Acne popped up on my chest after maybe 3 months then just went away and now my shoulders flared up enough for me to care and try all the normal mitigation protocols (Washes, Topical Tretinoin etc)
Bloods show Total T 1,382
Free T - 28.1
Estradiol- 45.4
SHBG - 38.3
Prolactin - 16.9
Not feeling and estrogenic effects aside from shoulder acne that’s pretty annoying to say the least.
I have primo on hand and may try adding that in while lowering Test and trying to mitigate the singular Estrogen effects.
Somewhat unsure, definitely not wanting to take an AI due to cognitive toxicity . Curious on people’s thoughts and or other remedies ?
New to all of this and the more I for the better.
I may even come off entirely since I’m trying for a kid here and depending on what my semen analysis comes back saying. Heard stories of HCG and Clomid causing twins and etc. ( FSH - <.03 / LH - <.03) Roughly half of what my natural markers were before taking Test E for a frame of reference.
FSH and LH will always be zero once your HPTA is shut down from exogenous Testosterone. No doubt your sperm counts will be lower on Test but not necessarily infertile. Use the search tool regarding procotols for improving this while continuing TRT. You don’t need to come off to have kids.
Regarding the acne, as @EFShadow stated it may not estrogen related but my advice is whatever you try don’t do more than one protocol change at a time. Ie don’t add something and lower your T dose. Do one or the other, give it 6 weeks or so, assess and adjust.