Been on TRT for 1.5 week now.
Good muscle but carry a bit of abdominal fat.
Used to be a pretty heavy drinker but have gotten that under control.
Symptoms: Low Libido, Low erection sensitivity, Low erection quality, Low Energy, Fatigue.
Labs before starting:
Test - Serum 468 ng/dl
Test - Free 11.4 pg/ml
Estradiol 13.6 pg/ml
200 mg Cypionate, IM in upper glute ONCE per week
1 mg Anastrozole at the time of injection
My first week I didn’t take the AI since the pharmacy had to mail it to me but got the injection in the Dr.'s office. First week felt fine, no real change in anything.
A couple of nights ago I got my Test, syringes, AI, etc and did my first at home dose and popped the 1mg AI. Went fine. Next day (yesterday) felt pretty good, seemed to have good energy. Last night (about 30-35hrs after taking my dose) I woke up in a pool of sweat. This morning I felt a bit off, irritable and a bit anxious. It seemed to subside throughout the day today.
I’m trying to figure out what might have caused this, if it was the AI that I took?
After reading extensively through this forum it sounds like I might want to do a couple things:
- Start injecting TWICE a week vs once. 100mg each injection with .5mg AI.
- Get bloodwork done ASAP to find out if the night sweats were from high or low E2 so I’m not guessing.
I’ve also read 2 sides of the AI story… to use it or to not use it. Some of the posts I was reading were very old so I’m still not sure what to decide. It also seems that I’m on about the maximum dosage recommended for TRT right from the jump. The biggest thing I’m trying to work on is the libido/erection issues and energy/fatigue.
I have a call in with my Dr to discuss the night sweats, get labs done and talk about moving to twice weekly injections and possibly dropping the AI but wanted to get any advice I can here first.
Am I going in the right direction with moving to twice weekly injections? And if so, what would be best as far as AI dosage or removal? Should I stop using it (I’ve only taken 1mg so far) and see how things go with frequent labs? Or drop the dosage in half which would be .25mg twice a week at the time of my injections? Or .5mg twice a week?
I also realize that my body hasn’t really normalized yet (it’s only been 1.5 wks and I haven’t really felt any changes besides last night/today). But, I’d like to get on the best path possible as early as possible so I can dial this in as soon as possible.
Any knowledge/advice would be greatly appreciated!