Test Total Estrogens. Not Just E2. Read On

And that’s exactly what I saw in my last thyroid lab. I hope it stays good. Anyway have a good evening all.

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You as well. Off to coach little girl soccer haha. Man. Watching your kids grow up is bonkers. Puts so much in perspective. I only want everyone on here to feel their best. It isn’t anything personal against anyone. I just feel like there’s so much misinformation out there. My wife is a cosmetic dermatologist and she goes ape shit over gps doing cosmetic injections. Just like typical docs giving out trt advice. It’s usually ass. I’ve spent my career in this field. I want to give back when I can. @anon10230041

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I watched it all. Interesting video. I’m no doctor but all his studies showed that low estrogen is bad and E2 should essentially not be blocked at all by any AI.

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Correct. Your assessment is accurate :slight_smile:

How do you treat adrenals?

Start with salting your water. Limit caffeine. Add licorice root tea. Vitamin c 2 grams a day. To begin. @CrushCity1

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Is there a proper T/E ratio or is it all person specific and how they feel?? I will be put in TRT next week and my E2 is way low so I doubt I’ll be given an AI. But when is high too high? Or can it get to high? Thanks.

Tyrosine to assist with neurotransmitter synthesis?

Just finished the entire video. VERY compelling information. I think I saw you mention in another thread that less than 5% of your patients use AI.

When is AI use warranted? E2>100? Gyno?

If someone drops their AI what should they be looking for as an indicator that they may actually need it?

Tyrosine for dopamine. Make sure you’re eating carbs for serotonin

Unless you have a liver issue or are severely obese you won’t have an issue requiring one likely. Let’s see how you feel in a few weeks without an AI. Thanks for taking the time to watch.

Take no AI. It’s individual. You’ll feel better soon. Report back in three weeks after trt starts.

thank you do some ais effect different es more than others?

Wow. Just listened, thanks for sharing.

I’d be very interested in your perspective regarding the stickies. All new guys are directed there, but this video has me wondering how much of the info we share is anecdotal vs fact based.

For instance, both my son and I are cancer survivors. I’ve spent the last 15 years in the cancer world and can talk the talk because I’ve walked the walked. But, that doesn’t make me an Oncologist. Can’t tell you how many times I’ve endured stories about everyone’s 2nd cousin beating stage 4 cancer by eating blueberries and drinking green tea. Both my son and I would be dead if we followed that advice. Makes me wonder if AI’s and E2 = blueberries and green tea.

Just thinking out loud…lots to think about.

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This is a great post. Way to beat cancer to both of you! Truly. That is quite an accomplishment in itself.

What you mention with range recommendations for estrogen is absolutely anecdotal. “Someone said” or “I heard” is what it is. It can actually take three to four months on a set dosage of testosterone for the brain to totally feel effects of treatment - long after someone has jumped on medicine to crush estrogen because they don’t “feel” amazing on their protocol and assume it’s just estrogen getting too high. Like I’ve said for a long time on this board - high estrogen with low test is bad. High test with low estrogen is also bad. High test with commensurately appropriate levels of estrogen are what we want. And almost all patients manage to get that without needing additional drugs besides testosterone. Estrogens role in men’s biology is still being studied and every time a study is done, it’s shown to be more and more important. @azwildcats

@physioLojik,
So if I have a TT of 675, SHBG of 20 and E2 sensitive test coming in at 27. What should my goals be? I’m 36 @ 200 lbs. Pretty lean and muscular. Taking 100 mg per week split in 2 50mg doses. I started this protocol last December and it’s been amazing. Drastically increased my quality of life.

It sounds like you feel great so why change anything? I just don’t like the use of aromatize inhibitors whatsoever. I simply like adjusting test doses.

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I forgot. You take daily cialis? And have you tried stopping it?

This post create only confusion for users who don’t have experience with their TRT protocol, or they don’t know yet when they feel at their best. If that is what you want to achieve posting this, is ok, you do it.

Saying that patients don’t need an AI during TRT is like, i don’t know if that needs to be even discused.

Is there any users who don’t need an AI with their TRT? Yes it is, but that happens only in some patiens. From that, to practically encourage patients to give up their AI, wich is bassicaly what you do, it is crazy and you don’t know what you’re talking about.

I don’t care that you’re a doctor, that means absolutely nothing, and you prove that by posting this. Yo are a doctor, and you don’t know how to properly manage TRT, that is for sure, no one who knows will ever post this.

Every people is different, some feel best with an e2 of 22, some 24, some 28, and what exactly a " low estradiol" means to you? Almost every young healthy man has an e2 betwheen 20 to 30, if that means low to you, you’re in trouble.

From my personal experience, high testosterone levels with high normal e2 (30 to 40) made me very agressive, impulsive, acne, low mental clarity, and so. Adding an AI and stabilezed my e2 on (22-24 pg/ml) was a life changer, and if you think that is low e2, you’re in troubles. Stop spreading this, i don’t even know how to call it, cause you make
patients who don’t know to manage their TRT, or those who have other problems to give up their AI for nothing.

Sorry for my english, it’s bad, i know. :smile:

Watch entire video linked above, report back. E2 levels in 20-25 year old healthy men are cited in the range of 70-100.

The takeaway is to maintain a healthy ratio of E2 to TT, not a set number. The facts in the video are backed by multiple recent scientific studies.