You should aim for E2=80pmol/L
Do you have E2 labs?
‘Most’ would need 1.0mg anastrozole per week to get in that territory.
Some products that help the prostate would be useful.
Cialis is used to improve BPH in USA and Canada perhaps, but NHS is an unknown.
Anastrozole is competitive with E2 and serum levels need to match T levels. With one T injection a week, T levels are changing. Better to inject T 62.5mg twice a week and take anastrozole 0.5mg at that time so both can rise and fall together.
Some prostate issues are expected with aging and you should not be thinking that there should be none at all.
TRT will make a prostate healthier and larger than a T deficient prostate, but then it knows what it is doing. When T deprivation is used to shrink/whither a prostate that is simply a reaction to lower T levels and same would happen to a younger health prostate.
Thyroid: Many?most who come here are hypo to a small degree and most times it is from iodine deficiency. In USA iodized salt is available, in Canada all ‘table salt’ must be iodized. In UK one can find iodized salt in a few shops. So you are on T4, see below ‘oral body temperatures’ to see what your thyroid function is now. There is only one active hormone, fT3 and often not tested at all. And some on T4 meds have poor T4–>T3 conversion. Your body temperatures can be a thyroid med dosing guide.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re Thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number Aand ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.