Judge My Bloodwork. Do I Need AI?

Just got these labs done.
3 months trt.
28yr old male
Started because of low T 150-200.
100mg test cyp mon and thurs
250iu HCG tues and fri
NO AI

I’m a small dude, zero fat, zero mood swings, sex Drive is awesome and I feel great I repeat zero issues. I lift 3x a week.

BUT I’m I told I need an AI by the trt clinic…
After reading stuff on here I’m against it but you guys tell me.

Nope.

You’re good… And congrats the stuff is working!

Things could change though. Just keep monitoring. It’s all new to your body

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Nope. I believe if you do add an AI your cholesterol may look even worse. If they want your e2 levels down then lower everything by adjusting your dose as you are higher on everything else also.

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Awesome thx, my cholesterol has ALWAYS been a smidge high (low) even before trt. Idk why I eat great and work out a lot and don’t party. I may just be an outlier idk.

The TRT clinic that told you you need AI don’t know a shit.

by the way how much was your prolactine before TRT?

No you do not. If it starts to get well above 50 yes. 45 is about perfect though.

Your HCG dosage is not doing anything though, you might as well squirt it in the sink if you’re not going to take at least 500IU per dosage.

It may be a non issue, but just make sure your eating enough healthy fats. That is my only recommendation on the cholesterol side.

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If you feel good, don’t do the AI. I’d be concerned with those cholesterol numbers though. Low HDL is a major risk factor for CAD. You should seriously consider lowering your dose until that number is in the mid 40s. Especially with elevated LDL.

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Prolactin was 10-12 I believe before.
I’m thinking I’ll do bloods in another month after trying HCG 100iu ED and go from there.
HCG is the only thing that when I go over 300iu I immediately feel it (get acne like 5 hours later) it’s crazy.

This TRT clinic is running a business.

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Makes sense, that’s why I asked.
Thanks for all the input guys.

If estrogen were to become a problem at a later date, lower the dosage and/or increase injection frequencies, neither of which is profitable to a business.

No aromatase inhibitor. Follow-up on prolactin and IGF-1. Is there a history of AAS use?

Negatory on AAS. I checked my last blood work 2 years ago pre trt prolactin was 5.

It only popped up after TRT.

IGF-1 I’ve been Naturally high my entire life.
Had MRI and ultra to confirm no tumor.

There is a 48-72 hour refractory period on HCG, taking it more often than that just wastes it. The new dosing schedule will be a net negative in leydig cell stimulation.

So you suggest I drop it all together?
I’m curious of stopping it for a month and then getting bloods. I’m not trying to conceive anytime soon.

I think HCG is great, but I think if your going to take it, twice per week is plenty. In fact some studies prove you could actually get away with once per week dosing. Thats because you get initial stimulation, then the refractory period, then even if you don’t inject again the testes will produce more T from that same shot 3 days later the peak just won’t be as high.

This is called a bi-phasic pattern. So I am not telling you to stop HCG, I am saying twice per week is plenty, and you have to do 500 IU in a single shot or it does not do anything.

Heck, 1,000 per shot for the whole week works too and some people even like it that way.

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Why would the man need to take an AI if his E2 exceeds 50? I hope it exceeds 50 becuase the benefits are full realized at 60 or above. What possible reason would he have to lower the benefits? I know guys with E2 over 100 who are basically boners with legs.

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Hey man, what’s your take on HCG.

Here’s been my experience, when I take 500iu, couple hours later I get oily skin, acne ect a little emotion flutters. I learned this the 1st two weeks on TRT.

So I brought it down to 250iu and that immediately helped…

Now with that train of thought…would taking 100iu on the days I Don’t take T be of any benefit? Is HCG worth it in your eyes? I watched you videos and podcasted and am impressed.

So schedule would be.
Mon 100mg t
Tues + wend 100iu HCG
Thurs 100mg t
Fri + sat + sub 100iu HCG

i also read this the other day. Dr John Crisler MY CURRENT BEST THOUGHTS ON HOW TO ADMINISTER TRT FOR MEN | Phoenix Rising ME/CFS Forums

“HCG, especially at higher doses (defined as >500IU per shot), also dramatically increases aromatase activity, thus inappropriately elevating estrogens. Progesterone—a feminizing hormone in adult males—also elevates at those dosages. Personally, I recommend giving no more than 100IU of HCG per day, as starting dose. And please give it some time to work.”