What does that mean short term\long term? When and Why would I consider a restart?
There is no doubt, LH is almost bottomed out and any lower and you could compare your testosterone with dead men. Total T also is what you would expect to see with LH very low. My LH measured a week ago was 3.6, but Total T was 119, but again I donāt really care about the numbers as much as I care about the symptoms and TRT relives all symptoms.
A restart is for those looking to restore fertility and hop back on TRT once that is accomplished or for those that wanted a quick fix, the blue pill to relieve the symptoms and didnāt really think about the long term game.
I often see men fail to accept reality that they will never again produce optimal testosterone naturally do to a diagnosed disease or decline do to aging which is common in men approaching 40-50 years old.
Restarts will not restore natural levels do to an age related decline or disease, restarts will work for those that correct the cause of low testosterone like sleep apnea, overtraining and/or starvation diets. The problems is there are few doctors worldwide skilled enough to figure it all out and even if you figure it out there is no guarantee you can correct it.
Testosterone (T) has a number of important effects on the cardiovascular system. In men, T levels begin to decrease after age 40, and this decrease has been associated with an increase in all-cause mortality and cardiovascular (CV) risk.
When guys using for performance enhancement come āoff-cycleā, they do a restart to restore function. Basically you use a SERM to tell your body to produce more LH. Itās typically referred to as PCT. If nothing is actually broken, it works to effectively āwake upā your system to begin producing normally again. A successful restart would mean being normal without taking test for the rest of your life. A fail means you do what you a foing now, you have just lost a little time.
wellā¦ you have to educate yourself first.
overkillā¦ hmmm. a normal person (depends of color skin) exposed to sunlight can produce more than 50k daily. so this person is faded to certain deadā¦
quote of Dr Coimbra - Biggest authority in D vit.
- 2:44We adjust these individual doses according to the parathormone (PTH) level.
- 2:49As the level of vitamin D increases, the PTH level gets lower, so we try to keep the PTH level around the lower limit of the normal range.
- 3:01and we noticed that by keeping the PTH level around the lower limit of the normal range (without suppressing it) we may keep the disorder in remission.
- 3:10To reach such lower levels it was necessary to reach, in average, a dosage of 1.000 units per day, per Kg (body weight).
- 3:22In order to prevent side effects that can occur with these higher doses, if a cautioned diet is not followed,
- 3:34we excluded food products that are rich in calcium, basically milk and its sub products, and calcium fortified products, such as oat milk, rice milk and soy milk.
Dairy is forbiden for a person on a protocol on high D intake. high is more than 70k daily
I take 2 L of yogurt daily on 10k ui and have no problems at all, The point is, for HIGH intake of D vit. got it ?
I said that if he has an autoimmune disease, he can choose to use high doses of vitamin D with medical advice. and in that process, he will be prohibited from ingesting dairy.
here 2 videos for educational purpose:
Just heard back from the Doc, as was suggested here, they recommended I increase my dosage.
For now I am going from 180mg per week to 200mg per week.
Like I said, this is complete nonsense, and this ādoctorā is an expert at spewing BS. Simplistic uneducated crap. Seriously. Educate yourself. Vitamin D can be toxic, with or without autoimmune disease and is not well tolerated by everyone. I lived with hyperparathyroid hyperplasia and now live with half a parathyroid gland and those effect. I know from my research and personal life experience this is crap.
Anything I should be aware of with increasing my dose? Is this going to create issues? put me back a few weeks?
It usually does until your levels are stable again.
You might get a little acne for a week or so, you might bloat if you aromatize more at the higher dose, most likely you will feel nothing different. Except maybe a little better libido.
Just got my blood work back after 65 days on TRT and a month after increasing my dose from 180 mg to 200mg a week.
I currently inject twice a week Sub Q. These numbers are from my GP, so the labs are a little different to what I had previously posted.
E2\Free T\RBC\HGB\HCT are all higher than the ranges.
TSH has increased from 2 to 3.69.
If I donāt have negative symptoms, are these Free T and E2 numbers okay?
In the absence of symptoms, these numbers are not a concern. Your doctor is cutting corners by not testing free thyroid hormones.
Ok I didnāt realize you were twice per injections when I first posted.
There is no reason for your E2 to be that high. You are just wasting T. E2 is made out of testosterone, so if its really high, it has also reduced your T
I bet at a reduced dosage your TT will come up and your E2 would drop.
If you look at my first post, in this thread. You can see my initial numbers after a month on TRT. Dose was a little lower and testosterone was much lower.
Do you think I just needed more time on TRT from the numbers to go up or did the increase from 180mg to 200mg essentially double my testosterone and E2.
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Yea I think you need more time, but the minor adjustment I mentioned will only benefit you. Donāt get wrapped up in more T is better, because when youāre talking about small movements it doesnāt make a difference.
If you jump to 400 per week yea you will notice that. But otherwise, without the minor adjustment, you are just wasting T
Hope this helps.
You didnāt give the process enough time.
You probably have more hormones than your body needs at this point. Also dosing isnāt linear, Iāve seen a massive increase in levels with a 20% dose increase.
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One more thing to add. I realized this blood test was probably close to peak. I changed the day of my blood test and ended up having the test 12 hours after my injection rather then just before my injection.
These bloods were taken by my GP not my TRT doc. She doesnāt treat me for TRT but will do bloods So I can get them on insurance.
Next blood test with TRT doc is scheduled for 6 weeks from now, that test will be at my trough. Iāll wait for that to see where my numbers are before adjusting my protocol.
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I am thinking about trying an AI. My last blood test with my GP I had a E2 of 66.16 (7 - 49). I have a few side effects that may be E2 related.
- My energy, while being way better then pre TRT is still not where I feel it should be.
- I am struggling to loose weight even though I am working out and eating better then I was pre TRT.
- More emotional (crying during movies). This isnāt unusual for me but just seems to be happening more frequently the past couple weeks.
- High Blood Pressure (I believe is related to water weight from TRT and E2).
I donāt really want to be on an AI long term but I am hoping to give it a try to see if I feel better with lower E2. From there I either want to try
- lose more weight (which I am doing anyway but hoping the AI helps) to hopefully naturally lower E2
- Switch to more frequent Injections.
- lower my TRT Dose.
My understanding is that AI effects come on pretty quick but are there any downsides to taking an AI, just to see, before trying other options for lowering E2?
I had an appointment scheduled with my TRT doc for next month but moved that to next week. So I could discus the above with them.
I was initially planing on switching to ED injections but now I am thinking due to the high E2 and symptoms Iād rather try the AI first and I donāt want to change too much at a time.
Thoughts?
Am I correct that the effects of the AI are pretty quick?
Any recommendations on AIs or protocols?
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The daily injections may help all of that without having to use an AI. My E2 is almost 80. I had similar problems which is what led me to try daily. Not sure why youād rather use an AI first before trying more frequent injections. If more frequent works then youāre good to go. If the AI works then what? You say you donāt want to be on it long term so how does that work? Do you know how an AI effects you? Finding the correct dosage is a roller coaster and if it ends with crashed E2 youāll pray for a while to be feeling the way you feel now.
When you dropped the AI did you have any so-called high E2 symtoms initially that ended up going away? Like itchy nipples or water retention? Often times I hear about guys taking an AI because their nipple was itchy or their ankles were a bit swollen.
@markis655
I wasnāt on the right protocol so I felt like shit on the AI and off. I finally quit taking it the second time I crashed E2 and it took a month before my estrogen got back up. I started upping my T dose and eventually got to feeling good and then best.
From someone who has had hormone induced gyno (wasnāt fat) I can tell you I never had itchy nipples. My areola just started protruding to the point that it looked funny when I wore a t-shirt (not funny to me). I think people read other peopleās posts, who read other peopleās post, that itchy nipples means gyno or estrogen and I can tell you from experience that is not definite. The problem with forums is that although they do a lot more good than bad, they also spread misinformation that people who are already in a bad state mentally can take and obsess over. I was/am one of them. I really believe that if no one read about any of the E2 stuff then a majority of people wouldnāt have the symptoms. You read it, fear it and then worry about it so much that it becomes reality whether in your head or not. I say that too because that was me when I first started. Having had gyno previously and corrective surgery I was super paranoid about anything estrogen and went through utter hell my first 6 months.
(sorry for the super long post that may not even answer what you asked)