I am so glad to have joined here. After being diagnosed with Low Testosterone over a 18 months ago, I’ve embarked on the TRT Journey. I’ve been working with the same doctor since starting and I’ve had a bit of a turbulent run with getting going in terms of dialing in dosage and attempting to mitigate estrogenic side effects. Any and all of your feedback and guidance is truly appreciated.
Some background - I noticed low T symptoms starting in my mid-20’s. I was tired all of the time, had next to no energy, was putting on weight, and generally lost my lust for life. It took a lot of research to actually figure out that the root cause of all of the above may be low testosterone and not something going on inside of my head. After going to get checked out, my total testosterone was under 300 and all of the other factors were pointing to my having an issue with testosterone. I do not have the initial labs from when I was diagnosed, only the current ones which are the true purpose of why I am posting here.
My stats are as follows:
When starting on TRT, the doctor prescribed me the following protocol:
*210 MG/week testosterone cypionate injection 1x weekly
- 1x 1mg Anastrozole on the day of my shot
*2 x 20 mg tabs of nolvadex every 3rd day.
*500 IU Shot of HCG 3x weekly
I started the treatment and immediately noticed I did not react well to the Anastrozole. I felt extremely dried out, moody, anxious, and just overall shitty. I told the doctor and he advised me to add an additional 20mg tab of tamoxifen to the protocol and cut out the anastrozole all together. The above anastrozole negatives were gone and it took about Three weeks after my first injection where I really started noticing the benefits of T-Cyp. All of my original side effects from paragraph two above were gone and I felt like an 18 year old again. Tons of energy, great libido, workouts seemed to be improving, and so on. About 7-8 weeks in I noticed INTENSE amounts of bloating, mental fogness, sensitive nipples, watches/socks fitting tight, etc. I immediately called the doctor and asked for labs. Again, do not have these labs but I went to Labcorp and my Test Level was above <1500 and Estradiol was at a 91. The doctor recommended I simply scale back the Testosterone to 155mg test cyp weekly.
I’ve been there since and feel AMAZING. While taking 3x tamoxifen citrate per week and the 155mg shot, I’ve had No sides, sex drive is great, and I am living life to the fullest. However, the doctor is arguing with me and states my Estradiol is too high and that I need to add anastrozole back into the protocol (My FULL LABS at the current protocol without anastrozole are below). I am reading conflicting information regarding where estradiol levels should truly be. I understand that everyone is different in terms of their estradiol levels and what makes them feel good, but do I truly need to add Anastrozole to my protocol based on the below? The doctor is stating that my estradiol levels should be closer to 15-20.
Here they are: Any feedback is appreciated -
Tot, Testosterone: 1020.00
Alk Phos: 34
Free Test: 227.81
Total Protein: 7.5
E - GFR 80
BUN/Creat Ratio 13.3
Alk Phos 34
HDL as % 36
CHOL/HDL ratio 2.8
PSA Total .66
IGF -I 156