Shortness of Breath and E2?

health. longevity. erections. cock strong. read the studies, free t is not the cause of men having a better sex life. Its dht and estrogen. estrogen is cardio protective. it is porcine or created locally in the tissue and cannot be tested in the blood. every part of your body needs estrogen to stay healthy. keep e2 to low in men and expect heart attacks and other issues. woman get breast cancer when their e2 is too low for too long. research is out there.

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I have no problems with libido and erections and such, but my skin has always been sensitive to DHT. Even before TRT I’d get occasional deep cystic acne on my back and weird places. After 6 months on TRT that went haywire. Only finasteride calmed it down. But it took a lot of finasteride, so I thought I’d try dutasteride. And at only 0.5mg/day, dutasteride accomplishes the same things as 7.5mg of finasteride. And even with that much finasteride I was still testing at 50ng/dl (16-19) of DHT

Freak,

How did you ride them out? When the shortness of breath is light, it’s just stressful, but when it’s bad, I feel like I’m going to die…thus the ER. How did you ride out the bad episodes?

I would go to your primary doctor … tell them you think your having panic attacks. Get checked out.
If it’s caused by increased e2 or test dose it will get better in a week or two. I wouldn’t even begin to do any hrt until I felt better. Then start back LOW
The more you think about the worse it gets. Just try to take you mind off it but the if it’s anxiety the fastest to feel better will be a script from your doc for a week of meds to chill out. I would not take it long term as Benzos are addictive.

Do you have a history of heartburn/GERD? You could be having LPR/silent reflux which can cause dyspnea.

I have the worst luck. Right as this happened, my primary doc retired from general practice and became a specialist. He had to dump all his general patients. So I don’t even have a primary doc right now, and every time I call a new one, they aren’t taking new patients. Right now the cardiologist who I’ve seen once, and the ER docs, are the docs most familiar with me. What I’m hoping for, is that all the test find nothing wrong (yay!?) and that the cardiologist concludes anxiety/panic, and prescribes something to tide me over. I highly doubt he will, but I have no one else.

I have no history of that but good catch. The ER docs mentioned it as a possibility and said that it’s actually more common than people realize. They even prescribed some antacids (which I’m not going to bother with), but I’m just going to make sure I don’t eat before bed anymore, just in case.

I meant to say…if it is anxiety/panic attacks the biggest weapon against it is that you KNOW its that. Next time you talk to the ER doc ask him if he thinks its a anxiety. They will usually give you a 2-3 weeks worth of Klonopin to make the transition to a another doctor. Do you notice that you feel fine first thing in the morning when you open your eyes? Then it kind of kicks in when you get up? Thats a pretty good indicator of it as well. If its test induced just give a few weeks. Start back a 80-90 and see how you feel. I would recommend not using HCG as well . Just start one compound at a time. You need to find the sweet spot. Some people simply can’t take HCG. I take it again but a lower dose. If you’re like me and HRT for life type of situation…but Id check with your doctor when you can. Nothing worse than having your nervous system just cranked to 10 for 2 weeks.

Stop with the phlebotomy bs. Once a year is fine but more than that is ridiculous. Drink more water to lower HCT. Stop smoking if you smoke anything. Do anaerobic cardio. Meditate. And get some breathing exercises down. You should level out.

These doctors in the country prescribe XANAX and other benzo’s like candy . You can get that shit much easier than getting them to prescribe testosterone or thyroid meds. Its sad when you realize its true. Go find a doctor online and do a telemedicine call with someone.

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It’s not nonsense, it’s science but its ok that you disagree that stimulates thought. However, I’ll point out that it takes me 2.5 mg of anastrazole to keep me in check (at about 25-35) on a regular basis on 200 mg / week Test C TRT.

But thats ok, I’ll trust in the Doctors with an actual MD hanging on the wall to know what they are doing. What I have learned is that not everyone is the same, not everyone responds the same way to TRT, not everyone is on Thyroid pills, TRT and other substances. Also, not everyone responds to estrogen the same way. Perhaps the individual human body is a bit more complex than we give credit-- and also the underlying causes of the condition to start. However, with respect to Gtron, the OP, I’d revisit his labs and estradiol levels and see if they are at least normal.

You could try a valium (diazepam) or a klonopin or a xanax, they all pretty much do the same thing, however, the klonopin and xanax are masters for panic attacks.

Anything is possible. Did anyone do a basic EKG on you? See if you have any wacky T-waves esp across more than 1 line? Or any branch issues?

Don’t discount the panic attack thing. I had them in Grad school and they drove me nuts-- thought i was having a full on heart attack/stroke. Klonopin to the rescue. Only had 3 or 4 more before i graduated, however, I had no idea I was having panic attacks. Do not discount it.

MS

The science, by which I mean studies on BCBI among other places indicate that there is no medical reason for you to be concerned with the estradiol. If it causes a problem like ED, it needs to be examined. If you are chasing a number or worried about the range, you’re worried about nothing. You should not trust anyone just because they have a piece of paper, you should do your own actual research. You reveal that you have not done any of this research with this response.

Exactly, it is very common to gain weight, retain water, and have ED issues if the # gets too high. As I indicated, these are real concerns, and they are mitigated in my body by simply staying in the mid to high normal range. (I seem to like 25-35 for some reason).

When I get above 40 it’s a real hump to say the least. And yes I aromatize like crazy despite now having lost a TON of weight. (I’m still 27% bf). Down from 45+%. You’d think with all the fat falling out, armoatization would slow, nope hasn’t really slowed that much yet. I’m very surprised. But I digress.

And yes, I agree, if it ain’t broke don’t fix it usually, but if you start getting all weepy (when it creeps up-- and/or the ED kicks in) you know something ain’t right. My personal experience. And yeah, I’ve fired a few doctors in the last year.

Your point about not chasing a number is valid, I didn’t mean it that way, I just meant that weird shit can happen to some people – and does in my case. I bloat, get ED, get weepy and really miserable, metabolism goes to crap etc.

MS

This can take some time. I was the Michelin man initially. No other issues, just bloated as watermelon. The concern is when somebody starts chasing THE range instead of their individual range. Guys have come in here crashing their E2 over and over again when they really didn’t have an issue if they left it alone.

Yeah, I didn’t mean it as a “chase” the range, but really weird stuff happens to me and a lot of other people i’ve met when they get screwy Estradiol #'s. Some people just shrug it off like its nothing. I know a guy at the gym who claims to be running 400 mg/week of Test C with no AI. He says he feels fine and his #'s are only around 70 estradiol with no side effects. Who knows?

MS

I’ve seen some studies showing most people max out on e2 around 70-80. There isn’t enough enzyme to physically convert any more T to e2 so that’s pretty much where men top out at no matter how much T you’re taking. I’ve seen some get up to low 100’s but my point is more that there’s a plateau for most which, IMO, makes it that much easier to not use an AI even when using high doses of T.

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So anyway, today was pretty bad breathing-wise, but, I got to see my new PCP for the first time. And I gotta say, I wasn’t expecting much, because he was simply the first doc I could find who was accepting new patients. But as luck would have it (finally) he is likely the best overall doc I’ve ever had. He is extremely knowledgeable in a wide scope of areas. He took his time and sat with me for a good 45 minutes (if not longer) and took great interest in every aspect of what’s currently happening, as well as my entire medical history going to childhood. He even talked to me in greater detail about my CPAP machine than the doctor’s at the sleep center.

He is setting me up with a pulmonologist and wants a stress test done. He also is recommending an ear/nose/throat specialist to maybe trim some tissue so that I don’t have to use such a high setting on my CPAP. He also prefers I use a Bi-PAP.

He knows I’m on TRT and didn’t bat an eye and thinks it’s perfectly fine. He also said he’ll leave all that stuff up to my specialist, whom he apparently has already heard of and respects.

For whatever reason, I’ve always ended up with docs that are extremely reluctant to prescribe serious pain meds etc., so I was nervous about asking for something for the anxiety when I’m having trouble breathing. I barely got the words out of my mouth when he said he’ll prescribe klonopin.

So a great day overall, finally.

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How many weaks till it improved? I was running my first cycle and started having extreme shortness of breath. Now I’m back on trt and have done and ekg, chest x ray and doctors say it’s just anxiety

Did your issues improve?

How long does it take for the benzos to help the shortness of breath if it is anxiety? I took one and it helped like 50 percent for a few hours. I ran a blast of test at 500 mg with like 500 mg caffeine daily and experiencing this. How long did it take for symptoms to go away fully? I’m week 4 on trt and still having issues but there a lil better

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