Would you stay 2x per week or go more of a M,W,F schedule?
Stay 2X so you know how the 120mg effects you and streets wars you can play with adjusting the injection frequency to fine tune everything. Just an opinion
Are you still planning to take the AI? It’s your choice, but hopefully you wont be like me. And ruin your first 3 years on trt with an AI.
Not promoting surgery for anyone. But if your main concern is gyno, which is a small possibility at 120 mg a week. You can always have surgery for gyno.
When choosing between gyno and ED. I would choose gyno all day. And just get the surgery, just my personal choice. Even though there is obviously risks with surgery,
But I think a lot of guys have no issues with ED or libido on AI’s. Which makes sense, because if every guy had those issues, it would have been long gone by now. So maybe you will be one of the lucky ones.
If you do continue having issues with libido, dont think its because your estradiol is out of range. It has nothing to do with it. Its the AI causing it, you have to let your body balance itself out.
Well it’s been 3 injections since I bumped it up to 120MG split into 2. For sure a difference. My libido was like a caged lion all last week. I’m having a weird issue though. My waking up and frequent urge to urinate (10 second normal flow) in the middle of the night shifted to the day time. This Monday I probably went about 20 times throughout the day. It was A LOT. Same thing. No pain, just frequent urges and then 10 seconds of flow - feeling empty again and then like 30-40 mins later it would happen again.
I freaked out and took .5MG of AI Monday night before bed and then I actually only woke up once to pee through the night. Tuesday it was about the same and then today it has been getting better. I’m only 30 years old so I don’t think it’s BPH. What do you think is going on? I emailed my doc but haven’t heard back yet and it’s been 2 weeks and I’m still waiting for my quest labs to come back!!!
I burn through potassium after dosing increases which causes excessive urination, taking more potassium cures the urination issues immediately. So if you confirm low potassium via lab testing, please be careful with potassium supplements because too much can stop your heart, it’s safer to just add it to your diet.
What is the science behind a dosage increase and lower potassium?
You can lose potassium several different ways, excessive sweating (fluid loss) being one. Estrogen can affect fluid balance, estrogen levels decrease when we are sleeping.
I did start working out again last week after a few months off. I’ve noticed I’ve been sweating a lot more than usual.
Well… Quest Labs are back. Here is the running trend now since I’ve started this whole journey. I’m not sure what to think. I do know that I am for sure going to drop an AI for good all together and see what happens for the next 3 months. I kind of feel like I haven’t gotten anywhere. My sleep is still horrendous, sex drive is still meh, brain fog is better, no morning wood still. The one positive i have seen is my IBS has disappeared completely since starting TRT.
March 2019 (First Labs no TRT or anything):
E2 - 33
Total T - 575
Free T - 78
Bioavailable - 168
SHBG - 33
Serum - 4.7
Free Testosterone
11.8 ng/dL = 2.05 %
Bioavailable Testosterone
301 ng/dL = 52.4 %
June 2019 (On just .5MG Anastrozole per week):
E2 - 17
Total T - 769
Free T - 126
Bioavailable - 260
SHBG - 29
Serum - 4.5
Free Testosterone
18.3 ng/dL = 2.38 %
Bioavailable Testosterone
448 ng/dL = 58.3 %
November 2019. (Off Anastrozole - Very Similar To March)
E2 - 34
Total T - 560
Free T - 75
Bioavailable - 154
SHBG - 34
Serum - 4.5
Free Testosterone
11.5 ng/dL = 2.06 %
Bioavailable Testosterone
282 ng/dL = 50.4 %
February 2020. (350iu x 3 per week HCG + 1MG Anastrozole)**
E2 - 6
Total T - 645
Free T - 110
Bioavailable - 231
SHBG - 26
Serum - 4.6
Free Testosterone
15.4 ng/dL = 2.39 %
Bioavailable Testosterone
386 ng/dL = 59.9 %
June 2020 (80MG TRT 2x weekly, .25 AI, no HCG)
All my other lab ranges are within normal.
E2 - 15
Total T - 747
Free T - 127
Bioavailable - 267
SHBG - 27
Serum - 4.6
DHT- 61. (Max is 65)
Vitamin D - 48
TSH - 1.46
T4 - 1.2
DHEA - 237
PSA - 0.6
I gave blood a month and a half ago. Previous Labs these 3 were:
RBC - 5.47 (5.8 Max)
HEMOGLOBIN - 16.7 (17.1 Max)
HEMATOCRIT 48.3% (50% Max)
At this point I don’t know what to do. I really don’t want to have to donate blood once a month either - was hoping for once a quarter. Keep my dose at 120MG per week and drop the AI and see what happens in 3 months? Drop my dose to 100MG? Add in HCG? I’m guessing my high DHT is aggravating my prostate a bit causing the urgency when I went up to 120MG. My potassium levels checked out great on my labs. My free T is the most frustrating because it doesn’t seem to change that much no matter what I do. If I decide to go off TRT after just being on it for a few months can I just finish off my last bottle of HCG to help restart me or if I just go off will it come back naturally? Any ideas now?
I’m debating trying an HPTA restart protocol and just throwing the towel in on this and seeing waht happens.
My advice would be to drop the AI.
Have you tried a higher dose? I can’t read the whole thread right now but free T is quite low IMO. Ignore me if there’s reasons that’s not an option for your case but 80mg is not nearly enough for most people and your low free T and e2 are also pointing to that, I think.