Danny when I first started taking the anastrozole I was fatigued and when I skipped it one day energy came back so you might be onto something. The first day I took the anastrozole I crashed and struggled to keep my eyes open, then it subsided after a while and still feel sometimes like I’m more fatigued after increasing the anastrozole dosage.
How long have you been on the tamoxifen? Don’t stop the tamoxifen unless you have something in its place. For some reason I was unable to view your cortisol labs days ago, now it’s loading properly. Strange stuff always happens after an update.
I’ve been on 120mg of test e a week for the last month. (Switched from Sustanon) And been taking 20mg tamoxifen daily. And added 1.5iu HGH daily about two weeks ago.
The positives:
Think I’ve been feeling a little better this last month which is obviously something to celebrate. Nothing drastic, just some subtle changes. Felt a little more motivated and positive. Up until a few days ago my joints felt great, best they’ve been in a long time. I’ve lost a little belly fat and looks like I’ve gained a little muscle, even with very little time in the gym.
The negatives:
Still getting itchy chest and nipples which is getting annoying. It’s gotten a little better since I’ve been taking the tamoxifen. (20mg day) I still have the back acne. Very little energy when working out. Feel weak and tired when working out. Worse than before TRT. Libido is total crap. Seemed to be much better when my E2 was higher. Very low semen volume still. Still have brain fog and shocking short term memory.
One other thing to note is that I’ve developed joint pain again which started a couple of days ago.
IIRC Physiologik takes 20mg tamoxifen a day when he is blasting. When I discussed the drug with him he suggested at my T dose (125mg-160mg) a week that 10mg would be sufficient.
CK usually rises after a heart attack, skeletal muscle injury, strenuous exercise, or drinking too much alcohol, and from taking certain medicines or supplements. If this test shows that your CK levels are high, you may have muscle or heart damage.
TSH is too high, you should test Reverse T3. If TSH and Free T4 is going up and Free T3 going down you would expect to see TSH increase, trying to dial in your TRT protocol when a thyroid problem is present may be impossible because you are asking the thyroid to step it up as you improve your TRT protocol.
I was thinking 20mg daily was a lot considering my test dose, but my total and free t is still high and I’m still getting itchy chest and nips even on 20mg tamoxifen a day. Just worried about growing breast tissue.
I understand but it doesn’t seem to make sense to me. I’ve not had heart attack, no heavy training, no injury, don’t drink much booze and have not been taking any supplements for about a month. Had an ECG a few months back and doc did not mention any issues. Was thinking it might be a lab typo. Anyway, gonna re-do bloods with GP and see what comes back.
Yes agreed… I’ve been keeping an eye on thyroid for some time as I suspected it might be struggling. And understand If thyroid is struggling adding TRT into the mix is not going to help thyroid, but make things worse. Which it seems to have done over the last 6 months thyroid numbers are getting worse… I actually already tested RT3 and to me it pointed to issues with FT3.
@physioLojik Really hoping you could to take a quick look over my case… Would very much appreciate it if you could.
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Okay decided to drop my test to 100mg week…Back where I started 7 months ago!
The way I see it, I must have been metabolising the test mega quick before and now I’ve switched to EOD injections that’s helped. Or it’s possible the test I was using originally was underdosed, throwing a spanner in the works and messing things up.
I’ve made an appointment to see my GP next week to talk about Cholesterol, Hematocrit, Thyroid and my high CK results.
I do feel there is an underlying thyroid issues which seems to be getting worse over time. I think if I can address the thyroid issues I will see way better results from my TRT.
Last thing is I’ve dropped my tamoxifen to 10mg a day. Will see how that goes (;
You say thyroid numbers are getting worse, because TRT is placing a greater demand on other systems including the thyroid, unfortunately the thyroid can’t keep up and was likely already struggling.
Please don’t take this as demeaning, and I truly hope this doesn’t come across as offensive, but…
It really looks to me like your protocols are changing constantly. It’s like you are trying something, seeing a number then trying something else (different dose, different drug, etc…) Is it possible that this could very well be a case of your body in a constant state of shock, because you keep switching things up? Something to think about. Start low and slow with ONE thing and give your body some some time to react and see where you’re at. Not just a few weeks, give it like 8-10 weeks. Your body doesn’t respond very quickly at all. Don’t chase the numbers. Any time you do something different your body will respond. If you keep changing it up before your body can adjust and level out then you keep it guessing as to what to do. Overload! Lmao!!
I appreciate the advice and actually do agree to a point. I admit, with hindsight I would have done things different if I were starting out again. The majority of the time I’ve given 4-6 weeks before doing bloods and changing dose. I should have probably given it more time for my body to get used to the changes but I guess the desperation to feel better got the better of me.
You just summed up the entirety of feelings of just about everyone on this board! Lol
I get it for sure man. We want to feel better, so we then we start learning how to properly train our bodies through diet and exercise. And what does that training teach us? That you have to constantly keep the body guessing to make it do what you want it to do. 4 weeks and then switch it up. No more or you start adapting. We want the body to NOT adapt and that brings the best and fastest result.
Complete opposite when you’re trying to stabilize your hormone levels. It’s really hard to shift your line of thinking because the end goal is really the same right? Feel better…Look better. But we have to approach each aspect from an entirely different perspective. If the body’s hormone levels are stable, then it can properly react to all the diversity that we throw at it through training. Then we look better AND feel better. To get them stable, we have to let the body do what it does best…let it adapt!!
Good luck man and I’ll be following along. I have all faith that you’ll find the sweet spot and cruise along in good health soon!!
I agree the body needs time to adapt to new hormone levels, but I think dialling in a dose that is in the general sweet spot can take time and some trial en error. But as you say, starting low and changing one thing at a time is the best way to dial in. Too many changes just overloads the system, which is already struggling.
One thing that’s interesting to note which goes against the theory of stable hormone dosing is what PhysioLojik has his patients do with changing doses up or down a little. For example if you normally injected 60mg twice a week you would switch to 50mg twice a week and then 70mg twice a week the next time. Others on this forum have also seen a boost in how they feel doing this… But for me I first need to get dialled in before even thinking of doing that.
Thanks very much! appreciate your positive vibes and input (;
I’m still quite concerned about how my chest feels. Even dropping my weekly test dose down to 100mg and my E2 sitting at about 100 pmol/L I’m still getting these weird feelings in my chest. It’s hard to describe actually. Kind of a buzzy feeling in the chest. Not the nipples but above and to the side. I was taking 20mg tamoxifen daily but dropped down to 10mg… I am pretty sure I have a small lump too. It’s possible it’s a lymph gland but still I’m very worried.
Wondering apart from gyno, what other possible explanations could there be for these odd feelings in the chest area?
I just attempted a new everyday protocol that saw T an E2 levels drop dramatically, for days I’ve had these strange minor pains in my chest. I associate it with falling estrogen and testosterone. You said you just dropped your weekly dosage leaving a stable state and you have thyroid problems.
I went from 20mg EOD to 10mg ED, so my body was expect 20mg and got something else. Smaller injections lowers the testosterone and estrogen peaks. Still have to dose correctly.
I didn’t realise you could get chest sensitivity sides with E2 and test levels dropping. I’ve been on 100mg/week for about ten days now. Been feeling really shit this past week actually. Joints are very sore and totally knackered. Oh and started getting some pain in my balls… Maybe E2 is tanking.
I’ve been injecting 50mg Test cyp Sub Q for about 4 1/2 months after 2 years of every 3.5 day injections. For the last 2 months I’ve used @physioLojik approach moving around from 45 to 60 mg eod. This week I did 45, 50, 60 for example. I’ve experienced excellent libido and erection responses doing this and have been very dialed in for the last few months.
