I'm on doc prescribed TRT at 175 mg of test cyp weekly and my estradiol is 112. WTF?

[Tommy Gunn]

I'm on doc prescribed TRT (at 29 years old) at 175 mg injections of test cyp weekly. I just got some bloodwork back (I get my shots every Thurs afternoon, this draw was taken Thursday morning BEFORE my shot) and my test came out to be 949 ng/dL and my estradiol is 112 pg/mL (should be <=54 pg/mL). I'm also taking DHEA 50 mg daily (25 mg morning/25 mg evening) and NatureThroid 1/12 grain daily.

Over the last 9 months my doc (a wellness doctor) has slowly been upping my test dosage (from weekly injections of 125 mg to 150 mg to 175 mg). And as my test ng/dL has been rising so has my estradiol pg/mL. He had me taking Indole Forte for a couple months. That didn't work and my estradiol raised. Than he had me taking Calcium D-Glucorate for a couple of months. That didn't work and my estradiol raised.

Now this is my problem:

Over the last 6 weeks I noticed something: my erections ARE WEAK AS HELL. I'm talking very small. I can't understand it because my sex drive is through the roof. And plus my testosterone is very high so I'm baffled. My doc says even though my test is high, my estrogen is also very high and that is what is keeping my erections from being real hard and stiff. He said my estradiol should be 40 pg/mL. I also asked if the DHEA (which I know can convert to test and ESPECIALLY estrogen in men) could be causing this. He said no way would DHEA be causing your estrogen to sky rocket like this.

My solution was to add Arimidex to the mix (which I've been suggesting to him for months). His response: I do not prescribe that because of all the side effects. I will never prescribe you any anti estrogen other than Indole Forte, Calcium D-Glucorate, or Progesterone Creme. So I asked what do we do next? He said he will lower my test from 175 mg weekly to 125 mg weekly. I asked if that didn't work what do we do. He said we could than try a progesterone creme.

He also mentioned maybe my ED problems are something more and I should maybe see a Urologist for some tests. I don't think that's the case because a couple months ago I was getting rock solid.

I'm confused more than ever.

A few questions:

1. Even though my test is high, would my high estrogen be causing ED?

2. Even though I'm taking no anti estrogens right now, would him lowering my test dosage from 175 mg to 125 mg weekly lower my estrogen to normal levels? How long will it take? Should I even have him go lower and only give me 100 mg of test a week?

3. If all else fails, and I start taking the progesterone creme...would that work? Is progesterone creme an effective anti estrogen? How long will it take to work?

4. How do you explain that my sex drive is through the roof but I can't get it up?

5. I have a meeting with an endocrinologist Tuesday. I'm going to get a second opinion. Do endocrinologists presrcibe arimidex to men with my situation or am I wasting my time?

A couple points:

*Last year before I got on TRT my test was real low (206 ng/dL) and because of that I had ED. Since I got on TRT (until a couple months ago) I had NO ED PROBLEMS WHAT SO EVER.

*For those of you who will suggest I go see another doctor, there is no other TRT doctor anywhere near where I live. He is the only one. And he vehemently will not prescribe Arimidex. I'm stuck with him.

*I refuse to go black market to get AI's. That's not even an option.

*My doc is not a primary doc, endocrinologist, or urologist. He is a progressive medicine/wellness doc who specializes in TRT.

Someone please help me make sense of this.

[needmassx3]

bump

[tboney]

I dont think lowering the test 50mgs is going to dissapate the estro problem. Progest creme is also not going to solve it either. I believe that you need to be on an AI. What is your hang up about getting from somewhere other than the doc???

[zaggahamma]

i think some clinics you can do every thing by phone/fax/mail....that could be an option...another thought...you may have covered it already, but wood isnt only from hormones...but if you were fine before trt then i WOULD guess its the estro...u can get AI'S without black market...this site sells liquidex that i hear from MANY posts that its EQUAL to pharm grade arimidex in effectiveness...agree with tboney....lowered the test may not solve...u said you been raising the dose higher and higher..you and the doc didnt notice the estradiol til lately....weird how he speaks of sides from arimidex/etc. I've not heard of anything but good when these compounds are added into a trt protocol

[NEMESIS RR]

how many days after injection did u test? how many times a week are u injecting?

[Tommy Gunn]

I have a meeting with an endocrinologist Tuesday. I'm going to get a second opinion. Do endocrinologists presrcibe arimidex to men with my situation or am I wasting my time?

[zaggahamma]

I have a meeting with an endocrinologist Tuesday. I'm going to get a second opinion. Do endocrinologists presrcibe arimidex to men with my situation or am I wasting my time?

any doctor can prescribe it but no guarantees unless u go to anti aging clinic or rejuvination center

[Tommy Gunn]

Here's what I'm going to do:

I'm going to wait 7 weeks before I get my next labs. If after getting 125 mg test a week (down from 175 mg test week) my estradiol is still high, I will take Arimidex. I've read from Dr. John Crislers publishings that he reccommends between 0.25 and 0.5mg Arimidex every one to third day, depending upon the specific situation. Here's what I'm going to do: I'm going to take 0.5 every 3 days. For example, take 0.5 mg on Monday and than take 0.5 mg Thursday. And than take 0.5 mg on Sunday and than 0.5 mg on Wednesday, etc. I will do this for 5 weeks (Dr. Crisler says when starting Arimidex wait atleast 5 weeks before getting follow up labs). If my estradiol is still high I will than take 0.5 mg every 2 days for 5 weeks than get labs. If my estradiol is STILL high, I will than take 0.5 mg every day for 5 weeks and get labs. By than my estradiol should be under control.

Meanwhile, my doc will be injecting me once weekly of 125 mg of test. I will also continue taking my Nature-throid 1 1/2 grain daily and 50 mg daily of DHEA (25 mg morning/25 mg evening). Also taking Nexium 40 mg daily and Lisinopril 40 mg daily.

Is this a good plan of attack?

[ZonaDave]

have you tried splitting your shots up into two per week? this might help lower your E2 because it will reduce T spikes. an E2 of 112 is really high and will definately cause issues with libido/ED. an adex dose of 0.5mg EOD will knock that down pretty quick and then you can adjust your dosage from there.

do you get nocturnal erections? i mean the kind that wake you up in the middle of the night...really strong ones.

[zaggahamma]

Here's what I'm going to do:

I'm going to wait 7 weeks before I get my next labs. If after getting 125 mg test a week (down from 175 mg test week) my estradiol is still high, I will take Arimidex. I've read from Dr. John Crislers publishings that he reccommends between 0.25 and 0.5mg Arimidex every one to third day, depending upon the specific situation. Here's what I'm going to do: I'm going to take 0.5 every 3 days. For example, take 0.5 mg on Monday and than take 0.5 mg Thursday. And than take 0.5 mg on Sunday and than 0.5 mg on Wednesday, etc. I will do this for 5 weeks (Dr. Crisler says when starting Arimidex wait atleast 5 weeks before getting follow up labs). If my estradiol is still high I will than take 0.5 mg every 2 days for 5 weeks than get labs. If my estradiol is STILL high, I will than take 0.5 mg every day for 5 weeks and get labs. By than my estradiol should be under control.

Meanwhile, my doc will be injecting me once weekly of 125 mg of test. I will also continue taking my Nature-throid 1 1/2 grain and 50 mg daily of DHEA (25 mg morning/25 mg evening). Also taking Nexium 40 mg daily and Lisinopril 40 mg daily.

Is this a good plan of attack?

yes sounds sound keep us posted

[Tommy Gunn]

Guess what fellas? Today I went to see an endocrinologist and he agreed to take over my care. He has no problem with my testosterone being in the 900's but he said my estradiol is WAYYYYYYY too high (estradiol is currently 112) . He said if we lower the test dose to 125 mg a week and my estradiol is still high, he will preacribe me Arimidex at most likely 1 mg a day. He said phsyiologically it makes sense to use Arimidex because even though we will be using it off label, we NEED to get my estrdiol down.

Today was a good day.

[zaggahamma]

Guess what fellas? Today I went to see an endocrinologist and he agreed to take over my care. He has no problem with my testosterone being in the 900's but he said my estradiol is WAYYYYYYY too high (estradiol is currently 112) . He said if we lower the test dose to 125 mg a week and my estradiol is still high, he will preacribe me Arimidex at most likely 1 mg a day. He said phsyiologically it makes sense to use Arimidex because even though we will be using it off label, we NEED to get my estrdiol down.

Today was a good day.

of course it makes sense....we all know its a female drug to help fight cancer or prevent growth by reducing the estro....but youre gonna get into trouble using 1mg every day...maybe ok for the first week but see if you can do blood work often and eventually you should only need .25mg eod or something similar

[Tommy Gunn]

He originally said 1 mg a day. He than said "I will have to research and look up what is the best dosage for you to take with your current level of estradiol."

[zaggahamma]

He originally said 1 mg a day. He than said "I will have to research and look up what is the best dosage for you to take with your current level of estradiol."

that is so funny...the doctor says to the patient...look this up and find the best doeseage for you...lmao

but keep the script at 1mg ed so you can make sure you have plenty....
maybe even consider looking at aromisin...i hear its as good or better than arimidex and a lot cheaper

[Tommy Gunn]

that is so funny...the doctor says to the patient...look this up and find the best doeseage for you...lmao...

I think you misunderstood me. I was quoting HIM. HE said HE would look up the best dosage for me.

[zaggahamma]

I think you misunderstood me. I was quoting HIM. HE said HE would look up the best dosage for me.

yes i did....sorry was tired....didnt see the quotes.....good doc

[Spyke]

Why not just become a patient of Crisler's... you are using his papers anyways..... You can hire him to consult your endo and never actually have to go see him in person.

[zaggahamma]

Why not just become a patient of Crisler's... you are using his papers anyways..... You can hire him to consult your endo and never actually have to go see him in person.

i remember you and others talking about him when you used to post before

[Howard Stern]

thats what test dose strong size drive weak boners

[zaggahamma]

thats what test dose strong size drive weak boners

you edited your post and it came out like that?

[needmassx3]

you edited your post and it came out like that?

hahahaha

[ENraged]

you edited your post and it came out like that?

to funny! almost spit my drink out!!

[zaggahamma]

to funny! almost spit my drink out!!

hey bro...havent seen your posts lately

[ENraged]

hey bro...havent seen your posts lately

Life has kept me plenty busy these past months!

Finally starting to slow down just in time for the holidays!

[JHeisman1]

Guess what fellas? Today I went to see an endocrinologist and he agreed to take over my care. He has no problem with my testosterone being in the 900's but he said my estradiol is WAYYYYYYY too high (estradiol is currently 112) . He said if we lower the test dose to 125 mg a week and my estradiol is still high, he will preacribe me Arimidex at most likely 1 mg a day. He said phsyiologically it makes sense to use Arimidex because even though we will be using it off label, we NEED to get my estrdiol down.

Today was a good day.

-So what's your dose/frequency on the Arimidex?

-Has it helped [did your estrogen decrease from 112 on next series of labs]?

-Has it helped your libido and boner production ?

[Billytk03z]

-So what's your dose/frequency on the Arimidex?

-Has it helped [did your estrogen decrease from 112 on next series of labs]?

-Has it helped your libido and boner production ?

Im on trt of Cyp @ 200mg/wk and arimidex @ 1mg twice a week (but I changed my dosing of Adex to 1mg e3d.......

[zaggahamma]

Im on trt of Cyp @ 200mg/wk and arimidex @ 1mg twice a week (but I changed my dosing of Adex to 1mg e3d.......

[pittbulldad]

gotta love a good necro...

[Billytk03z]

that means instead of 2mg in a 7 day span I am taking 2mg in a 6 day span.... kind of self explanatory.... hence 1mg e3d...

[Vettester]

gotta love a good necro...