Received new BW

[luciuswillson]

Ok so I have been on subq TestC since January. I just had my 3 month follow up and my BW is as follows:
Test 983.1 range 280-800
Estradiol is 86.0 range 7.6-42.2.

He still has me on .5ml 2x per week taken on Mon/TR. Do I need to ask to be put on an AI with an E that high? Also my HCT was a few points high is that ok. it was 53.8 with a normal range of 42-52.

Thanks

[EverettCD]

First thing you need to do is donate blood as soon as you have a chance to do so. This will bring your hematocrit down into the range. I donate every other month, this keeps my hematocrit safely in range.

As for an AI, I know if my E2 was that high I would be retaining water & be tired. If you do start an AI start at a low dose.

Now the 67 million dollar question is... How do you feel? Sent from my iPhone that was manufactured in a sweat shop in China®

[luciuswillson]

I feel super exhausted all the time lately. I mean from about 3 till I go to bed it's a fight to stay awake.

[2Sox]

I go along with Everett's advice. Call the Red Cross and make an appointment a.s.a.p.

The symptoms you describe go along with those of high estradiol - which you DEFINITELY have. I would advise you begin on an A.I. as soon as you can. Many here take anastrozole. But I'd be interested in how you and others would do on exemestane/Aromasin . From what I have been learning recently, it seems like a much better option for estradiol control. I hope others will contribute about the dosing options for this medication.

Also, your testosterone dose of 0.5mL 2x week is a VERY high one. That's 200mg/week. Probably the reason for your high hematocrit and estradiol levels. I'd advise you half that per week. Doctors who know anything about TRT, ALWAYS begin low and titrate up based on blood work and a patient's feeling. Says something about how much your doctor knows.

Curious. What does your doctor says about your lab results?

[Beethoven]

Ok so I have been on subq TestC since January. I just had my 3 month follow up and my BW is as follows:
Test 983.1 range 280-800
Estradiol is 86.0 range 7.6-42.2.

He still has me on .5ml 2x per week taken on Mon/TR. Do I need to ask to be put on an AI with an E that high? Also my HCT was a few points high is that ok. it was 53.8 with a normal range of 42-52.

Thanks

Lucas, firstly if I understand correctly, your dose is .5 ml 2X per week. That should be 200 mg a week. Your numbers reflect that. I would go to 100 mg a week and go from there rather than start another med. your BW shows you have room to use less. Less quite often is more in trt. I also agree you should donate blood ASAP.

[2Sox]

Lucas, firstly if I understand correctly, your dose is .5 ml 2X per week. That should be 200 mg a week. Your numbers reflect that. I would go to 100 mg a week and go from there rather than start another med. your BW shows you have room to use less. Less quite often is more in trt. I also agree you should donate blood ASAP.

Beethoven,
Looks like we hit the "Reply" button at the same time. It also looks like we think alike.

[kelkel]

When was your BW pulled relative to your last injection?
What is your estimated BF percentage?
What is your Free T level?

Increase your water intake.

Good advice above. I'm late to the party.

[Beethoven]

Beethoven,
Looks like we hit the "Reply" button at the same time. It also looks like we think alike.

I've learned well here from all of you since I began my journey.

[luciuswillson]

Kel. I took a shot Monday morning 7 am had BW done Wednesday 9 am. I feel pretty good until about 3-4 pm.

[luciuswillson]

Kel. sorry I didn't see the rest your question from my note. Quick recap Inj taken Monday 7am, BW pulled Wednesday 9am. My estimated body comp is 19-20% but if I need it exactly I can go and get a Bodpod for 30$. I currently drink about a 1.5 gallons a day in water and am not sure I can drink more. My BW just states Testosterone 983.1 with a range of 280-800 ng/dl

[Beethoven]

The way I do my BW is the morning of my next pin, before pinning. Even that you probably should have done BW the next day, I believe your dose is still high and have room to move down. Your Estradiol will drop with your dose.

[luciuswillson]

Ok I just got off the phone with the doctors office and they said the 86 estradiol was fine because my test was 983.1 and E was supposed to be in a 10-1 ratio. Is that correct?

[kelkel]

Ok I just got off the phone with the doctors office and they said the 86 estradiol was fine because my test was 983.1 and E was supposed to be in a 10-1 ratio. Is that correct?

No, that's old school philosophy. Yes, E follows T but you have to manage it as we all metabolize differently. I asked about BF% as the aromatase enzyme lives in the skin, particularly present in abdominal fat thus the more you have the more you can turn to E.

Always test for Free Testosterone . Total doesn't matter. Free is what's useful to you. You need to know where your at with free imho before you alter your protocol, other than addressing your E issue. And remember, reducing your estrogen will in turn raise your testosterone. For every action there's a reaction, right!

[Beethoven]

Ok I just got off the phone with the doctors office and they said the 86 estradiol was fine because my test was 983.1 and E was supposed to be in a 10-1 ratio. Is that correct?

I haven't heard about the ratio. Trt is supposed to keep you within "normal" to upper normal range with the least amount of meds. The more meds the more sides. If he is not concerned with an Estradiol level that high I wonder.

[Beethoven]

No, that's old school philosophy. Yes, E follows T but you have to manage it as we all metabolize differently. I asked about BF% as the aromatase enzyme lives in the skin, particularly present in abdominal fat thus the more you have the more you can turn to E.

Always test for Free Testosterone. Total doesn't matter. Free is what's useful to you. You need to know where your at with free imho before you alter your protocol, other than addressing your E issue. And remember, reducing your estrogen will in turn raise your testosterone. For every action there's a reaction, right!

Kel, even with a total t that high, if his free t is low, probably due to high estrogen, isn't altering the amount of test the logical place to start?

[luciuswillson]

I would switch to LT.com but not sure if I could afford the 200$ per month as my ins covers everything right now. Also I think LT.com should open a clinic in Lexington KY as it could serve Indy, Louisville, Cincinnati, and a good chunk of KY. Just a thought. If my ins quits covering it I may just have to use a local source or go to LT.com

[Beethoven]

I would switch to LT.com but not sure if I could afford the 200$ per month as my ins covers everything right now. Also I think LT.com should open a clinic in Lexington KY as it could serve Indy, Louisville, Cincinnati, and a good chunk of KY. Just a thought. If my ins quits covering it I may just have to use a local source or go to LT.com

There is another thread going on right now about this subject. My insurance only covers BW and office visits. No test or HCG .

[luciuswillson]

Okay. So I found a local source but they only have clomid and novadex. Again I'm on .5 ml 100mc testc 2x per week with t @900 something and e at 86 when over 46 is high. I'll give blood next week but I'm not having BW done again because I don't want insurance to give me problems.

So which is better. Clomid or novadex.