Insomnia Since Starting TRT

Ok, so I’m on my way to crashing my e2 using 0.25mg arimidex every 3.5 days
I’m not gonna panic, just simply going to take 0.125ng every 3.5 days and that should put me in a good place.

Starting HCG also tomorrow

E2= 18

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did you start the arimidex at the same time as the mirtz? I wonder to what extent high e2 was contributing to the problem. unless you kept all other variables constant, you won’t know whether the arimidex or the mirtz provided the beneficial effects you’re now experiencing.

PS your blood work looks fine and yes the general consensus seems to be to avoid arimidex if possible (you’re on such a low dose of T I’m surprised you even need it).

Yes, you are right, I will never know what is working for me but I 'm like who cares, I am feeling a bit better and I will take that. I know the aromatisation from T to E2 is alcohol/weight related, I like a drink at a weekend but I have cut right back now, I have lowered the arimidex dose to 0.125mg with a view to discontinuing it a bit further down the line, once I have put other things in place like losing a bit of weight.

I started HCG today so will be interesting to see what happens. The side effects of the mirtazapine have been brutal this week, nausea and tension headaches but I keep getting glimmers of normality. Once the side effects vanish I think I will be good to go!

I will update my post very soon :slight_smile:

And you will find over time that those “glimmers or normality” will become more frequently. Don’t despair if you have set backs - stick at this for a while. Frequent stopping and starting has not been helpful! Hope you’re sleep a bit better too - I’m thinking of dropping a very small dose of mirtz tonight to get a few more hours :wink:

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I’m really hit and miss at the moment, although I had a victory yesterday and managed a good back & bicep workout at the gym and slept a solid 7 hours, this would have been unimaginable 2 months ago. I’m not touching a thing now, I need stability.

I’ve dropped my dose of anastrozole to 0.125mg x 2 weekly as my libido had diminished on the higher dose and I am putting things in place so I can lose the AI altogether like losing weight and exercising. I will retest in around 5-6 weeks and look at tweaking my protocol further to achieve more stable levels.

I’m sure you already know this but beware of low doses of mirtazapine, doses lower than 15mg are really sedating, I found 3.75mg & 7.5mg more sedating than 15mg, now I am taking 30mg the morning grogginess isn’t AS bad, it’s more stimulating but I still manage to sleep on it, I believe this is because I am becoming more balanced…

I will keep this post updated. Let me know how you get on with the mirtazapine.

You’ve come a long way from where you were. This is great progress!

I think you should look at removing the anastrozole altogether. I can’t see how you’d need it on such a low dose of T.

I’m 2 weeks into cutting back my T dose (almost by a 1/3) and I’ve noticed a couple of things: (1) discomfort in my chest, and my heart palpitations, have reduced; (2) sleeping better; and (3) lower anxiety. But I’ve also noticed less energy, fewer erections, and poorer libido (I’d want sex constantly before, now I’m a once or twice a week guy, at the most). I think my ideal dose is probably somewhere between what I was previously on, and what I am on now.

I’m also using underground Test instead of my script because I seem to react adversely to the oil carrier from the pharma product (I develop massive red lumps that take weeks to go away). The underground Test seems to be doing the trick.

I took the mirtz at 5mg approx a few nights ago and slept better than I have in a long time. I intend to use it off and on as required. Along with some weed edibles :slight_smile:

Keen for an update in due course!

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As we both realise, it’s a balancing act and it takes time to discover what works and what doesn’t. I only had a raging libido when I first started TRT, its now settled down and only need sex 1 or 2 times a week.

I don’t intend on being on arimidex for too long, but I had been running quite high E2 @ 50 @ 60 which I feel is too high for me, this was consistent so adding the AI was just to see how I would feel with lower E2. I don’t know why I aromotase so much T to E2 on such a low dose T, I do carry a bit of weight around my waist and I do have a few beers at a weekend.

I will update my post with my labs in a few weeks. Have a great day!

These last two posts may show a reason why someone WOULD run an Ai.

Needing higher test levels (for sex drive) and a lowered e2 level for sleep/anxiety.

There seems to be a trend where NO ai usage should ever be used. Well, sometimes one cannot achieve the balance they need naturally through aromatization only. More control is needed.

Fair point mate.

I wouldn’t mind experimenting with an AI just to see what effect it has on my sleep. But i dont have access to the drug and I doubt my Dr would prescribe it for me.

It’s easily obtainable online.

Google around into other bodybuilding forums and you’ll find sites to
Order.

Updating post.

Dropped HCG, feel sick, lethargic and headachey on it also triggered insomnia. I’ve been looking red faced and burning nipples so suspect it spiked my E2. Either dose|frequency is too much for me or it just doesn’t agree with me. Dropped in temporarily until I can see my doc in 4 weeks, hopefully introduce it more slowly.

How are you going Pilchard?

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Try a different oil and I hope you are doing daily? Switch T if you can.

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150iu to 200iu every other day works for me, but one 500iu twice a week does the same for me: makes me lethargic tired and bitchy.

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Hi Mate, sorry for the late reply, I’ve had a bad few weeks and withdrawn from life.

Insomnia has been outrageous, I went 4 nights with no sleep at all and broke down in the doctors office, begging for sleeping pills.

I tried reducing the mirtazapine by 1/4 but the withdrawal symptoms have been too harsh,I didn’t think the mirtazapine was helping anymore and I don’t like the restless legs it gives me - I’ve just gone back up to the full dose for now, now is not the right time to be coming off.

I totally crashed my E2 on 0.25mg x 2 weekly so I stopped it, I’ve now had a rebound and it’s sky high again in the space of 2 weeks, as you can imagine my mood is pretty low and my anxiety is high.

Last week I saw the top TRT doc in the UK who now has me on test cyp eod and HCG every day, but once again the HCG has made me sick, lethargic and tired with extreme brain fog.
I’ve dropped the HCG for a week on his advice due to the high E2 but will restart this again next week… I really don’t feel good on the HCG but hopefully I will get use to it and the new protocol will get me firing on all cylinders.

Next week I am seeing a guy that specialises in anxiety & depression, he says he will get to the bottom of my mental problems, his colleague is also a neuroscientist and they are gonna treat my mental and physical pain and of course insomnia, it’s a 4 hour appointment so should be interesting, he kept mentioning the vagus nerve but I need to research this as I don’t have a clue what it is!

I will report back soon. How are you doing bro?

Just switched to Test Cyp eod and HCG daily, lets see if this helps!

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so… had 2 shots, 100iu daily and feel like absolute crap, just wanna throw up, I don’t like how the HCG makes me feel, hopefully it will improve over time?

2 shots in one day? Or two days so far? Yah try 150 every other day. Or 100… HCG for me causes issues over 200 iu. I would jsut do cypionate and leave HCG off the table until you feel good. Later add HCG if you prefer.

And it might not be HCG it could be something else. I’ve nevr heard of HCG making you feel sick to the stomach yet.

I highly suggest stop worrying about estrogen. Half of the issues you have very well could be due to controlling estrogen. If you could just see the amount of guys I’ve spoken with that we’re fonteolling estrogen. They felt good. But always had issues. They thought “this is as good as it gets”. They finally stopped worrying about e2 and blaming it for everything. Within weeks they have never felt as good: most have libido for days and well being is through the roof.

This takes time for the body needs to adapt to e2 raising with free t. Nobody is saying increase as high as possible. Just let it ride man. It won’t hurt you. There is zero evidence why we control e2 on trt.

It might help with mental issues as well. After all the brain has estrogen. The heart, bones, muscles … everything

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