I am a 44 year old male. Been on TRT for a long time. After limited success with pellets, gels, creams, decided to go with IM testo cypionate. Doc started me on 100mg weekly IM injections about 2 months ago. After 7 weeks, I had labs done 72 hours after my last injection. Total T was 1330. Free T was 37.9. Hemoglobin and hematocrit where on the high side, but still within range. I noticed about 4 weeks ago some shortness of breath, weight gain, fatigue, lack of morning wood. Wondered if it was high estradiol, so I had sensitive estradiol test from Discounted Labs. Got results last week. Sure enough, estradiol at 53.3. Went to doctor to discuss yesterday. He wanted to keep same t.cyp dose but increase to E10D.
I told him that I actually was hoping to go E3.5 days (twice per week) and split the dose. He was hesitant, but agreed to it, but wants to cut my dose by 20%. So the plan now is 40mg twice per week. He believes that bringing the testosterone down a little will lower the estradiol. He also suggested I skip my last weekly injection before starting twice per week. He believes that will let estradiol come back down. So, the plan is that I begin 40mg E3.5D two weeks after my last 100mg weekly injection.
We are going to pull labs again in about 6 weeks. I am trying to avoid an AI if possible. I also need to lose about 40 pounds. My doctor is not very progressive with TRT, but he is willing to try things based on my suggestions from research, these forums, etc. Does this seem like a good plan? Or would folks recommend starting an AI right away? Any concerns with the doctor dropping my dosage by 20%?