Looking for advice on TRT thru primary care for few years and I don’t feel any better than when I first started . 58 yo 6.2 245 lbs has me on 250 mg test Cyp once a week I divide it up and do 2 shots 125 mg Thursday’s and Sunday’s . Also has me on anastrozole 1 mg 0.5 day after injection the othe 0.5 towards end of week . Bloodwork ……
Test 900
Free Test 146.8
Test bioavailabie 295
SHBG 34
Estrogen 8 ? Very low .
Albumin 4.4
Any thoughts thanks !!
Your FT using the calculated method is 31.06 ng/dL, which is right at the top of the ranges, high enough to relive the symptoms of low-T in most men.
The low E2 in the single digits is absolutely going to lower and or kill your libido. Most men need estrogen 20> or preferably higher for a strong libido.
Why are you on an AI?
Too much Tesosterone. Too much Ai to combat the too high Testosterone. Kick your doc in the nuts and get a new one. Start over with a lower dose and no AI then titrate up as needed.
That’s what everyone seems to ask…… just foliowing his orders may be time for someone
New.
The reason I ask is because some guys can handle high estrogen (E2) without symptoms, in other words they feel amazing. Some men are sensitive to high E2 and have issues like fluid retention, moodiness (bitchiness), low libido and ED.
So which is true for you?
If the answer is I don’t know, then this is a red flag and tells me your doctor only knows how to manage numbers on a lab report, and doesn’t really know much about the hormone or it’s effects on the body.
My estrogen is very high on TRT and no symptoms, so I don’t f*** with it.