It’s quite common to see low SHBG guys in the 10-15 nmol/L ranges with high E2 symptoms when E2 is (example) 25 pg/mL range do to most of his hormones being free. Usually the best course of action is lower the test dosage, but that doesn’t always work since some of these guys tend to be high body fat percentage, insulin resistant and convert a lot of the test into estrogen known as a high converter.
If a guy is in the 40 pg/mL ranges and doesn’t have symptoms, it probably means liver clearance is ideal and no action be taken. However if he has symptoms of high E2 then action is needed, don’t you think?
wx14 has a lot of the symptoms I had when my E2 and test was high, shoulder acne is probably from high DHT, his levels are high and his test dosage needs to be backed off. He could forgo the AI completely and may not even need it if he lowers test dosage.
I was stating as a general rule low SHBG guys (10-15 nmol/L) need to target closer to 20 nmol/L rather than closer to 30 pg/mL do to so much of the hormones being free. wx14 is confused with my remarks about estrogen management wx14 particular problem is a different situation, estrogen isn’t always the culprit for swelling. His test dosage is too high IMO.
wx14 if you’re going to insist of pushing a Total T of 1200 you will need an AI, I assume anyone pushing those levels are doing it for building muscle if having problems and you’re not looking to lower the dosage of test. Night sweats occur when estrogen is high, at night estrogen lowers causes night sweats.