Hey Guys, I’ve been on TRT for around ~2 years and was using 180mg of Testosterone Cyp (split into 2 shots a week) with around 0.5mg Anastrazole (hard to measure with the tablets). What originally encouraged me to go on to TRT was a combination of secondary hypogonadism and a history of crashing my E2 due to using AI’s, was at ~10 when I started.
My Test was last measured at 1262 ng/dl and free test was 40.1. E2 was at 22.5pg/ml but symptomatically I’ve always felt better at around ~30-35pg/ml.
I’ve decided that for longevity, I want to decrease my TRT intake to a sharp 140mg per week and get test closer to ~900-1,000ng/dl and get to a point where I can drop the AI. Currently, I’ll be testing it this upcoming week by using a compounded capsule version of Anastrazole at 0.3mg taken per week.
Now, where I need help;
a.) Because this is a re-dialing in process and I have no bloodwork to evidence my new testosterone levels and E2 levels, I want to ask, because I am symptomatically experiencing a combination of anxiety, shortness of breath, and a variety of other panic-like feelings, would you presume I am experiencing low E2 or more rather the latter of it being High E2. I want to set in stone that 0.3mg is too high and drop the AI once I evidence that my E2 levels are low with the upcoming bloods.
b.) What level of E2 do you guys consider your cushion baseline for measuring E2. Is it the labcorp suggested 35pg/ml or a more internationally acceptable measure of ~45pg/ml?
c.) Where would you articulate I need to be at in terms of TRT dosage to drop the AI granted how sensitive I am to the nasty side effects of AI’s and how easily it can tank my e2 levels.
d.) Completely unrelated where do you aim to have your Thyroid levels at where you consider them optimized where they aren’t in “hyperthyroid” territory?
I don’t have necessarily high BP or anything of the like, but because I suffer from allergic asthma/need to occasionally use inhalers, and don’t necessarily have a strong desire for the physical “size” aspects of utilizing high TRT doses, where would you articulate I need to be at to keep my physical/mental/and emotional being in check? I know there isn’t one answer to this question but there are some smart ass people on this forum that I’d love to soak in any advice from.