Low T, New to TRT

@enackers - I wasn’t prescribed an AI by Defy. You assume way too much. Just as you assume not ever introducing an AI to a patient’s protocol is warranted. I tend to agree trying to throttle estrogen probably isn’t the best approach, however, it may be warranted for some. Your opinion that any doctor prescribing an AI is “Bro Science” is laughable and just that - an opinion. Everyone is different.

I’m truly glad you’ve found success with your protocol as have I. However, I guarantee there are many people on TRT (with an AI) who don’t post here at all and are dialed-in too. Your closed-minded approach to other’s protocols is exactly the “Bro Science” comment I mentioned above.

Edited to add: I have a close friend that’s been on TRT for 3 years. He’s never posted here because he’s been dialed-in for most of those three years. He’s on an AI and doing once a week shots. According to most here he must feel like garbage on once a week injections. However, that is not the case at all. He’s feels amazing, great libido, etc. and crushes it in the gym. He just doesn’t come around here because he has ZERO issues.

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Yes, this just goes to show there is no one size fits all approach. I know a guy who takes 75mg testosterone twice a week, and 1mg anastrozole three times a week. He insists he feels great and much better (hot flashes) than when taking 1 or 2mg a week. Go figure.

However, many TRT clinics put everyone on test, hCG and anastrozole from day one. Even 60y/o who have had vasectomies.

I never said you were. You assume too much. I know a patient won’t need an ai. I know multiple doctors who do not give their patients an ai at all. Ai is not needed man. For what an itchy nipple? Water retention? What it’s not working?

You obviously don’t understand estrogen and the beenfits. Not one man who understands the extreme benefits of estrogen would ever want to block it. If estrogen is causing any issues why not manipulate the dose?

Why is it that my doctor and several others say they don’t prescribe an ai? Yet you think someone would? I’m just telling you what doctors tell me. Yet you know more than an actual HRT doctor?

Libido. Brain. Bone. Muscles. Skin. Cv protective. The list goes on as to the health benefits.

Sure maybe one day someone might need it, but not for an itchy nipple and water retention. For gyno you can manage it with dose. Just ask guys like dbossa and other docs. Gyno is due to an imbalance of hormones. Balance your hormones and it shouldn’t flare up.

I have a friend whose been on ai for 2-3 years as well.

He started complaining of high heart rate, blood pressure, and all types of other issues. Like sleep and etc. his estrogen was within range.

I got him off the ai and Guess what happened. everything stabilized. His libido is better. Everything is better.

Ask your friends about their blood pressure and what else they are taking for other health issues and I’m curious what is happening under the hood.

Again, close-minded. It may not be needed for you, but could possibly be needed for someone else.

Reading comprehension is obviously difficult for you. I plainly said above “I tend to agree trying to throttle estrogen probably isn’t the best approach, however, it may be warranted for some.”

I said or implied this where? I’m telling you from experience that some do need an AI if only for temporary relief of symptoms. And some, in the case of my friend, has been using one successfully for 3 years. He has ZERO issues health related (high BP, etc.).

You just made my case! Your stance is they never need an AI period, yet you contradict yourself with this statement. Why? Because, if you’re being intellectually honest with yourself, you’re not 100% sure. No one is at this point, and the doctors are guessing (at best) with the state of TRT right now. That is exactly my point of this whole conversation. Also, I believe you stated earlier or on another thread that there are no human studies, correct? Without recent / controlled human studies how do you know your stance to be 100% true? You can’t. My point.

As for itchy nipples, water retention, etc. I never once mentioned either issue, so I have no idea where you’re pulling that nugget?

I’ll have to say “no” and take a pass on that suggestion. From what I read on the forums here and the other TRT forums, I’m definitely not in the minority. His condescending, often-times brash, arrogant and one-sided advice offers no help on the forums and those seeking honest symptom relief.

On several occasions I’ve witnessed him polluting threads with his nonsense only to get called out. Immediately, he gets hostile with the person of opposing viewpoints. I’ve witnessed this on several occasions. Honestly, I don’t know how the moderators of this forum put up with it? It’s running several people off the forum which doesn’t seem like a viable business decision. Healthy debate should be encouraged, however, it must be done with some modicum of compassion and professionalism. Two traits I have yet to see out of him. So, no, I’ll pass.

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Are you a doctor?

If not, then I find it rich you would ask if I was a HRT doctor when I’ve never advised anyone about their health. Especially to stop taking something their doctor prescribed. More importantly, if you’re not a doctor, then you’re irresponsible and just practicing “bro science” with another person’s life. That is very dangerous and narcissistic.