With weekly injections you will be over-range at day two and should not down dose based on that.
Anastrozole is a competitive drug to T at aromatase reaction sites. Dose needs to match T levels, but a problem with changing T levels.
Suggest:
Inject 50mg twice a week
0.5mg anastrozole at time of injections
It takes a week for blood levels of anastrozole to get to final levels after a dose change. Eval at days 5-7.
Most normal anastrozole responders need 1.0mg for every 100mg T [cyp, eth].
Target is 22pg/ml
You can inject T IM or SC with #29 0.5ml 1/2" insulin syringes. Suggest SC.
~$14 per 100 at Sam’s/Walmart, ‘ReLion’ house brand made by BD.
Your E2 can also be high from poor liver clearnace, test AST/ALT.
Hematocrit [HTC] is too low VS TT=1400
Any digestive problems?
Could be blood loss via gut.
Ask for ‘occult blood test’, needs a smear of poop
Labs:
TT
FT
E2
PSA
CBC
hematocrit
fasting cholesterol
fasting glucose
TSH
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc