KSman, I know a bit about this but your knowledge absolutely dwarfs mine!!
To make this simple, mainly for my small brain I will write out the situation a bit more. Your answers are so detailed I struggle with what to do with your advice as I dont understand it.
After seeing these results my doctor said dont do ANYTHING for 6 weeks and then get more bloods done and if they are just as bad (or worse) he will send me to an endo (the only people in Australia who can prescribe test or AI or SERMS) Is this a good Idea or should i get back on letrozole???
So I actually understand what is wrong with me? Is my HPTA broken? Are my balls broken? Is my entire body broken? Will I have to be on Letro forever?
Will I have to do TRT? Like if I lower dose of Letro than I did last time and it gets me back to say 800 test and 80 estrodial do I just stay on letro forever?
Should I try Anastrozole (Adex) Again and see if i get better results than I had before since you say it is better than Letro or do I just say screw it and stay with the Letro???
1- See what the endo will offer. The more you know, the more you can be part of the conversation. Whatever happens, you can still fall back on letro, but at a lower dose.
2- Your testes work great. You are not producing enough LH on you own - secondary.
3- You can go either way, but are still a slave to the health system there.
4- You need to find the right dose of either one. If you do, it does not matter which. Try 1/2 of the letro you were taking if you go that route.
I try to educate and inform so guys can fight their own battles with knowledge and conviction. It is bad when the doctors are clueless, worse when patients are too.
KSman I cannot thank you enough for all of your help!!! You are doing a fantastic service for men all over the world. I would still be wollowing with awful test and suffering taking viagra if it was not for you. You are doing gods work
On point number 1)
Here in Australia the government says about Testosterone.
The last 2 articles will make you want to scream and punch your computer screen.
As you can see the Australian government basically hates Testosterone and does not think old men even need it. I am sure these articles will make you quite angry. So I am DEFINITELY fighting an uphill battle. So the chance of me getting anything as a 23 year old male is about the same as me being the 2016 Mr Olympia Champion.
As you know earlier in my thread I went to an endo when my E2 was 210 and he said that E2 levels in men do not matter at all and that there is no way he would prescribe me with Letro, Nova or Adex or any other anti e drug and that I would have to use viagra for the rest of my life. Well fast forward to 1 month ago and I wanted sex 3-4 times a day and could get an erection just looking at my GF. Fat lot of good he was…
I will go to the endo and see what he can offer but as you can see in my post above the chances of him doing anything for me is very very low…
Ok well glad to hear my balls still work!!! I know this is probs a really hard question to answer but what are some of the reasons my LH does not work? Is there any way to fix this naturally or am I just destined to have very very low LH? Basically I am asking why does my LH not work and is there any way to fix this?
I am lucky that I have a great source of Letro and due to my work I have access to pretty much whatever “supplements” you could possibly recommend at very good prices. In fact way cheaper than though our Medicare system.
I really like letro. It is dirt cheap and lasts forever! I will cut my dose by half and it will last even longer and I will definitely keep you updated with my next bloods in 5 weeks time
Do they go to unis? Yes where they are told Testosterone is the devil. My GF is a nurse and lets just say her uni stuff does not speak highly of Testosterone…
Do they read international studies? No
I love how they told men who might have been on TRT for decades that their test is not low enough anymore to be on TRT so removed their Test cold turkey… I can see that having positive health benefits…
Nipple sensitivity is going down which is good and definitely feeling more motivated to train. Hopefully in 4 weeks when I get my bloods done again everything is back under control
My understanding is that the government won’t subsidise TRT, but I’m not sure of its availability privately. In any case, the cost of injectable testosterone falls under the PBS’s $38.30 price cap, though Androgel comes in at more than this.
I think that the government clamping down on TRT was done to prevent growth in prescriptions, and also to prevent “bodybuilders and doormen” getting subsidised or legal steroids.
Australia’s policies seem to have affected a lot of genuinely sick individuals that need treatment. It’s due to the history of anabolic abuse but you can’t deny treatment to all of the population because some people don’t know what they are doing abuse these regularly. At the end of the day, it’s a condition that needs to be managed just like any other disease.
Hey Nozza, not sure if you are going to see this but I am posting to hear an update from you.
I’m from Australia also, 22, with similar issues libido and erections and test levels bouncing all over the place. My E2 is also 184!! So very close to yours.
Couple questions for you:
Endo doesn’t think my E2 is high for my age, so I am looking to get Arimidex. How long do you run arimidex for?
Did you get your own E2 levels down and controlled?
Your Endo is a god dam moron, just like my Endo. If you went to one in brisbane maybe we got the same idiot.
Unfortunately in Australia men are treated like second class citizens when it comes to wanting good health care especially when it comes to hormones. If i learned anything from my two year experience it is this. Forget the medical field. It is full of cowards who cover their own ass over actually helping their patients and the government is a bunch of idiots who want men to have a lesser quality of life. Treat yourself. Trust very smart men like KSman.
I would ask KSMan. He is much more intelligent that me so he will give you a much better answer
KSman, I got my bloods done 6 weeks after my last test. I have been taking 1.25mg of Letro Every 3rd day.
These are my numbers from 6 weeks ago
LH - 2 IU/L (3-20)
FSH - 5 IU/L (3-20)
Oestradiol - 163 (Optimum is 80 according to your numbers KSMan)
Free Testosterone (Calc) 200 - (150 - 700)
Testosterone - 9 nmol (10-33)
Sex hormone Binding Globulin 29 (13-71)
These are my numbers today
Prolactin - 11 ug/l (<15)
LH - 11 IU/L (3-20)
FSH - 10 IU/L (3-20)
Oestradiol - 69 (Optimum is 80 according to your numbers KSMan)
Free Testosterone (Calc) 666 - (150 - 700)
Testosterone - 27 nmol (10-33)
Sex hormone Binding Globulin 28 (13-71)
So then as you can see a massive improvement. Does this mean I will just take Letrozole for the rest of my life, get bloods done every 8 weeks and I am good? I take it no need for TRT at this stage and there is no way I will ever be able to stop taking Letro?
Further interest in why your liver was not clearing E2 is warranted.
Note that over time, an AI can become more potent and the dose may need to be reduced. This happened to me after 5-6 years.
You may have shut off FT–>E2 in peripheral tissues and your high LH/FSH is probably driving high TT–>E2 inside your testes. Not that a competitive AI cannot control that. So it is possible that you might get to a point that AI dose reduction to lower LH/FSH would be your only control on SERM E2 levels.
Some argue that killing FT–>E2 in peripheral tissues denies E2 to tissues that convert FT–>E2 for local use, such as brain and bones.
The AI attaches to the aromatase enzyme and prevents T from attaching. This decreases T > E2. The AI doesn’t last long and doesn’t attach permanently. So you have to take it forever. As noted above, you may be able to reduce the dose over time.
Hahaha ummmm no. No way would an Australian doctor prescibe any AI. They do not care at all. I had an endo tell me that E2 levels in men do not matter at all and that E2 has no impact on libido, erection function and gyno.
I get mine for my “rat” who also has high E2.
Basically its a research chemical which you can legally import it. There are a bunch of good sites around. I cannot recommend any on here but if you do a little reseach you shall find them
You may be experiencing the negative effects of low E2.
Its not the letro that you feel.
I suggest arimidex because its dose-response is well understood - even though some are over-responders.
Letro can be harsh with unexpected results. But if one takes the time to find a lower dose that works, would be effective. Are problems with letro from same guys who are anastrozole over-responders?
@Nozza Damn, wish there was a way you could tell me where I could import some Anastrozole legally to Australia. My E2 has raised to 288 now, crazy. I need to do something.
I tried to see if you could private message on these forums but doesn’t look like it.
Can you give me some sort of clue that I could search for :)?