Estrogen Concerns

[boro75]

I have some concerns about my estrogen levels, and I was hoping for some advice on how to deal with them.

I’m 59 years old, six foot two, and 250 pounds. I’ve been lifting consistently for over 20 years, and have an average amount of body fat.

I’ve been on TRT therapy for the past 15 years or so. I started with gels, but switched to injections several years ago. My urologist had me doing 300 mg every two weeks, and for the first few years of TRT therapy, I noticed positive results with strength and libido levels. But over the past several years I’ve noticed that my libido has been down, and that TRT wasn’t as effective for me, as it was when I first started it.

After reading posts in this forum I thought that maybe my two week dosing was too long, and that the test was wearing off between injections. So for the past couple of months I’ve been doing 150 mg every week. I saw a little improvement with that dosing schedule, but it still feels like something is off. My urologist has never tested my estrogen levels. He always checks my testosterone levels to make sure that they are below the 800 range. I always have my blood work done right before my next injection, so that my level stay under 800. But I’m sure that a few days after my injection, they probably are at least a 1000.

My latest blood work shows:

total testosterone: 760 NG/DL (recommended range 300 - 890 NG/DL)
estrogen: 293.6 pg/mL (recommended range 60 - 190 pg/mL)

My urologist says that they don’t do anything with high estrogen levels, and that I would need to see an endocrinologist in order to get them lowered.

I don’t have a break down into different types of estrogen. Should I get any other testing, or just assume that it’s high and that I need to find a way to get it lowered?

Thanks

[systemlord]

@boro75

My urologist had me doing 300 mg every two weeks, and for the first few years of TRT therapy, I noticed positive results with strength and libido levels. But over the past several years I’ve noticed that my libido has been down, and that TRT wasn’t as effective for me, as it was when I first started it.

First off, really bad outdated protocol. Most endocrinologist and urologist are out to lunch in this area of medicine and they blindly follow guidelines written by ivy league people who have no clue about how to replace hormones.

@boro75

So for the past couple of months I’ve been doing 150 mg every week. I saw a little improvement with that dosing schedule, but it still feels like something is off.

Maybe your issues have nothing to do with TRT, perhaps something else needs addressing. Men on TRT utilize more iron to create hemoglobin and therefore more iron is used up and as you get older, you don’t absorb vitamins as well as you did compared to when you were younger.

The two vitamin I have found make it seem like TRT isn’t working anymore, low iron and low vitamin D.

@boro75

estrogen: 293.6 pg/mL (recommended range 60 - 190 pg/mL)

If this was the standard non-sensitive estrogen testing method, and you have elevated C-reactive protein, the estrogen value will be falsely elevated.

@boro75

I don’t have a break down into different types of estrogen.

Estrogen, E2 is the most potent form of estrogen, the others are weak estrogens. The estrogen or E2 is the only one to pay attention to.

[boro75]

Thanks for the response.

I do take 5000 IU of vitamin D every day. I also take a vitamin mineral supplement along with krill oil, and CoQ10.

Maybe I need better labs from a place like labcorp, where I can get better estrogen classification.