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Thread: Doc took me off TRT and put me on Ariimidex?

  1. #1
    allcomcb is offline New Member
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    Doc took me off TRT and put me on Ariimidex?

    So I was going to a GP and he put me on Testim due to low test. My T level was 240. After about 1 year I really didn't feel much of a difference, worse if anything. So I decided to go to an Endo and he told me to stop Testim immediately and start 1mg of Arimidex per day. My estrogen levels were high and he believes I have hyperactive aromatase activity naturally. He said lowering my Estrogen will in turn raise my natural T production. It's been 1 week and I feel tired, can't sleep, just all around crappy. I am assuming my Test has to kick start back in and maybe this is why I feel this way? Has anyone else done this and did it work for you?

    Below are my Blood work results.
    MY ESTRONE level is what is high at 129
    Thyroid is high at 5.2
    Testosterone on 2 tubes per day of Testim is only 387. FSH and LH way low.

    NORMAL RANGE
    (LOW, HIGH, UNITS) 11/11/2013

    FT4 0.82, 1.77, NG/DL 1.240
    T3 84.6, 130.2, NG/DL 140.9
    TSH 0.27, 4.2, UIU/ML 5.210
    EST AVG GLUCOSE
    A1C 4.80, 5.90, %
    GLU 74, 106, MG/DL
    NA 136, 145, MMOL/L
    K 3.5, 5.1, MMOL/L
    CL 98, 107, MMOL/L
    CO2 22.0, 29.0,
    BUN 8, 21, MG/DL
    CRE 0.9, 1.3, MG/DL
    GFR
    TOT PROT 6.0, 8.7, G/DL
    ALB 3.4, 4.8, G/DL
    CA 8.8, 10.2, MG/DL
    ALP 40, 129, U/L
    AST 0, 38, U/L
    ALT 0, 41, U/L
    TBILI 0.0, 1.2, MG/DL
    CHOL 0, 200, MG/DL 168.18
    HDL 56, 125, MG/DL 36.84
    LDL 0.00, 130, 99.84
    TRIG 40, 160, MG/DL 157.49
    NON-HDL CHOL 0, 160, MG/DL 131.34
    PSA 0.00, 4.00, 1.600
    VITAMIN D, 25-HYDROXY 32.0, 100.0, NG/ML
    MICRO AL/CR 0.0, 29.9,
    IPTH 12, 65, PG/ML
    PHOS 2.7, 4.5, MG/DL
    BILI-D 0, 0.3,
    ALBU 0, 29, MG/L
    ANTI-TG 0.00, 40.0, IU/ML
    ANTI-TPO 0.00, 35.0, IU/ML
    CA 24H 100, 250, MG/DAY
    CORT 5.0, 25.0, UG/DL
    C-PEPTIDE 1.1, 5.0, NG/DL
    CPK 39, 308, U/L
    CREAU , , G/L
    CREAU24H
    TEST , , NG/DL
    PRL 1.9, 25.0, NG/ML 7.50
    FSH 1.5,12.4 , MIU/ML 0.3
    LH 1.7,8.6 , MIU/ML <0.100
    ESTRADIOL 7.6,42.6 , PG/ML 22.5
    DHEA-S 35, 430, MCG/DL
    FERR , , NG/ML 208.5
    FOLATE 4.5, 37.3, NG/ML
    FRUC 205, 285, MMOL/L
    ESR 0.00, 20.0, MM/HR
    TOT.VOL , , ML
    WBC 4.1, 10.9, 10.0
    RBC 4.20, 6.30, 5.33
    HGB 12.0, 18.0, G/DL 17.5
    HCT 37.0, 51.0, 49.40
    PLTCT 140, 440, 215
    GR# 1.5, 7.2, 7.0
    MO% 1.7, 9.3, 6.1
    MO# 0.1, 0.9, 0.6
    LY% 20.5, 51.1, 23.8
    GR% 42.2, 80.0, 70.1
    LY# 0.7, 4.9, 2.4
    MCHC 31.0, 36.0, 35.4
    MPV 7.4, 10.4, 7.6
    TIBC 250, 450, 310.02
    IRON 61, 157, MCG/DL 121.33
    ESTRONE, SERUM 12, 72, PG/ML 129
    TESTOSTERONE, SERUM 300,900 , NG/DL 387
    FREE TESTOSTERONE(DIRECT) 7.2, 24.0, PG/ML 14.5
    MCV 80.0, 97.0, 92.7
    MCH 32.8
    RDW 11.6, 13.7, 13.4

  2. #2
    dreadnok89 is offline Member
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    Dude, that's crazy. Arimidex is strong. It'll drop you down quickly. Also your not making any test at all. You need to produce testosterone to produce estrogen. Stop the arimidex. How much a day do you take? Also it looks like you don't absorb gel to good either. You might wanna go shots

  3. #3
    allcomcb is offline New Member
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    Quote Originally Posted by dreadnok89 View Post
    Dude, that's crazy. Arimidex is strong. It'll drop you down quickly. Also your not making any test at all. You need to produce testosterone to produce estrogen. Stop the arimidex. How much a day do you take? Also it looks like you don't absorb gel to good either. You might wanna go shots
    I know I am kind of nervous about it. I am trying to trust this guy because he came highly recommended and it took me 4 months to get an appointment. He put me on 1mg per day every day and said he will retest me in 6 weeks. I am already seeing some sides such as shoulder acne and not be able to sleep. This could be good I suppose because maybe my natural test is rising. He said because I am only at a low range on 2 tubes of testim per day, that my body is just converting it all to estrogen and thinks I have high aromatase activity naturally. He said he would rather have me try the Arimidex first and if needed add back in the testim gel. I just don't see how this is going to work.

  4. #4
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    What is your age, height, weight and app percent body fat?

    Well, like dread said, you need test to make estrogen. Your BW indicates you absorb poorly or your dosage is too low, or both. You still have LH and FSH production and these should basically be almost zeroed out as exogenous test shuts endogenous production down. 1mg or adex is ridiculous and you will soon crash your estrogen, have no doubt. Yes, your test will rise a bit but you will feel like crap, have no libido and your joints will start to hurt. Your doc seems to be guessing here. He should also be using a sensitive assay to determine your E2 levels.

    If he was going to pull you off of TRT then some form of restart should be considered. You need to look further into your thyroid with a TSH that high. It's indicative of hypothyroidism which by itself can cause hypogonadism. What was the original causative factor when you were put on TRT?
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  5. #5
    xcraider37 is offline Associate Member
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    Quote Originally Posted by allcomcb View Post
    So I was going to a GP and he put me on Testim due to low test. My T level was 240. After about 1 year I really didn't feel much of a difference, worse if anything. So I decided to go to an Endo and he told me to stop Testim immediately and start 1mg of Arimidex per day. My estrogen levels were high and he believes I have hyperactive aromatase activity naturally. He said lowering my Estrogen will in turn raise my natural T production. It's been 1 week and I feel tired, can't sleep, just all around crappy. I am assuming my Test has to kick start back in and maybe this is why I feel this way? Has anyone else done this and did it work for you?

    Below are my Blood work results.
    MY ESTRONE level is what is high at 129
    Thyroid is high at 5.2
    Testosterone on 2 tubes per day of Testim is only 387. FSH and LH way low.

    NORMAL RANGE
    (LOW, HIGH, UNITS) 11/11/2013

    FT4 0.82, 1.77, NG/DL 1.240
    T3 84.6, 130.2, NG/DL 140.9
    TSH 0.27, 4.2, UIU/ML 5.210
    EST AVG GLUCOSE
    A1C 4.80, 5.90, %
    GLU 74, 106, MG/DL
    NA 136, 145, MMOL/L
    K 3.5, 5.1, MMOL/L
    CL 98, 107, MMOL/L
    CO2 22.0, 29.0,
    BUN 8, 21, MG/DL
    CRE 0.9, 1.3, MG/DL
    GFR
    TOT PROT 6.0, 8.7, G/DL
    ALB 3.4, 4.8, G/DL
    CA 8.8, 10.2, MG/DL
    ALP 40, 129, U/L
    AST 0, 38, U/L
    ALT 0, 41, U/L
    TBILI 0.0, 1.2, MG/DL
    CHOL 0, 200, MG/DL 168.18
    HDL 56, 125, MG/DL 36.84
    LDL 0.00, 130, 99.84
    TRIG 40, 160, MG/DL 157.49
    NON-HDL CHOL 0, 160, MG/DL 131.34
    PSA 0.00, 4.00, 1.600
    VITAMIN D, 25-HYDROXY 32.0, 100.0, NG/ML
    MICRO AL/CR 0.0, 29.9,
    IPTH 12, 65, PG/ML
    PHOS 2.7, 4.5, MG/DL
    BILI-D 0, 0.3,
    ALBU 0, 29, MG/L
    ANTI-TG 0.00, 40.0, IU/ML
    ANTI-TPO 0.00, 35.0, IU/ML
    CA 24H 100, 250, MG/DAY
    CORT 5.0, 25.0, UG/DL
    C-PEPTIDE 1.1, 5.0, NG/DL
    CPK 39, 308, U/L
    CREAU , , G/L
    CREAU24H
    TEST , , NG/DL
    PRL 1.9, 25.0, NG/ML 7.50
    FSH 1.5,12.4 , MIU/ML 0.3
    LH 1.7,8.6 , MIU/ML <0.100
    ESTRADIOL 7.6,42.6 , PG/ML 22.5
    DHEA-S 35, 430, MCG/DL
    FERR , , NG/ML 208.5
    FOLATE 4.5, 37.3, NG/ML
    FRUC 205, 285, MMOL/L
    ESR 0.00, 20.0, MM/HR
    TOT.VOL , , ML
    WBC 4.1, 10.9, 10.0
    RBC 4.20, 6.30, 5.33
    HGB 12.0, 18.0, G/DL 17.5
    HCT 37.0, 51.0, 49.40
    PLTCT 140, 440, 215
    GR# 1.5, 7.2, 7.0
    MO% 1.7, 9.3, 6.1
    MO# 0.1, 0.9, 0.6
    LY% 20.5, 51.1, 23.8
    GR% 42.2, 80.0, 70.1
    LY# 0.7, 4.9, 2.4
    MCHC 31.0, 36.0, 35.4
    MPV 7.4, 10.4, 7.6
    TIBC 250, 450, 310.02
    IRON 61, 157, MCG/DL 121.33
    ESTRONE, SERUM 12, 72, PG/ML 129
    TESTOSTERONE, SERUM 300,900 , NG/DL 387
    FREE TESTOSTERONE(DIRECT) 7.2, 24.0, PG/ML 14.5
    MCV 80.0, 97.0, 92.7
    MCH 32.8
    RDW 11.6, 13.7, 13.4
    I have found endo's to be terrible for trt. Run from him and find a new doc. Testim generally is known to be the best gel, but didnt work for you. Next step is injections or restart and then evaluate. As easy as that.
    dreadnok89 likes this.

  6. #6
    BigPimpin76's Avatar
    BigPimpin76 is offline Senior Member
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    Dont know much of TRT, but I am learning!
    What these Bros are saying makes sense!
    I have also noticed there are a lot of dumb ass Docs out there!

    Sent from my iPad using Forum

  7. #7
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Uro's tend to have a better grasp on TRT but the main thing is just finding a doc that understands hormones. Title does not really matter.
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  8. #8
    allcomcb is offline New Member
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    Quote Originally Posted by kelkel View Post
    What is your age, height, weight and app percent body fat?

    Well, like dread said, you need test to make estrogen. Your BW indicates you absorb poorly or your dosage is too low, or both. You still have LH and FSH production and these should basically be almost zeroed out as exogenous test shuts endogenous production down. 1mg or adex is ridiculous and you will soon crash your estrogen, have no doubt. Yes, your test will rise a bit but you will feel like crap, have no libido and your joints will start to hurt. Your doc seems to be guessing here. He should also be using a sensitive assay to determine your E2 levels.

    If he was going to pull you off of TRT then some form of restart should be considered. You need to look further into your thyroid with a TSH that high. It's indicative of hypothyroidism which by itself can cause hypogonadism. What was the original causative factor when you were put on TRT?
    I am about 29 5'9 175lbs. I am usually around 165lbs but I screwed up my hand boxing so I have been off for a while. I think my BF is around 14%. I originally went on TRT because I found my results were 240 for Test. I have been on it a year and did not notice hardly any improvement. That's why I went to a specialist who seems to think the TRT made things worse because it was being converted to Estrone an E2. I don't have much energy or drive to do things and I used to really enjoy exercising. I think I may have a thyroid problem. I guess I'll have to see where I am at in 5 weeks but I hope I don't crash my estrogen levels. I'm have no soreness yet so I guess that is good.

  9. #9
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Well, it's not a bad idea to come off but normally when one does SERMS are used in effort to kick-start your system into production, thus avoiding issues along the way. This will allow him the opportunity to evaluate and possibly find the causative factor. Hopefully, you don't suffer to much along the way. Push him to find the root cause. Also start doing some research at Stop the Thyroid Madness™ - Hypothyroidism and thyroid mistreatment.

    Keep an eye on the sides mentioned for crashing your E. That dosage is pretty much a breast cancer dosage or for someone running grams of gear per week.
    dreadnok89 likes this.
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  10. #10
    dreadnok89 is offline Member
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    You don't have a lot of body fat either. So the converting thing is strange. Ask about exestamane too. If your doc is giving you AI script should really look into that one while using the gels

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