E2 is tanked. Help please.

[reporich]

Last Ref. Range Units 10/01/12
10:09
Test Status Final
Estradiol by tandem mass spectrometry pg/mL * 2.7
* Comments:
10/01/12.10:09 Estradiol by tandem mass spectrometry:


Unit: pg/mL



(NOTE)

Reference interval of estradiol in serum in adults.

Males: Estradiol
Men 18 yrs and older 10-42
REFERENCE INTERVAL: Estradiol by TMS

Testosterone , Total, Free & Bioavailable
What is Testosterone, Total, Free & Bioavailable?
Name Normal Range 10/01 1 09/21 2 09/26 3 10/12 4
Testosterone 212-742 834 2526 944 477
Sex Hormone Binding Globulin 13-71 12 11 13 25
Testosterone, Free 47-244 252.0 839.1 289.7 101.5
Testosterone, % Free 1.6-2.9 3.0 3.3 3.1 2.1
Testosterone, Bioavailable 131-682 672.6 2289.9 756.0 289.2
ACBC
What is CBC?
Name Normal Range 09/21 1 09/26 2 05/12 3 08/16
WBC 3.6-10.6 4.8 6.3 6.8 5.5
RBC 4.50-5.90 5.67 5.29 5.03 3.93
HGB 13.5-17.5 17.3 16.7 16.1 14.2
Hct 41.0-53.0 49.9 49.0 46.6 41.2
MCV 80.0-100.0 88.0 92.6 92.8 104.9
MCH 25.0-34.0 30.5 31.6 32.0 36.2
MCHC 32.0-36.0 34.7 34.1 34.5 34.5
RDW SD 35.1-43.9 43.4
RDW 11.3-15.6 13.6 14.0 12.3 13.5
PLTS 150-400 183 220 239 206
MPV 6.6-12.4 9.9 7.4 7.0 7.4
Nucleated RBCs, Automated 0.0 0.0 0.0
Differential Type Automated Automated Manual Diff
Neut, Abs 1.8-6.8 4.0 4.2 3.6
Neut, Auto 36.0-66.0 64.7 61.7
Lymph % 24.0-44.0 24.6 29.4
Mono, Auto 0.0-12.0 9.1 7.9
Eos, Auto 0.0-5.0 1.3 0.7
Baso, Auto 0.0-5.0 0.3 0.3
Lymphs, Abs 1.2-3.4 1.5 2.0
Mono, Abs 0.2-0.9 0.6 0.5 0.6
Eos, Abs 0.0-0.5 0.1 0.0 0.1
Baso, Abs 0.0-0.3 0.0 0.0
Neut, Manual 36-66 65
Lymph % 24-44 24
Mono, Manual 2-12 10
Eos, Manual 0-7 1
Lymph, Abs 1.2-3.4 1.3
RBC Morph NCNC Normocytic, Normochromic
Plt Est PLTOK Agrees with count
lbumin 3.3-4.8 4.3 4.4 4.2 4.6
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Comprehensive Metabolic Panel
What is Comprehensive Metabolic Panel?
Name Normal Range 09/21 1 09/26 2 10/12 3 05/12 4
Na 137-146 141 134 136 132
K 3.5-5.0 5.0 4.6 4.7 5.2
Cl 98-109 100 101 98 97
CO2 19-30 29 24 28 25
Anion Gap (Na Cl CO2) 3-16 12 9 10 10
Glucose 65-99 96 93 57 88
BUN 6-21 27 19 18 28
Creatinine 0.71-1.18 1.54 1.38 1.30 1.39
GFR, Estimated >60 52 55 59 55
Ca 8.4-10.4 10.0 9.2 9.7 9.9
Prot 6.0-8.4 7.1 6.9 6.9 7.7
Albumin 3.3-4.8 4.4 4.1 4.6 4.8
Bili, Total 0.2-1.3 0.4 0.4 0.1 0.5
Alk Phos 40-120 49 56 38 52
ALT 12-61 55 56 37 36
AST 16-50 38 35 25 35
Average GFR for age 93 99 99 99
Comment: See Note See Note See Note See Note
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Comprehensive Metabolic Panel
What is Comprehensive Metabolic Panel?
Name Normal Range 09/21 1 09/26 2 10/12 3 05/12 4
Na 137-146 141 134 136 132
K 3.5-5.0 5.0 4.6 4.7 5.2
Cl 98-109 100 101 98 97
CO2 19-30 29 24 28 25
Anion Gap (Na Cl CO2) 3-16 12 9 10 10
Glucose 65-99 96 93 57 88
BUN 6-21 27 19 18 28
Creatinine 0.71-1.18 1.54 1.38 1.30 1.39
GFR, Estimated >60 52 55 59 55
Ca 8.4-10.4 10.0 9.2 9.7 9.9
Prot 6.0-8.4 7.1 6.9 6.9 7.7
Albumin 3.3-4.8 4.4 4.1 4.6 4.8
Bili, Total 0.2-1.3 0.4 0.4 0.1 0.5
Alk Phos 40-120 49 56 38 52
ALT 12-61 55 56 37 36
AST 16-50 38 35 25 35
Average GFR for age 93 99 99 99
Comment: See Note See Note See Note See Note
Lipid Profile
What is Lipid Profile?
Name Normal Range 09/21 1 09/26 2 10/12 3 05/12 4
Fasting Status >=12 hours YES Unknown Unknown
Cholesterol, Total 158-199 182 137 145 143
Triglycerides 58-149 43 36 49 50
HDL Cholesterol 40-63 44 39 52 55
Non HDL Cholesterol <130 138 98 93
VLDL 12-29 9 7 10 10
LDL <100 129 91 83 78
Chol/HDL <4.5 4.1 3.5 2.8 2.6
Comment: See Note See Note See Note See Note
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Prostate Specific Antigen
What is Prostate Specific Antigen?
Name Normal Range 09/21 1
PSA, Total 0.0-4.0 1.76
Comment: Thyroid Stimulating Hormone
What is Thyroid Stimulating Hormone?
Name Normal Range 09/21 1 10/12 2 02/24 3 05/12 4
TSH 0.45-4.67 1.84 1.95 1.80 2.09
See Note
I started HRT 18 months ago and immediately went on a blast with deca , back to cruise at 300mg test then blasted again with EQ. So, I know I should have got it dialed in before I started blasting. My HRT DR. asked me how much I wanted and thats why my scrip is for 300mg a week. For the most part he seems to be on top of the HRT and he's willing to look at anything I've taken him from this site or others.
I've had times when I felt great and times when "brain fog" has been terrible. I have Adex and have taken different doses but never going over 3mg a week, even when Im blasting with 500mg test.
As you can see my E2 is 2.7... 10-42, I've lowered my test to 100mg a week and only taken .5 adex in the past 2-3 weeks. That test is from last Monday, I thought it would have bounced up some? I take 60iu HCG twice a week also.
Any suggestions on getting my E2 back in range so I don't keep yoyoing?
Im 50 yo, 6'2 225. I hit the gym 5 days a week and have for years.
Any help would be appreciated, I love this site and have been reading here for over a year or so and just thought I'd ask for your expertise, thanks.

[kelkel]

Stop all adex to allow your E to rise. Have nolvadex in hand in case of nip issues. At first hint of an issue begin your nolva. Your E can spike at any time or it can rise slowly. We are all different and metabolize / respond differently to the initiation and cessation of exogenous substances. I'd test in one month from when you stopped your adex. Then monthly thereafter until you get dialed in where you need to be. Crashing your E is no fun. Been there. I tested 3 or 4 months in a row to make sure I was dialed in.

I doesn't sound like you ever established a solid TRT protocol. Who knows, on a normal protocol you may be able to go without the AI at all, which is your goal. Twice per week injections (50 x 2) and possibly Sub Q may also help here. Get settled in on what will be your steady protocol before bumping it up again. Fight that urge!

Update us here.

kel

[reporich]

Thanks Kel for the quick response! I will order nolvadex asap and follow as instructed.
You're correct I didn't get my HRT in order, I got all excited and off I went! Im ready to get rid of the "brain fog" and get things set up right. Thanks again!

[Phased]

No one mentioned this yet, however I might have gone a different route when just starting TRT and then blasting with deca . IMO deca and HRT do not work well together because of the sides associated with deca.

As Kel said the 3mg EW of adex( anastrozole) was what "tanked your e2" you will recover as mentioned just follow what he said.
I would get off the AI completely to rebound quicker and as mentioned if you go subq route, might never need it again. A better mix for HRT I think if you wanted to stack w/test would be primo or proviron . Just my thoughts.

To your question about thyroid
Wiki at a glance: Thyroid-stimulating hormone (also known as TSH or thyrotropin) is a hormone that stimulates the thyroid gland to produce thyroxine (T4)

Hope this helps
See you around

[steroid.com 1]

Your post says you inject 60 iu of HCG twice a week; is this correct? If so, I would highly suggest increasing that to at least 250 iu twice if not three times a week.

Comment: Thyroid Stimulating Hormone
What is Thyroid Stimulating Hormone?
Name Normal Range 09/21 1 10/12 2 02/24 3 05/12 4
TSH 0.45-4.67 1.84 1.95 1.80 2.09

As noted, TSH is a messenger hormone produced by the Pituitary Gland to signal the Thyroid to produce the hormone Thyroxine (T4). TSH has an inverse value in relationship to the Thyroid, in other words, the higher the value means that less the Thyroid is functioning properly.

Looking at your panels you are in fine shape. TSH in the range of 1 to 2 is ideal.

[reporich]

Gdevine, you're correct I take .6ml (60)iu HCG twice a week but I can up the dosage. That amount keeps my boys in pretty good shape, may I ask what changes come from taking 250 twice a week?
I really appreciate you taking the time to look over my B.W. I should mention Im om 60mg of Armour.
I had been on wellbutrin ever since a surgery 10 years ago and I stopped taking it recently and didn't even notice, I'm sure that would have been a bitch without HRT?
Thanks again for your time and knowledge!

[steroid.com 1]

Gdevine, you're correct I take .6ml (60)iu HCG twice a week but I can up the dosage. That amount keeps my boys in pretty good shape, may I ask what changes come from taking 250 twice a week?
I really appreciate you taking the time to look over my B.W. I should mention Im om 60mg of Armour.
I had been on wellbutrin ever since a surgery 10 years ago and I stopped taking it recently and didn't even notice, I'm sure that would have been a bitch without HRT?
Thanks again for your time and knowledge!

60 iu's is such a small amount I don't even know how you can draw that up a syringe. Whey type of needle do you use reporich and what mark do you pull back to.

The usual amounts of HCG are in the 100 iu for daily use to 500 iu twice a week...some times even more!

Ah ha on the Armour...no wonder your Thyroid look so good...hiding that little fact from us eh LOL

Your point on the Welbutin and the TRT is well taken and normally what we hear here...TRT is wondeful in so many ways!

Good things for you reporich!

gd

[reporich]

I use a 1/2ml insulin needle, its last mark is 50 but I pull it to the end of the barrel to get 60....

[reporich]

Rather than just get my test and estrogen tested separately I think I should just get this get this panel of teats for about the same money?
Kel or gdvine or anyone have any different ideas please let me know, I've been on 100mg Test c and no AI for close to 2 months now.
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-Prostate-Specific Antigen (PSA)
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[reporich]

Bump...

[Mario L]

I use a 1/2ml insulin needle, its last mark is 50 but I pull it to the end of the barrel to get 60....

If your pulling to 50 on a 1cc insulin pin more than likely you using 500 iu. Unless your HGC is super diluted.

[Mario L]

Rather than just get my test and estrogen tested separately I think I should just get this get this panel of teats for about the same money?
Kel or gdvine or anyone have any different ideas please let me know, I've been on 100mg Test c and no AI for close to 2 months now.
undefined Male Deluxe Anti-Aging Panel

Description: The Male Deluxe Anti-Aging Panel contains the following tests:
-Lipid Profile
-Complete Blood Count w/ Differential
-Estradiol, Sensitive
-Insulin Growth Factor (IGF-1)
-Comprehensive Metabolic Panel
-Testosterone , Serum (Total only)
-Prostate-Specific Antigen (PSA)
-Thyroid Profile

Significant deviations from the normal range may require further evaluation by your physician.



Includes: Cholesterol, total; high-density lipoprotein (HDL) cholesterol; low-density lipoprotein (LDL) cholesterol (calculation); triglycerides; very low-density lipoprotein (VLDL) cholesterol (calculation); Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; Estradiol, Sensitive; IGF-1; A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; Testosterone, Serum; Prostate-Specific Antigen (PSA), Serum;Free Thyroxine Index (FTI);Thyroxine (T4); Thyroid Hormone Binding Ratio (T3 Uptake); Thyroid-Stimulating Hormone (TSH)

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[Mario L]

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[reporich]

Thank you Mario, I appreciate your help!