cutting my Test dose in half which is strange to me.
Thank you for your help.