Hey everyone, first post here. I have read just about every thread on this forum, including all of KSman’s stickies and threads, as well as other forums and I could not find the answer I was looking for, hence this post. Given that TRT is highly individualized process with treatment protocols that differ from person to person (i.e. one size does not fit all), I knew very well going into this that I may experience some ups and downs and may have to work hard to find the right balance. One thing for sure is that TRT is both an art and a science b/c it requires someone truly listening to their body to optimize TRT.
That being said, I started TRT on 11/21/2016 due to being hypogonadal (secondary) and feeling all of the usual sides of low T. By the 3rd week of my TRT regimen, I started to feel crappy with symptoms of what I perceived to be low E2 (zero energy, zero libido, strong wood, brain fog, night sweats, headaches, painful joints, dry mouth, anxiety). The PA @ my drs office thought I was having high E2 symptoms when I thought low. Nonetheless, opposing views ensued whereby she recommended that I take 1MG EOD (along with my Test Cyp protocol listed below), which is the standard protocol issued by my doc for all new TRT patients. I pushed back on 1MG of ADEX as I had educated myself from the various TRT forums where most guys recommend starting low then working up b/c its harder to recover from low E2 (i.e. body has to reach homeostasis over time to correct) than it is from high E2 (pop a pill and lower). Well, long story short, I wanted to do .10MG or .20MG every MWF and the PA wanted 1MG every MWF. We settled in the middle @ .50MG every MWF and nuked my E2 into the single digits. I am now in a world of hurt now with low E2 and I feel worse than just low T and no TRT.
Here’s the current situation, I pinned 200MG of Test on 12/19/2016 (Monday this week) and took my last dose of ADEX of .50MG on 12/13/2016 (Tuesday a week ago) and have not had any more ADEX since then. Given the half-life of ADEX, the plan was to stay off ADEX until 12/26/2016 (next Monday) so that I can get it out of my system and minimize/weaken E2 suppression then focus on raising my E2 by injecting test cyp with no ADEX until I can get my E2 levels back-up. In the meantime, I pulled some very basic BW and my trough T levels came back almost similar to my peak T levels. I would think this would be normal on a E3.5D cycle not E7D cycle. I am perplexed given the half-life of test cyp that this is even happening. Now I am really not sure what to do as it is obvious that my body is processing/metabolizing the injections differently than most people. Peak = Trough over 7 days?? Seems odd but I do feel somewhat even energy throughout all 7 days, just not good progress overall b/c of all the low E2 sides.
My understanding is, the higher your T, the more that coverts to E2, hence the need for an AI like ADEX. Well, if my peak and trough are almost the same, maybe more will convert to E2 b/c I am constantly at higher levels without any true peak or trough. I really want to avoid going from low E2, which sucks a$$, to high E2, which also sucks a$$ from what I hear. Based on the above info and my stats, should I get back on ADEX sooner b/c my peak and trough levels are similar? When should I do it? How much? Need some help on determining future dosage and frequency. Thanks guys for any input.
Test Cyp: 200MG (200MG/ML VIAL)
Injection Type: IM (Glute)
Adex: None currently, previously on .50 MG
Test Cyp Frequency/Day: Every M
Adex Frequency/Day: Every MWF
Stats Pre-TRT on 11/4/16:
Body Fat: 16%
TT: 184 (Range 250-827 NG/DL)
FT: 3.5 (4.8-25.7 NG/DL)
SHBG: 28 (16.5-55.9 NMOL/L)
E2 (Sensitive): 26 PG/ML
Cortisol: 14.2 (4.0-22.0 MCG/DL)
LH: 3.2 (1.5-9.3 MIU/ML)
FSH: 2.9 (1.8-8.0 MIU/ML)
Body Fat: 15%
Body Temp: 97.3 - 98.5
PEAK Stats on 12/07/2016: thirty-six (36) hours after Test Cyp injection on 12/05/2016
TT: 995 (348-1197 NG/DL)
FT: 20.3 (6.8-21.5 PG/ML)
E2 (SENSITIVE): 8.8 (8.0-35.0 PG/ML)
TROUGH Stats on 12/19/2016: two (2) hours before Test Cyp injection on 12/19/2016
TT: 828 (300-890 NG/DL)
FT: 24.4 (16.5-55.9 NMOL/L)
SHBG: 19.5 (16.5-55.9 NMOL/L)
E2: <17.0 PG/ML (LAB GOOFED AND DIDN’T PULL SENSITIVE…URRRRRGH)