Time to find a new doctor?

[rpewin01]

My doctor put me on TRT because for my age, 31, my testosterone levels were low (350-400). She put me on 100mg EW. I cam back 4 weeks later and my levels were 850, which she was happy with and didn't want to see them higher (range up to 1100).

I told her I was worried about Estrogen, so at the same time she had my estrogen levels checked. I didn't realize, but she only checked my total estrogen, not my E2. She called and said they were slightly elevated, because they were 163 with a normal range of <130.

I told her I was worried about my elevated estrogen levels and wanted to take an AI to get them in lower ranges. She said that would only make testosterone higher and that my levels were nothing to worry about. I responded that if my T levels became too high, then we could just lower the dose of T, but she wasn't convinced by that. At the end of the conversation, she said that would be an off-label use anyway, and she doesn't prescribe off-label. I mentioned coming back in and least checking my E2 levels, but she wasn't worried about that.

I feel like I should be on an AI, but it doesn't seem like I can get it through this doctor. Should I try to find another doctor? I like her, so is there some way I can get an AI legally without a prescription? My nipples are slightly more sensitive than they use to be, but I also had Lipo shortly before starting to TRT so I am not sure if that could be a cause too (it was my Lipo doctor who recommended having my hormones checked in the first place because I had a small case of gyno).

If it matters, I plan to blast once I get everything sorted out, so I was hoping to get an AI at least for that purpose.

[kelkel]

Your doc just doesn't understand how this all works. Anyway, at least your Test level is good. Be nice to see BW with ranges btw. In the meantime, visit the site sponsor Ar-r where you can get research chems to suit your purpose. Only takes 2-3 days and they are effective. You do need to get a sensitive E2 assay run though. If you use labcorp I can give you the proper codes so they don't screw it up. You may need an AI full time, you may not, it depends on BW.

Also, if your self-injecting consider splitting the dosage to 50mg every 3.5 days. More consistent levels, less spike in T, less conversion to E. A lot of us here use that protocol now.

I'd highly recommend not blasting until your dialed in and consistent with your protocol. Also, did you speak to her about HCG, or is she ok with your nuts shrinking also? As she doesn't have a pair I'm betting she'll say off label. It's not anymore, it's right on the product insert on a lot of them.

Welcome to the forum Rpe. Start reading the stickies and self-educating as much as possible. The Finding a Physician one may come in handy if your doc stone walls you on E control and HCG. Good people here willing to help. Post up BW if possible. Stick around!


Welcome to the forum

[edmundo22]

Is an AI always necessary?, Is it a given that E2 rises while on TRT?

[HRTstudent]

My doctor put me on TRT because for my age, 31, my testosterone levels were low (350-400). She put me on 100mg EW. I cam back 4 weeks later and my levels were 850, which she was happy with and didn't want to see them higher (range up to 1100).

I told her I was worried about Estrogen, so at the same time she had my estrogen levels checked. I didn't realize, but she only checked my total estrogen, not my E2. She called and said they were slightly elevated, because they were 163 with a normal range of <130.

I told her I was worried about my elevated estrogen levels and wanted to take an AI to get them in lower ranges. She said that would only make testosterone higher and that my levels were nothing to worry about. I responded that if my T levels became too high, then we could just lower the dose of T, but she wasn't convinced by that. At the end of the conversation, she said that would be an off-label use anyway, and she doesn't prescribe off-label. I mentioned coming back in and least checking my E2 levels, but she wasn't worried about that.

I feel like I should be on an AI, but it doesn't seem like I can get it through this doctor. Should I try to find another doctor? I like her, so is there some way I can get an AI legally without a prescription? My nipples are slightly more sensitive than they use to be, but I also had Lipo shortly before starting to TRT so I am not sure if that could be a cause too (it was my Lipo doctor who recommended having my hormones checked in the first place because I had a small case of gyno).

If it matters, I plan to blast once I get everything sorted out, so I was hoping to get an AI at least for that purpose.

find a new doctor, she's not an expert by any means.

and what happens if you run into gyno? well she's not going to prescribe off label and tamoxifen, anastrozole, etc these are what you need and they are off label for this use.

find a new doctor now.

Is an AI always necessary?, Is it a given that E2 rises while on TRT?

not at all. I would venture to say most men don't need an AI. and e2 is not evil. e2 is necessary. but some men convert too much to E2 and that can be a problem.

you could always try to split the dose in half as well and/or lower the dose.

[kelkel]

I don't need/use an AI edmundo and there are a few others here that don't also. That can change as we age though.