[quote]PKNY wrote:
I go by the way I feel.
Outlook on life, energy, libido, erection quality, and urinary flow.
The best indicator though is night and morning wood.
If you e2 is too low or high, you won’t have night or morning wood ime.
Right now you are getting dialed in.
Run your protocol for two weeks and get tested.
Post the numbers, and keep a notebook, spread sheet what ever of how you feel daily.
Once you have the numbers, and notes on how you are feeling, adjustments can be made
up or down with the Aromasin.
If for some reason you feel great and everything falls into place, make every effort
to get tested that day, or the next. Some guys feel great with e2 @20 and some 25 30 32 etc.
It’s not a one size fits all equation.[/quote]
Good morning PKNY,
I am back and with new numbers I wanted to run by you. Blood sugar is still high and the doctor and I are working on getting that dialed in. Cholesterol is 209, Triglycerides are 133, HDL 40, Direct LDL 150. LDL/HDL Ratio is 3.8. A1C is 11.1. Estradiol is 31.5 and Testosterone is 1021. I am taking 14 units of Test Prop every day and 250u of HCG every other day along with 1/2 25mg of Aromasin. What recommendations would you make? Still not getting morning wood or evening. Thanks!
Your numbers in general are pretty good wrt to T and e2, but I suspect that you
probably have way over the top Free T at this point (total boner, libido killer for me)
It’s different for everyone, but the 12mg a day I use keeps me btwn 500ish and 600ish total
and just at the top of the range for free T.
If 14mg has you at 1021, you should cut back to 7-8mg T per day, and also cut the AI dose back
by half and keep it in the same schedule.
I am taking half a tablet of Aromasin every 2nd day and HCG 250IU every 2nd day as well. Are you sure I should cut back the Test Prop that much? As far as the blood sugar, the doctor told me to cut out all carbs and upped my Lantus and do weights 3 times a week and walk 3 times a week. That is where I am at right now. Any other advice you can give would be appreciated.
I am taking half a tablet of Aromasin every 2nd day and HCG 250IU every 2nd day as well. Are you sure I should cut back the Test Prop that much? As far as the blood sugar, the doctor told me to cut out all carbs and upped my Lantus and do weights 3 times a week and walk 3 times a week. That is where I am at right now. Any other advice you can give would be appreciated. [/quote]
One other item, the Aromasin tablets are so small to being with, that if I try to quarter the pills with my pill cutter, it doesn’t come out too good. Is it possible to take 1/2 a tablet every 3 or 4 days and get the same effect? Thanks!
I cut my aromasin pills into qtrs with an x-acto knife, you can get one for about $4 at staples,
it makes the job easy. But keep on the schedule you are on with the Aromasin. It has a short half life
so you can’t just take a larger dose less often…that will crash you.
Yes, cut that T back to the level I suggested…I struggled for years with a total T level of 1000-1400.
It took my free T to 2-3x over the top of what I needed. It wasn’t until my total T was 500-650 that free T
fell to the top of the range and I felt better.
[quote]PKNY wrote:
I cut my aromasin pills into qtrs with an x-acto knife, you can get one for about $4 at staples,
it makes the job easy. But keep on the schedule you are on with the Aromasin. It has a short half life
so you can’t just take a larger dose less often…that will crash you.
Yes, cut that T back to the level I suggested…I struggled for years with a total T level of 1000-1400.
It took my free T to 2-3x over the top of what I needed. It wasn’t until my total T was 500-650 that free T
fell to the top of the range and I felt better.
Trust me on this one…less is more.
[/quote]
I’ll second this. I feel best with free T at the top of the normal range and E2 at around the same number. 20-25 for both. One thing that’s served me well is chasing the smallest dose of medication that produces the desired result. Patients and persistence pays off for those of us that struggle to dial in treatment.
PKNY,
One more question, should I keep the HCG at 250iu’s every other day? I am sure that is probably upping the total test a bit. Thanks for all your help!
Free T should be near the top of the range, at Quest that # is about 150.
Hard to say what optimum total is for any specific age, it all depends upon
SGBG, # of androgen receptors, body fat and many other factors.
But for guys with low or lowish SHBG (typical of diabetics) total of in the 500-
600 seems to yield free t that stays in range.
tiggervr, I am new to the area (Greenville, SC) and have been looking for a good new TRT doctor to replace my old one. These past 2 months I have constantly been getting turned down by people that have no clue what they are doing. Could you tell me who you doctor is?
Apologies if this isn’t allowed, I searched the forums for newbie FAQ’s and Rules and could not find any stating I could not ask. If not allowed I apologize and tiggervr doesn’t have to answer me. Not sure if he could PM me the info in secret as I am new here. Thanks again.
[quote]PepeLePew wrote:
tiggervr, I am new to the area (Greenville, SC) and have been looking for a good new TRT doctor to replace my old one. These past 2 months I have constantly been getting turned down by people that have no clue what they are doing. Could you tell me who you doctor is?
Apologies if this isn’t allowed, I searched the forums for newbie FAQ’s and Rules and could not find any stating I could not ask. If not allowed I apologize and tiggervr doesn’t have to answer me. Not sure if he could PM me the info in secret as I am new here. Thanks again.[/quote]
No problem, other than he is in Columbia. I was referred to him by a compounding pharmacist at Hawthorne Pharmacy and he was right on target. His name is Dr. John Mattei and he is at Saluda Pointe Family Medicine. He himself is on therapy, so he knows how to help others. Hope that helps. I know the road is a pain as I have been on it. Take care.
Free T should be near the top of the range, at Quest that # is about 150.
Hard to say what optimum total is for any specific age, it all depends upon
SGBG, # of androgen receptors, body fat and many other factors.
But for guys with low or lowish SHBG (typical of diabetics) total of in the 500-
600 seems to yield free t that stays in range. [/quote]
Hey PKNY. Need to pick your brain again. It seems the Aromasin is causing me some severe joint pain. I have had to get off of it. Do you know of any other good alternatives? Thank you!
tiggervr you are awesome brother, thank you so much. Think I am in love you with already, thanks again because I’ve been searching for months and wasting so much of my time. Columbia isn’t too far at all as well.
[quote]PepeLePew wrote:
tiggervr does he also take your insurance for it? I’m trying to see what he accepts as I will most likely need to be changing providers here soon.[/quote]
Yes, he does take insurance. He is a doctor in a family practice. Hope he can help.
Free T should be near the top of the range, at Quest that # is about 150.
Hard to say what optimum total is for any specific age, it all depends upon
SGBG, # of androgen receptors, body fat and many other factors.
But for guys with low or lowish SHBG (typical of diabetics) total of in the 500-
600 seems to yield free t that stays in range. [/quote]
Hey PKNY. Need to pick your brain again. It seems the Aromasin is causing me some severe joint pain. I have had to get off of it. Do you know of any other good alternatives? Thank you!
[/quote]
you are most likely taking too much or too often. when your estradiol levels sink too low from ANY anti-aromatase it causes joint pain. so back off for a couple of weeks.
joints will ache or have a sandy/gritty feeling when you lift.
check you estradiol levels. lef.org blood lab work is on sale NOW.
Hey Tig,
I would do as Cdog recommended, space out the dose of Aromasin further
until you find a time span that is comfortable. Blood tests will be a big help.
The only alternative is DIM, which didn’t work for me.
Hey PKNY,
Well as of this year I am having to go back on Cyp as my insurance will no longer pay for compounding. What a bummer. So, here we go again with the trial and error. I will let you know the outcome. Thanks!