Hey there,
My situation is a bit different than some so I wanted to get its own thread started.
I was recently started on TRT after a few years of failed low dose Clomid/Nolvadex restarts.
-Prior treatment leading up to TRT was .25mg adex 5 days a week and 5mg nolva daily. T/E were generally good. While this kept test up and my naturally high E down most of the time, I crashed far too often for it to be sustainable.
-Current treatment 100mg test cyp weekly via 4 injections, 250iu HCG twice week, .25 adex 5 days a week.
I stopped taking Nolva the day I started TRT. After a few test injections, I added HCG 250iu twice a week, injected on two off days from test cyp. Almost immediately (4 days into treatment, day after my first HCG injection), my nipples went haywire (I am gyno prone). I had blood drawn the next day and sensitive estradiol was actually low (9 - ref range 3-70). Test on the other hand was over 1200 and climbing. Subsequent blood tests a week later showed test climbed to over 1500 while estrogen stayed beaten down too low with adex. Despite the low e readings on paper, nipples still went nuts.
To combat the nipple issues, I started Nolva again at 20mg a day, which I now believe didn’t help since it also triggered LH to the testes, compounding the issue of gyno from the HCG.
My thought is that I started test cyp and HCG, and my natural production was still pumping from the Nolva, which overstimulated the hell out of my testes with LH. To make things worse, I tried to combat the HCG with more Nolva. When I took a break from the HCG, it seems like the nips started to feel better.
Does the following sound like a decent plan to get back on track? I am assisted by an excellent Dr., I just can’t afford to talk to him as often as I need to adjust things this early in the game.
- Stop HCG (250iu twice weekly)
- Continue test cyp at 100mg weekly, spread over 4 shots, and monitor blood every two weeks, looking to get t/e into line… something like 800/22.
- Get off Nolva as the nipple/gyno subsides
- Once completely off Nolva for at least 14 days, and test levels are steady from injections, consider HCG again.
- Back off test dose a bit to allow room for the testosterone boost HCG will induce (I’m secondary)
- Pray nipples are held off, else consider surgery. At this point I might just concede my nips are just too gyno prone. Even at a sensitive e of 9, I get major sensation.
Any input would be greatly appreciated. My gut says I should have left HCG out until I was able to dial in the TRT, given my history of gyno and overall sensitivity to estrogen. Obviously the combo of both was very strong and caused my testosterone to skyrocket well beyond my body’s limits. Somewhere I read Crisler actually has patients wait to start HCG for at least a month or two so test cyp doses can be dialed in.
Thanks,
Jim