I'm 48 and have primary Low T due to testicular cancer 30 years ago, so one teste. My Primary Care Physician rx'd me 100mg/Wk of Cypionate, drawing and injecting w/a 21 gauge needle -- the 1st sign of incompetence. She would only do total T, so I went to the Urologist to get an E2 lad -- had to practically beg him -- imcompetent Uro. Finally got labs and my Total T went from 185 to 1017. Also:
Testosterone, Serum 1017 348-1197 ng/dL
Testosterone,Free 46.68 5.00-21.00 ng/dL
% Free Testosterone 4.59 1.50-4.20 %
Estradiol 55.8 7.6-42.6 pg/mL
Looks like I responded well to the 100mg/Wk of Cypionate. I'm lifting and am getting strong, but I'm retaining water and my base weight is 10lbs over my normal weight prior to TRT. I suggested an AI to the Uro and he said higher E2 is good for your sex life -- total dip shit. I started having trouble maintaining an erection and think it is due to elevated E2 - don't know, B/C I'm not a "Doctor"but my research leans towards elevated E2.
Went to the Endo thinking he would RX me an AI and he did, but prescribed me Armiidex 1mg/per day -- what an incompetent dip shit. I took the full 1mg dose and OMG I got dizzy and my diastolic BP was 64 -- Arimidex is powerful, I can't imagine doing 1mg/day. Since my only testicle is getting smaller I asked him his thoughts on HCG and he said we don't do that here and he said, "I don't think you can get that around here" -- Dip Shit. What's my point?
Doctors are scary and most don't know anything regarding HRT -- even the so called specialists -- scary! Please give me some thoughts on my labs and my somewhat unique situation. I'm going to try 1.5 mg of Arimidex per week dosed the same day as T injection and 3 days later. Oh yeah, I mentioned the mild ED to the Endo and he readily RX'd me Cialas -- Dip Shit. KS man what do you think?