22 on TRT, Need Advice, Pls

[delob]

I'm 22 and I've been on TRT now for a little over 3 months. Currently I am paying for my treatment in 3 month increments, so every 3 months I send in bw and they coordinate a shipment to my house. Originally I was prescribed 200mg Test-C per week for the first 3 months. I felt amazing and all of my low-T symptoms vanished (thank God!). When I got my follow up bw my total testosterone was 889, but my E2 was 114. I still felt amazing and was making great gains, but I was definitely feeling more emotional than I should have. When I called to coordinate my next 3 months order, a new doctor had taken the place of the one who I originally met and got my prescription from; apparently he quit or something. The new doc looked at my bw and told me he wanted to prescribe me an AI and later put me on hcg after the following 3 months. He also mentioned that he had to lower my testosterone dosage a bit because of the E2 levels. No big deal. I figured he meant from 200 mg to 180 or 150. A week later, I get my order and it is for .5 cc a week (100mg Test-C per week) with .5 mg Anastroszole 2x a week. I wanted to ask a few questions on what to do and get some feedback from veteran members.

The numbers of what I received do not match the treatment time I purchased. I received 10 draw needles, 13 syringes, 10 weeks of AI (20 pills, 2 a week), and 20 weeks of test (10ml of 200mg/ml of Test-C). The needles and syringes are off and I have enough test for 5 months at .5cc a week or 10 weeks at my previous dosage. I only paid enough for 3 months of coverage. I don't want to drop to 100 mg a week, and I kinda feel like this order is geared for 10 weeks at 200 mg but the bottle says only 100mg per week. I don't know what to do and I don't want to mess this up with the doc. Do you think they screwed up my shipment; I will have to call by 10 weeks in any case due to the AI and syringes + bw.

After feeling like crap for so long with low-T and finally feeling better, I am very hesitant to decrease the dosage by 50%. Would you stay the same dosage or do the new one?

Does 1 mg total of anastroszle a week seem like a bit much for 100mg of test a week to you or is that reasonable?




Here is my first 3 months of TRT bw. Also about 4 weeks later with the AI added. Both were taken 6 days after injecting.
Edit: Can't find way to remove personal info while providing PDF. Manually typing it. Apologies about the quality.

1st BW Results after 3 months TRT

WBC 5.8 3.4-10.8 x10E3/uL
RBC 5.65 4.14-5.80 x10E6/uL
Hemoglobin 15.5 12.6-17.7 g/dL
Hematocrit 45.7 37.5-51.0 %
MCV 81 79-97 fL
MCH 27.4 26.6-33.0 pg
MCHC 33.9 31.5-35.7 g/dL
RDW 14.5 12.3-15.4 %
Platelets 213 150-379 x10E3/uL
Neutrophils 61 % 01
Lymphs 25 % 01
Monocytes 13 % 01
Eos 1 % 01
Basos 0 % 01
Neutrophils (Absolute) 3.5 1.4-7.0 x10E3/uL
Lymphs (Absolute) 1.4 0.7-3.1 x10E3/uL
Monocytes(Absolute) 0.8 0.1-0.9 x10E3/uL
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL

Comp. Metabolic Panel (14)

Glucose, Serum 76 65-99 mg/dL
BUN 15 6-20 mg/dL
Creatinine, Serum 0.95 0.76-1.27 mg/dL
eGFR If NonAfricn Am 114 >59 mL/min/1.73
eGFR If Africn Am 132 >59 mL/min/1.73
BUN/Creatinine Ratio 16 8-19
Sodium, Serum 138 134-144 mmol/L
Potassium, Serum 4.5 3.5-5.2 mmol/L
Chloride, Serum 98 97-108 mmol/L
Carbon Dioxide, Total 28 18-29 mmol/L
Calcium, Serum 9.4 8.7-10.2 mg/dL
Protein, Total, Serum 6.7 6.0-8.5 g/dL
Albumin, Serum 4.4 3.5-5.5 g/dL
Globulin, Total 2.3 1.5-4.5 g/dL
A/G Ratio 1.9 1.1-2.5
Bilirubin, Total 0.5 0.0-1.2 mg/dL
Alkaline Phosphatase, S 69 39-117 IU/L
AST (SGOT) 72 HIGH 0-40 IU/L
ALT (SGPT) 63 HIGH 0-44 IU/L

Testosterone, Serum
Testosterone, Serum 889 348-1197 ng/dL
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.

Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL
1 of 2
Estradiol
Estradiol 114.2 HIGH 7.6-42.6 pg/mL
Roche ECLIA methodology


2nd BW Result about 4 Weeks Later with AI

WBC 5.5 3.4-10.8 x10E3/uL
RBC 5.79 4.14-5.80 x10E6/uL
Hemoglobin 15.8 12.6-17.7 g/dL
Hematocrit 47.4 37.5-51.0 %
MCV 27.3 26.6-33.0 pg
MCHC 33.3 31.5-35.7 g/dL
RDW 14.1 12.3-15.4 %
Platelets 214 150-379 x10E3/uL
Neutrophils 57 %
Lymphs 31 %
Monocytes 11 %
Eos 1 %
Basos 0 %
Neutrophils (Absolute) 3.1 1.4-7.0 x10E3/uL
Lymphs (Absolute) 1.7 0.7-3.1 x10E3/uL
Monocytes(Absolute) 0.6 0.1-0.9 x10E3/uL
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Granulocytes 0 %
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL

Comp. Metabolic Panel (14)
Glucose, Serum 79 65-99 mg/dL
BUN 15 6-20 mg/dL
Creatinine, Serum 1.04 0.76-1.27 mg/dL
eGFR If NonAfricn Am 101 >59 mL/min/1.73
eGFR If Africn Am 117 >59 mL/min/1.73
BUN/Creatinine Ratio 14 8-19
Sodium, Serum 142 134-144 mmol/L
Potassium, Serum 4.5 3.5-5.2 mmol/L
Chloride, Serum 99 97-108 mmol/L
Carbon Dioxide, Total 28 18-29 mmol/L
Calcium, Serum 9.7 8.7-10.2 mg/dL

Protein, Total, Serum 7.1 6.0-8.5 g/dL
Albumin, Serum 4.8 3.5-5.5 g/dL
Globulin, Total 2.3 1.5-4.5 g/dL
A/G Ratio 2.1 1.1-2.5
Bilirubin, Total 0.4 0.0-1.2 mg/dL
Alkaline Phosphatase, S 64 39-117 IU/L
AST (SGOT) 67 HIGH 0-40 IU/L
ALT (SGPT) 72 HIGH 0-44 IU/L


Testosterone, Serum
Testosterone, Serum 979 348-1197 ng/dL
Comment: Comment 01
Adult male reference interval is based on a population of lean males
up to 40 years old.

Luteinizing Hormone(LH), S
LH 0.1 LOW 1.7-8.6 mIU/mL
FSH, Serum
FSH <0.2 LOW 1.5-12.4 mIU/mL
Estradiol
Estradiol 29.8 7.6-42.6 pg/mL
Roche ECLIA methodology

[kelkel]

First, edit out your personal info from your BW right away. Or simply remove the link for now.
Second, before I get into your questions tell us what put you on TRT. Exactly what was the diagnosis?

[delob]

Sorry about that (and the formatting). The short story is I was stupid and took AAS when I was far to young and naive in both knowledge of AAS and my training. I thought I knew everything and of course: I didn't. I didn't recover from cycling and I was extremely lucky to find a place that would treat me for TRT at such a young age.

[Lifted1]

the new doc is right to want to add hcg, but thats not even the correct estrogen test for males...you need the sensitive essay. also, you dont have free testosterone levels, which is what really counts. imo more blood work is needed before you can properly adjust your protocol.

[OingoBoingo]

The Estradiol test has a reasonable range for males, so if that's all you have available, you can use it. Start looking for forum threads about Estradiol, E2, and Anastrozole, and get studying. A lot has been written in recent days. Listen to your body and learn your symptoms!

High E2 is bad, m'kay. And so is low E2. 1mg Anastrozole per week is a lot. Everybody is different, but for example at around 100mg Testosterone per week, I took 0.25mg Anastrozole every 8 days.

Most people on the forum will agree that 200mg of Testosterone per week is too high for a starting dose. Dr. Crisler and Dr. Gordon (two big names in the TRT world) start their patients at 70mg and 60mg of Testosterone per week respectively. I started at 100mg Testosterone per week, but reduced my dose due to the sides; mainly high E2 and acne.

If you want my opinion, I say reduce your dose to 60mg or 70mg.

There is no correct dose, only the one that's right for you! Start low, and titrate up to find it.

Rather than have us attempt to make sense of your shipment, call them and ask for an explanation.

[delob]

I get my tests through private md labs. The female hormone panel is what I use, but I always choose male when it asks for the gender to determine the reference ranges. The male hormone test doesn't cover LH and FSH and it's also about $100 dollars more unfortunately. I thought 7.6-42.6 was the correct estrogen range.
In the sticky "Estradiol and Therapeutic Management: What you should know" it says, "The same holds true for Estradiol levels. The Access Medical Labs reference range for Estradiol Sensitive is 7.6-42.6 pg/ml but "normal" young men are at the low end of that reference range and that's where we all want to be as well."

UPDATE: just learned I was indeed mistaken. The E2 test I took was regular, not sensitive. You were right Lifted1.

[delob]

The Estradiol test has a reasonable range for males, so if that's all you have available, you can use it. Start looking for forum threads about Estradiol, E2, and Anastrozole, and get studying. A lot has been written in recent days. Listen to your body and learn your symptoms!

High E2 is bad, m'kay. And so is low E2. 1mg Anastrozole per week is a lot. Everybody is different, but for example at around 100mg Testosterone per week, I took 0.25mg Anastrozole every 8 days.

Most people on the forum will agree that 200mg of Testosterone per week is too high for a starting dose. Dr. Crisler and Dr. Gordon (two big names in the TRT world) start their patients at 70mg and 60mg of Testosterone per week respectively. I started at 100mg Testosterone per week, but reduced my dose due to the sides; mainly high E2 and acne.

If you want my opinion, I say reduce your dose to 60mg or 70mg.

There is no correct dose, only the one that's right for you! Start low, and titrate up to find it.

Rather than have us attempt to make sense of your shipment, call them and ask for an explanation.

I have noticed a lot of people tend to take their AI the day after their injection. Is that an optimal time? I've always done mine the day of.

[kelkel]

Couple things. LH & FSH will remain zeroed out as long as you're on testosterone, so don't waste money testing them.
Estradiol tends to read higher than E2 Sensitive and can lead to an over use of AI's.
Taking your AI the day of or day after is fine.

Now, back to how your situation began. Answer the following if you will:

What were your cycles? Dosage and length of time?
Was any PCT involved?
How long after your cycle (s) did you see a doc and get put on TRT?

[OingoBoingo]

I get my tests through private md labs. The female hormone panel is what I use, but I always choose male when it asks for the gender to determine the reference ranges. The male hormone test doesn't cover LH and FSH and it's also about $100 dollars more unfortunately. I thought 7.6-42.6 was the correct estrogen range.
In the sticky "Estradiol and Therapeutic Management: What you should know" it says, "The same holds true for Estradiol levels. The Access Medical Labs reference range for Estradiol Sensitive is 7.6-42.6 pg/ml but "normal" young men are at the low end of that reference range and that's where we all want to be as well."

Different labs are different, and they all don't necessarily use the same range. My lab uses 11 - 44. But I know if my E2 starts to rise above 32 or so (as measured at my lab) , I am not a happy camper.

Generally, the stickies have some good information. I don't know what a "normal" young man is and I don't know what is meant by "low end of that reference range." But I believe the average man will have a longer and happier life if E2 is kept between 20 and 30.

[OingoBoingo]

I have noticed a lot of people tend to take their AI the day after their injection. Is that an optimal time? I've always done mine the day of.

If you inject Testosterone once a week, serum levels reach maximum in about 24 or so hours.

Anastrozole levels reach maximum in 6 to 24 hours depending on how long one has been taking it. My experience is that it takes longer than usual if taken on a full belly.

In a perfect world, one would want both peaks to happen at the same time. But in the real world, as kelkel says, taking Anastrozole the day of or day after is fine.

[Chicagotarsier]

I would just like to point out...the BullShite...

Doing AAs is NOT a doctor reviewed reason for TrT. That is a mental image trying to justify a why. A doctor would relate the low test to something in HPTA or gonadal system...

So please try again on what the doctor analysis was.....he did not take your blood and say..omg you did AAs..you need HRT lol..

Where is your BW before HRT?

[Chicagotarsier]

Seeing how the human body makes 70mg test per week maximum for the 99 percentile group...replacing the actual test level is fairly simple. The caveat happens and is greatly impacted to WHERE in the HPTA or gonadal system the issue is located. Free test is dependant upon several factors and since you cannot fix your HPTA sometimes you need to medicate beyond the max to reach the free test level that we should aim for.

As for medical scripture the dosing of test is 25-50 mg per week. Outisde of that would not be prescribed by a hospital treating a patient...hence why anti-aging places are so in demand. They take special insurance to cover the extra risk. Normal hospitals do not do this...why I just shake my head when someone says..i went to the local hospital and got prescribed 200 mg/week test cyp....that did not happen as far as I am concerned unless the facility was covered under special insurance that allows deviation from standard protocol.

I digress...

Good advice below as far as I am concerned.

As far as estrogen is concerned you are still in the normal / normal-high range while taking 200/week

The Estradiol test has a reasonable range for males, so if that's all you have available, you can use it. Start looking for forum threads about Estradiol, E2, and Anastrozole, and get studying. A lot has been written in recent days. Listen to your body and learn your symptoms!

High E2 is bad, m'kay. And so is low E2. 1mg Anastrozole per week is a lot. Everybody is different, but for example at around 100mg Testosterone per week, I took 0.25mg Anastrozole every 8 days.

Most people on the forum will agree that 200mg of Testosterone per week is too high for a starting dose. Dr. Crisler and Dr. Gordon (two big names in the TRT world) start their patients at 70mg and 60mg of Testosterone per week respectively. I started at 100mg Testosterone per week, but reduced my dose due to the sides; mainly high E2 and acne.

If you want my opinion, I say reduce your dose to 60mg or 70mg.

There is no correct dose, only the one that's right for you! Start low, and titrate up to find it.

Rather than have us attempt to make sense of your shipment, call them and ask for an explanation.

[kelkel]

I would just like to point out...the BullShite...

Doing AAs is NOT a doctor reviewed reason for TrT. That is a mental image trying to justify a why. A doctor would relate the low test to something in HPTA or gonadal system...

So please try again on what the doctor analysis was.....he did not take your blood and say..omg you did AAs..you need HRT lol..

Where is your BW before HRT?

It's what I'm trying to get at with my line of questioning.

[delob]

I would just like to point out...the BullShite...

Doing AAs is NOT a doctor reviewed reason for TrT. That is a mental image trying to justify a why. A doctor would relate the low test to something in HPTA or gonadal system...

So please try again on what the doctor analysis was.....he did not take your blood and say..omg you did AAs..you need HRT lol..

Where is your BW before HRT?

Bullshite? I think you are jumping the gun and making assumptions. And yes, doing AAS and screwing up your system IS a reason to do TRT. Of course the doc didn't just say, "Oh, AAS use? Yeah I'll put you on TRT." I went to a GP, he sent me to an endo, and the endo thought TRT causes cancer (yes he said that), but told me about a group in a city I live nearby that would probably put me on. There are a fair number of guys in their twenties on TRT because of that. Hence, why I am on.

[delob]

Couple things. LH & FSH will remain zeroed out as long as you're on testosterone, so don't waste money testing them.
Estradiol tends to read higher than E2 Sensitive and can lead to an over use of AI's.
Taking your AI the day of or day after is fine.

Now, back to how your situation began. Answer the following if you will:

What were your cycles? Dosage and length of time?
Was any PCT involved?
How long after your cycle (s) did you see a doc and get put on TRT?

I wrote down all of my cycle info in a journal that is buried in junk, I honestly don't want to dig it out, but off of memory I believe I did 4 cycles.
First "cycle": dbol only, probably 25-50mg ed or eod, only 6-8 weeks, no PCT
Second cycle: dbol + test, probably 25-50mg ed/eod + 500 mg week, about 9 weeks, I really don't remember if I did PCT or not for this
Third cycle: test-p + tren ace + winny oral, test-p 100mg eod, winny 50mg ed but stopped after bad side effects, tren was probably 75 mg eod, 10-11 weeks, had AI, did 40/40/20/20 Nolva + some hcg
Fourth cycle: test + decca possibly dbol too, test 600 mg week decca 400 mg week dbol maybe 50mg ed or eod, 12 weeks, had AI, did 40/40/20/20/10 Nolva

As you can see, it wasn't my brightest moment and I really had next to no clue what I was doing. Of course at the time I "knew everything". With the exception of that first 6 weeks on dbol, all of my cycles had equal or far greater time off. I know I waited around 8 months before doing my last one. I got put on TRT around 5 months after my last cycle ended.

BW I brought to the doc for TRT had my total test at 348 on a scale of 348-1197 ng/dL. No free T was tested.

[kelkel]

My main point delob is whether a re-start attempt would have been in order instead of TRT.
I'd love to know what your pre-TRT LH & FSH values were if you have them.

[OingoBoingo]

Really, that's a great point.

22 is very young to be on TRT, and a restart if it has half a chance of working might be worth a shot.

[delob]

Luteinizing Hormone(LH), S

LH 7.8 1.7-8.6 mIU/mL
FSH, Serum
FSH 5.3 1.5-12.4 mIU/mL

These were the numbers along with that 348 total test level. When I spoke with the new doctor he told me that with someone my age he would have preferred a restart instead of immediate injections as well. I guess the other doc thought differently. I would have certainly attempted a restart had he suggested it, but I'm not mad at all to be on TRT. I look at it like, it's something that I would have had to do inevitably by an older age so starting it now isn't a problem. Financially that's another issue lol, but I'm just happy to be back to being my self again. Being a man without feeling like one is no way to live and having no sex drive and ED in your twenties is especially ugly.

[kelkel]

Well, I understand your dilemma and wanting to feel normal. That said, your numbers above are actually great and point to your issue being primary (testical) in nature. Have you ever been examined for varicoceles by chance? Or any testicular trauma?

[delob]

Well, I understand your dilemma and wanting to feel normal. That said, your numbers above are actually great and point to your issue being primary (testical) in nature. Have you ever been examined for varicoceles by chance? Or any testicular trauma?

That is great to hear; no I don't think any doctor mentioned variococeles when they checked me or trauma. I'm not sure they would notice it or not, the docs all gave me a fast once-over. It's pure speculation and I'll never know for sure, but I wonder if before the AAS use my testosterone was lower than normal. I only say that because during high school and after my sex drive never seemed to be on par with my peers. I immediately noticed while on AAS and now TRT that my interest finally matched or exceeded others. I felt like I finally understood how my friends felt. But that is all unproven of course without any BW from then.

So I think what I am going to do is take the 100 mg of test per week prescribed, but forego the AI for now and then get some bw in 4 weeks. That way with the lower dose I won't run the risk of killing my E2 with the full dose of 1 mg of arimidex a week and I will know how much 100 mg of test affects my E2 levels. From there I can add .25 or .5 mgs (or the full 1 mg) of arimidex if needed. Does that sound like a good plan?

Also, since my doctor said he wants to get me on hcg soon, is that going to have an affect on my E2 levels?

[kelkel]

That is great to hear; no I don't think any doctor mentioned variococeles when they checked me or trauma. I'm not sure they would notice it or not, the docs all gave me a fast once-over. It's pure speculation and I'll never know for sure, but I wonder if before the AAS use my testosterone was lower than normal. I only say that because during high school and after my sex drive never seemed to be on par with my peers. I immediately noticed while on AAS and now TRT that my interest finally matched or exceeded others. I felt like I finally understood how my friends felt. But that is all unproven of course without any BW from then.

So I think what I am going to do is take the 100 mg of test per week prescribed, but forego the AI for now and then get some bw in 4 weeks. That way with the lower dose I won't run the risk of killing my E2 with the full dose of 1 mg of arimidex a week and I will know how much 100 mg of test affects my E2 levels. From there I can add .25 or .5 mgs (or the full 1 mg) of arimidex if needed. Does that sound like a good plan?

Also, since my doctor said he wants to get me on hcg soon, is that going to have an affect on my E2 levels?

In bold above is kind of what I was thinking as well. The problem is definitely testical related and it shocks me that any doctor would not further investigate this. It's misfeasance imho. All that said, find a doc that is familiar with treating varicoceles and schedule an appointment. You need to know for sure otherwise it will always be in the back of your mind.

In the meantime, why don't you go on a twice per week protocol by injecting 50 mgs every 3-4 days (or 3.5 to be exact) for now. It will keep more stable serum levels and reduce E2 conversion at the same time. Less injected at one time = less E2. Yes, HCG can impact E2 levels a bit. How much is individual and if your issue is primary related any impact may be negligible. A good start would be 250 IU's twice a week. Many here now prefer even smaller, daily dosing and are having good results with it. Your call.

Your goal should be to see if there actually is a verifiable testicle issue. If so, fix it and attempt a re-start of your natural production. Keep us posted here please.

[delob]

Thank you, and everyone else, for all the great information and feedback. Many thanks!

[Chicagotarsier]

Did not mean to offend. I tend to jump off the gun when I hear "AAs messed me up".

I have the exact same issue you have (almost) and never took an AAs in my life before the issue. Shit happens and no one knows why.

One of the tactics of the government is to say..you will die if you do X...with no supporting information.

You got the right people helping you here. They have more knowledge than most hospital Endo and Urology departments x 10.

Good luck on seeing if the jump start helps you...I am pulling for you!QUOTE=delob;6986033]Bullshite? I think you are jumping the gun and making assumptions. And yes, doing AAS and screwing up your system IS a reason to do TRT. Of course the doc didn't just say, "Oh, AAS use? Yeah I'll put you on TRT." I went to a GP, he sent me to an endo, and the endo thought TRT causes cancer (yes he said that), but told me about a group in a city I live nearby that would probably put me on. There are a fair number of guys in their twenties on TRT because of that. Hence, why I am on.[/QUOTE]

[delob]

Did not mean to offend. I tend to jump off the gun when I hear "AAs messed me up".

I have the exact same issue you have (almost) and never took an AAs in my life before the issue. Shit happens and no one knows why.

One of the tactics of the government is to say..you will die if you do X...with no supporting information.

You got the right people helping you here. They have more knowledge than most hospital Endo and Urology departments x 10.

Good luck on seeing if the jump start helps you...I am pulling for you!QUOTE=delob;6986033]Bullshite? I think you are jumping the gun and making assumptions. And yes, doing AAS and screwing up your system IS a reason to do TRT. Of course the doc didn't just say, "Oh, AAS use? Yeah I'll put you on TRT." I went to a GP, he sent me to an endo, and the endo thought TRT causes cancer (yes he said that), but told me about a group in a city I live nearby that would probably put me on. There are a fair number of guys in their twenties on TRT because of that. Hence, why I am on.

[/QUOTE]


Hey, no offense taken brother. You gave me some good knowledge too and I agree; the government gives a lot of warnings (or lack of) about things without proper data behind it. I am very happy to have access to a user base with experienced and knowledgeable people ready to help out. Glad to hear you got the right treatment too!

[OingoBoingo]

So I think what I am going to do is take the 100 mg of test per week prescribed, but forego the AI for now and then get some bw in 4 weeks. That way with the lower dose I won't run the risk of killing my E2 with the full dose of 1 mg of arimidex a week and I will know how much 100 mg of test affects my E2 levels. From there I can add .25 or .5 mgs (or the full 1 mg) of arimidex if needed. Does that sound like a good plan?

Also, since my doctor said he wants to get me on hcg soon, is that going to have an affect on my E2 levels?

Kelkel's advice about splitting your dose is good.

Listen to your body. If you start to experience symptoms of high E2 (such as; flushing around the neck or upper chest, night sweats, and/or water retention), note the date on a calendar and take 0.25mg of Anastrozole (Arimidex). I don't know if there is any sense in suffering just to get a number.

Additionally, if you can take Anastrozole when needed, you may find that over time you may need it less. That has certainly been true in my case, and if I dosed Anastrozole by a schedule, I wouldn't have found out I needed less until I crushed my E2.

If you can rely on symptoms, taking Anastrozole when needed is the way to go in my opinion.

[lovbyts]

In bold above is kind of what I was thinking as well. The problem is definitely testical related and it shocks me that any doctor would not further investigate this. It's misfeasance imho. All that said, find a doc that is familiar with treating varicoceles and schedule an appointment. You need to know for sure otherwise it will always be in the back of your mind.

In the meantime, why don't you go on a twice per week protocol by injecting 50 mgs every 3-4 days (or 3.5 to be exact) for now. It will keep more stable serum levels and reduce E2 conversion at the same time. Less injected at one time = less E2. Yes, HCG can impact E2 levels a bit. How much is individual and if your issue is primary related any impact may be negligible. A good start would be 250 IU's twice a week. Many here now prefer even smaller, daily dosing and are having good results with it. Your call.

Your goal should be to see if there actually is a verifiable testicle issue. If so, fix it and attempt a re-start of your natural production. Keep us posted here please.

I know you feel better on TRT right now but dont skip over the last part or KelKel's advice, it's probably the most important part. It would be best to try to fix this now so you can have a normal life without pinning for the next 40 years if possible.

[chuckt12345]

you need to see a endocrinologist or urologist, these little pop up TRT shops dont have your long term health in mind.