E2 wasn't even registering (<0) pre-TRT and I still had puffy nipples. Someone did comment that my prolactin was high at the time, I can't find the labs now, but it was above 1. Could prolactin have always been the cause?
So I see you cross your t's and dot your i's... in both sections. Which is good, you have the biggest picture. I'm however now bridging into another oral. But, orals are only temporary in cycles.
That's why I'm reluctant to get blood work now as T will be sky high and E2 may as well, but, if you notice, I made this thread prior to any cycling of anything.
My puffy nipples are only cured by Nolvadex. But, I've had E2 of 0 (pre-), (post-) 44, 76, and 28. In all ranges, they've been puffy without Nolvadex in the morning.
Can it be something else? Would pictures better illustrate to see if this is true gyno, psuedo-gyno, or just totally something else?