Guidance please...

[jamotech]

Hello, it's been quite a while since I posted. Here for the obvious reason, help that I can get here but seemingly not elsewhere. My health provider is trying to find an endocrinologist that has experience in steroid use in patients, until then here's my situation...

Was on trt for 6 years, I've been off for a year and a half, did a successful exit protocol.

2 months ago I started to notice the internal and sometimes outward rage I'd get with high estrogen. Asked for a total estrogen test from my doc, and total test. Test is ok,568, but as I suspect my estrogen was high, really high 185 on the male/female range, high is 115. Total e is a shit test I know, but 185 is really high for a 40 year old not on test.

Total test - normal
total estrogen - very high
Free test - high
albium - almost high
Globulin - almost low
ag ratio - high
prolactin - normal

I'm currently having burning nips, puffy, sensitive, much worse than ever felt if my e got high on a cycle. Excessive sweating, and raging, can't sleep. The first endocrinologist in saw said she wouldn't prescribe anything to manage the estrogen. I want to take something to control my estrogen, but I'm also am curious as to why so much of my test is converting to estrogen. that's my question to anyone that would like to answer...why so much conversion to e...what other tests are needed to determine why?

[Youthful55guy]

Before you start any E control (prescribed or not), you need to have the proper labs done to establish where you are and so that you can follow your progress and dial in the proper dose. It's difficult to do.

You need to get the Estradiol Sensitive (LC/MS/MS) test. LabCorp offers the best version of this. You can pick it up for around $50 at https://www.discountedlabs.com/.

Only after that test shows you are high, should you consider starting anastrozole (or some other form of E control). Most guys overdo E control and end up worse than they started.

I'm also wondering why you think your E might be the problem if you are not taking exogenous T?

[TRTdrew]

I don’t know enough to give advice, but I’m wishing you all the best of luck man.

[jamotech]

Before you start any E control (prescribed or not), you need to have the proper labs done to establish where you are and so that you can follow your progress and dial in the proper dose. It's difficult to do.

You need to get the Estradiol Sensitive (LC/MS/MS) test. LabCorp offers the best version of this. You can pick it up for around $50 at https://www.discountedlabs.com/.

Only after that test shows you are high, should you consider starting anastrozole (or some other form of E control). Most guys overdo E control and end up worse than they started.

I'm also wondering why you think your E might be the problem if you are not taking exogenous T?

Really, I think e is a problem because its drastically high???

[jamotech]

Kelkel....still around??

[kelkel]

You need a Sensitive Assay like YG55 mentioned. Standard or total estrogens can be wildly inaccurate in men (meaning high) and thus cause the uneccessary administration of AI's by docs who don't understand this, ultimately causing another problem down the road.

[Youthful55guy]

Really, I think e is a problem because its drastically high???

Yes, it's drastically high with that test, but I doubt it's the correct test for men. You need to use the sensitive assay designed for men. It is a well known fact that when men are tested with an assay designed for women, they usually test high and get freaked out over the results. I've seen this time and time again in the forums. Get the correct test, even if you have to pay for it yourself. Then work from a position of being informed correctly.