Anastrozole to help with nebido peaks? NHS

Pharma TRT
1

Hey, I’m currently 1 week into my first nebido injection with the NHS(1000mg,4ml), I’m due booster in 6 weeks and another in 12 weeks along with bloods with 8-14 week adjustments based on trough levels. This is my first time on any form of trt/hormones so I’m trying my best to educate myself. As you can imagine my levels were low to get this treatment from the NHS and Unfortunately due to financial reasons I cant go private at the moment so I’m stuck on this protocol for the time being and would like to make the most of it.

My concern is the reported high peaks from other users on this protocol, I already feel what i believe to be high E symptoms (bloat, flushness in the face, nipples feel sensitive) Although I’m not sure if the is High E or just because my body is going a bit crazy over a foreign hormone entering it for the first time.

I’m wondering if anyone think its wise to stock up on some anastrozole and IF needed take a small dose during the first 2-3 weeks of the nebido injection to avoid the high peek sides of oestrogen? It feels very uncomfortable and I’m worried about developing gyno.
I’m certain the NHS does not advocate or prescribe AI’s for men( they are outdated when it comes to trt) so I feel like this is something I have to take Into own hands(although i will ask my endo on my next appointment about it).

Does anybody have any experience with running Anastrozole/dosage or anything similar on a NHS nebido protocol?
Will anything sufficient show up on my blood work when my trough levels are done?

Unfortunately i have no bloods at my peak as I’ve only just started treatment, I’m planning to get some privates done at peak levels during the 12 week intervals as I think the NHS only take bloods before your next injection when E2 levels would most likely look low/normal by then.
I know it may seem a bit early to get into AI talk and I’m not planning to jump the gun until i get some bloods but I’d rather be prepared, any advice, experiences or opinions would be greatly appreciated.

My levels before treatment - 5.93 nmol/l total test and 0.177 nmol/l free.
I’m a 32 year old male, 6ft and weigh about 105kg I also have slight childhood gyno if that matters.

2

TRT increases aldosterone produced in the adrenal glands, which enters the kidneys, and tells the kidneys to absorb more sodium, and sodium carries water. This leads to fluid retention.

If you’re exercising and eating healthy, that excessive fluid retention (extracellular) will become intracellular.

So this is not high estrogen, but may be a sign your dosage is too high or your body is adapting to the new hormonal setpoint. The problem here is you lack control over your levels on Nebido and it could take 6 months or longer to dial in your dosage.

By the way, these hormones aren’t foreign, your body/T receptors recognize these hormones as the real deal, because they are indistinguishable from the hormones your body makes naturally.

The chemical structure is the same.

3

Many TRT patients are afraid of gynecomastia, which is rare in men with high T (low T/E2 ratios, genetics and high IGF-1 are contributing factors). Note nipple sensitivity is not a sign of early gynecomastia.