Thank you guys, I have posted this before, but it is worth it to post it again as I desparately need some help and i do not trust any doctors at this point, what is happening is I have been on TRT for 2+ years now, my libido is up and down , my ED is terrible 90% of the time and 10% of the time things are great all the sudden, 90% of the time i dont have morning wood, 10% of the time i do all the sudden, i have basically no sensitivity when i am having these issues… I have tried raising my dose up and down, I have raised my DHT through cream, I have taken cypionate bi weekly, every other day, every day, went to propionate… taken anastrozole different doses.,NOTHING gives me consistent results, yet, I know i do not have a physical problem with my genitals or something because I have had those times when things were great! Also sometimes things fluctuate literally daily, one day great, next day SHIT!.. also all low t symptoms, low energy, poor muscle, tiredness, etc…ANY suggestions? WTF
Don’t quote me on this, but your progesterone is elevated the same as mine (though still in range). However, a level like that can block DHT/E2 from working and result in issues. This may or may not be the case for you.
It sounds like using the propionate is causing swings which has a short half life, I don’t do well when levels are fluctuating even a little. You could also be sensitive to estrogen, I see it’s on the higher end and AI’s can have sexual side effects of their own.
I felt like death on AI’s even though estrogen was fine. Maybe these levels are too high for you or maybe you are just one of those that don’t respond well to TRT. Hard to say without mineral testing, you could have an iron deficiency for all I know.
Other systems must be functioning correctly, like your kidneys removing excess water from the body. Coming off TRT I had edema cause by a paralyzed gut caused by mineral deficiencies and 3 weeks after stopping TRT and taking medication for minor edema, I got erections and mental clarity within hours and felt amazing while my Total T must have been <200 being 3 weeks earlier was at 450.
There will be some guys with water retention issues on TRT and might need to assistance with controlling the water retention which could absolutely affect libido and erectile function, do you have high blood pressure?
I see no cortisol testing, I believe you have other unaddressed issues going on besides TRT that needs looking into.
I don’t understand how these labs can be the same across three different set of labs on three separate threads all with different Total T and Free T values with and without AI’s.
This is statistically impossible and this tells me you are not testing everything each time you are running labs.
Its your E2 plain and simple.
You have a low SHGB which means you can’t tolerate high E2 there is not enough SHGB to render it harmless so your blood is loaded with Free E2 and that will keep your dick from getting hard. I’m experiencing the same right now in fact just posted my bloods here if you want to look.
scroll down to the 5 months later.
Get your E2 into the mid 20’s like 25-27 and all your issues will go away. It really is that simple.
Then all 3 of us are in the same boat see my latest bloods posted yesterday in the link I posted above.
It is really hard to guess a dose that works for all.
You have to be very careful with anastrozole it is super powerful.
What are your numbers? TT/FT/E2 SHGB
Has your SHGB ever been that low before? If not lets call that a lab error they fuck up all the time.
With a low SHGB of say 25-28 you have a shit load of Free E2 in your blood. An if we are targetting a E2 of 25-27 from 49 Here is my suggestion. .25mg M/W/F for two weeks then .25 mg M/T. You don’t have to wait 40 day (5weeks) like T cyp. 10 days an you are at steady state.
Give two weeks at SS and with any luck your symptoms will go away.
When I am on the edge of good E2 vs bad E2 lvl for me I can feel it working in 4 hours.
It hasn’t been that low (19) but is generally in the 20s.
My issue is that I’ve yet to feel anything libido/arousal wise, which was the reason I started TRT. So I am going to try to push that FT up high… almost dbossa high. But I’m concerned about the E2 when I do. So Ai will be needed.
I like your recommendation on dosing. I’m going to see where I land with daily dosing at 22mg, and likely push that higher up, maybe to around 30mg daily, then add in the Ai.
Oh heres my latest bloods taken last week. I am working with Defy so I am only on their protocol. This blood test was on 120mg/wk .125mg anastrozole M/T 800iu HCG/wk My consult is next week and I believe they will double my AI dose and keep everything else the same.
Except I am sick of my E2 going out of my sweet spot so I am asking for tri-mix I’m getting a pump in my tongue I’m having to rely on it so much these days to keep the misses happy.
It’s amazing how much youre aromatizing actually. In your case, you can’t afford to bring test level down much I’d think. Although your FT isn’t bad at all…
I know. You and I have talked about this on several occasions. Did you ever get up the nerve to run a blast to get your TT in the low 2000’s? Be careful with any advice from that dbossa clown he is a quack and will get guys hurt.
I do like dbossa’s thoughts on getting that FT up really high, but not so sure I follow his E2 ideologies.
I’m going to keep slowly pushing up my daily dose close to 200mg/week (daily shots). This should get the FT up and hopefully trigger a libido. I may have to use the ai to bring back erections.
I have two years of blood work with my Free T between 30 and 34 and it was why I had to donate so much blood I crashed my ferritin. You can not replentish your ferritin fast enough when donating every 2 months. Sooner or later you just have to drop your dose and start slamming the iron pills. My Free T now is 15 on trough and~20 at peak and my libido is no different I always want to fuck. My problem is high E2 induced ED. My libido and ED are not connected. It can be hell on earth. E2 does not seem to effect my libido only if I can get and keep my dick hard during sex.
