Blood test results back, looking for advice from the experts here. Please?

[Lifted1]

did some digging and found this dose reccomendation from Dr Walker:

Sermorelin Dosage Recommendations
• 3 mg MDV: 200 ug/day for men with BMI
from 18.5 – 24.9
• 4.5 mg MDV: 300 ug/day for men with BMI
between 25 and 29.9
• 6 mg MDV: 400 ug/day for women or for
men with BMI between 25 and 29.9
• 7.5 mg MDV: 500ug/day for women or for
men with BMI between 25 and 29.9

100ug =.1ml

[MBOS]

Just finished reading the AI link Kelkel, interesting. I'm no genius but appears as though low dose Anastrazole doesn't come with any dangers. By low dose, if women are taking 1mg a day and, from what I believe I've been reading, fellas here are taking about .25 twice weekly there shouldn't be much risk? Obviously I understand that men do not want E too low either but math in my head tells me that 1/2 to 1mg a week wouldn't take you far. I know I need that sensitive assay but with the results I posted im seriously considering starting low beforehand?? Thoughts guys? Also gonna give 2Sox Aromasin suggestion a read.
Started my week today with 25mg injection of Cyp and will take 2nd on Wednesdays. Injected my HCG with it for 1st time, IM. At the direction of Dr using 125iu of HCG daily and after only 4 injections the fellas are reaching for the floor again, like an old mans kahunas are supposed to, HALLALEULAH! Like to again know thoughts on going ahead with low dose AI as I don't feel like I've been told just a flat "No" yet.

Regards,

[MBOS]

Thank you for the work Lifted1. Just getting into those articles myself. Great learning from/with you guys. Excitedly getting close to my 50th post so I can PM?

[Lifted1]

no problem M. Its helpful information to anyone who is interested in this ghrh peptide.

[2Sox]

fellas here are taking about .25 twice weekly there shouldn't be much risk? Obviously I understand that men do not want E too low either but math in my head tells me that 1/2 to 1mg a week wouldn't take you far. I know I need that sensitive assay but with the results I posted im seriously considering starting low beforehand?? Thoughts guys? Also gonna give 2Sox Aromasin suggestion a read.
Started my week today with 25mg injection of Cyp and will take 2nd on Wednesdays. Injected my HCG with it for 1st time, IM. At the direction of Dr using 125iu of HCG daily and after only 4 injections the fellas are reaching for the floor again, like an old mans kahunas are supposed to, HALLALEULAH! Like to again know thoughts on going ahead with low dose AI as I don't feel like I've been told just a flat "No" yet.

Regards,

The term "risk" may be a good one to use. You risk killing your E2 or under dosing and not taking care of what you should. And in many instances, 1/2 to 1mg/week of Adex takes a person on TRT MUCH too far. Of course, it's all based upon the individual but you have to be careful. I'd advise you develop a healthy respect for Adex. It's a very strong and effective drug. Too effective, in my opinion. And I've explained why previously.

[MBOS]

Copy that 2Sox. Back to proceeding cautiously. ?

[MBOS]

Very interesting reads on Dr. Walker and from Dat courtesy of Kelkel and 2Sox. I am going to continue researching this option and at first glance, Im in. Will have to find a more knowledgeable source to prescribe but am on the hunt. I know you plan to use Ipa Mr. Sox, guessing I'll go with the apparent more affordable option of combining with GHRP2.
Kelkel, have you had an opportunity to use Sermorelin? If so, happy with results?
Lifted1, do you plan to try it? Adding GHRP 2, 6 or Ipamorelin with?
I love the possibilities of getting all this straight, gives me a mountain to climb. I do realize this mountain has very dangerous cliffs so I will continue to ease my way along. Would love to find just ONE healthcare pro to deal with the range of issues, at an affordable price??

[Lifted1]

I'm going to get igf-1 added to my next blood work to see where I'm sitting currently and make a decision from there. The last time it was tested I was 50 points above the high range and I don't know if the Sermorelin is beneficial if your levels are already high. If I go forward with it I will use Sermorelin on its own. You would be better off (cheaper) sourcing the peptides from ar-r or similar company rather than paying a premium through an anti-aging clinic.

[OingoBoingo]

What do you mean by a rebound effect and how would you stop it? Thanks

There's no need for the vast majority of those on TRT doses to worry about rebound. If it were a problem, the TRT forum would be peppered with threads about it. But I've gone back and read every post on 48 pages of threads, and this just isn't the case.

And while it is true that a small number of people won't respond to Anastrozole (Arimidex, Liquidex, Dex), I suspect it's equally true that some people won't respond to Exemestane (Aromasin), which is hardly a reason to try Exemestane before Anastrozole.

What is also true, and also a very good reason to not initiate treatment with Exemestane before attempting Anastrozole, is that a study with 7,576 participants comparing the two aromatase inhibitors head-to-head found that Exemestane was associated with more cases of acne than with Anastrozole, and with more cases of elevated levels of liver enzymes and bilirubin. And that was with an Anastrozole dose four times higher that what is commonly seen on the forum.

No one should be saying that high E2 is good, but I think most of us are too quick to try getting on an AI schedule. I know that was true in my case.

I read that a lot of guys here take 0.25mg of Anastrozole every four days so I tried the same routine, which turned out to be very effective in driving my E2 too low.

After that, I went back to taking Anastrozole on an "as needed" basis, and kept track of the dates and amount taken. So far it seems to be working out at 0.25mg every six days; sometimes five, and sometimes 7. And of course, in my case, a few drinks will cause E2 to rise.

[kelkel]

Well said OB! Did you happen to read the study I posted on the first page re AI's? Interesting stuff.

[OingoBoingo]

Thanks, kelkel.

Haven't read your links yet, but will do so ASAP.

[MBOS]

I've read every link posted by you guys, most twice. Very interesting and informative, looking forward to finding the right balance. Kelkel, I read an old thread and am exploring the lowtestosterone.com route. I hate to do it because insurance pays for my bloodwork and T, just not my HCG. Add to that the fact that I am SURE my E is outta whack and cant get AI prescribed Closing in on enough posts to PM and am interested in Liquidex right away.

Here's the why; dropped my T dosage to 20mg twice weekly, pinned Sunday morning. Breast fat is getting worse no matter how hard I work my chest, nipples still big and milky looking. Still dosing125iu HCG daily, started 1 week ago. Will probably back that down to Kel's recommendation of 250iu twice weekly with T injections So, dropping my Docs script of 50mg a week to 40mg.

Was cutting grass today and had a heat wave roll up from my shoulders to tip of my head, flush as hell. Same feeling now, 5 hours later. Wife asked if I was in menopause????? Maybe! short tempered which is very unusual and as made obvious by this thread, unable to make a decision, just like my wife. You know, the important things like where to eat, etc... Sore, achy all over, mostly back, neck and shoulders. Trying not to confuse this with age, workouts and rthritis but this feeling is different.

I know I need the Sensitive assay and am working on that but for the time being, what I have is what I have. Gonna repost numbers here with FT4 added as I received that result today. Still waiting on FT3 and RT3 results and will post them when available. Re posting all numbers for simplicity sake instead of having to jump pages: Will re post when i figure out how to

Thank you again guys.



]

[MBOS]

Guess I did it, very proud of myself but can't stop......weeping

[lovbyts]

Here are the links to your AI. Now you get to choose between the two. Some people prefer one over the other but it's about 50/50
LiquiDex 30mL 1mg/mL
Exemestane 30mL 25mg/mL

[MBOS]

Thank you much LB. Just realized I can PM now. Ok to shoot you one if I can figure out how on this IPad?

[MBOS]

Would this be the Quest labs version of "Sensitive Assay"

[OingoBoingo]

Here's the why; dropped my T dosage to 20mg twice weekly, pinned Sunday morning. Breast fat is getting worse no matter how hard I work my chest, nipples still big and milky looking. Still dosing125iu HCG daily, started 1 week ago. Will probably back that down to Kel's recommendation of 250iu twice weekly with T injections So, dropping my Docs script of 50mg a week to 40mg.

Was cutting grass today and had a heat wave roll up from my shoulders to tip of my head, flush as hell. Same feeling now, 5 hours later. Wife asked if I was in menopause????? Maybe! short tempered which is very unusual and as made obvious by this thread, unable to make a decision, just like my wife. You know, the important things like where to eat, etc... Sore, achy all over, mostly back, neck and shoulders. Trying not to confuse this with age, workouts and rthritis but this feeling is different.

It sounds like you're freaking yourself out.

Have you considered you might actually be losing fat, which would progress from the outside of the pec, and the stubborn fat around the nipple might be the last to go?

Since starting TRT, I think I've lost a lot of fat. But if I flex my chest, it looks like I have bitch tits. I don't think I have gyno, I just think the nipple fat is the last to go.

[MBOS]

Def losing fat OB but fat is not just around nipples. Lats have become flabbier the harder I work. My intensity is great, when not feeling like this and I work one body part a day as I have for 20 years. Just seems I'm going backwards right now. Not trying to overthink this, again, I know my E levels above are not the recommended test but they obviously tell some story? That along with the physical issues I'm dealing with, I've read enough from you guys whom I consider experts to be able to conclude that E is a problem.
I almost feel guilty to keep this thread going but hopefully someone else reading it is benefitting too. When I get to the point of balance, maybe I can be next man up and help another because of my experience. Thank you OB for your continuing advice.

Regards,

[OingoBoingo]

I know my E levels above are not the recommended test but they obviously tell some story?

I'm not familiar with the range your lab used, so it's hard to say. 64 *sounds* like a jolly big number. But when compared to the range, is it really all that bad?

LEF says optimum E2 is middle of the range. The mid-quintile for your range is roughly 42 to 53. With that in mind, is it likely one would sprout jutters at 64? Not likely IMO, but as I said, I'm not familiar with your range.

That along with the physical issues I'm dealing with, I've read enough from you guys whom I consider experts to be able to conclude that E is a problem.

Sides are sides. And if you've got them, you've got them.

But beware. The mind is very powerful, and can be used to really screw ourselves up.

Instead of messing with your dose, go see a doctor and ask for confirmation of your gyno diagnosis. You'll probably sleep better.

[MBOS]

Thanks OB,
64 with range being 20-75 puts me damn near topped out in Estradiol range?
Then, total estrogen of 210.7 with range of 40-115??? Wow, I may sprout mutters after all
Do need to find 1 Doc to treat all for sure. These issues are definitely not in my head but I get where you're coming from. If it were just one thing I'd be inclined to consider that possibility but at 54 and knowing my body, I know something's up.

Work with a younger fella who is a bodybuilder. Ironically, last night at work I was spouting my symptoms off to him and he was finishing my sentences for me, feeling like someone had used a ball Bat on his back, etc.... All the same symptoms. He told me he has been through this before as he cycles TOO regularly. Trying to get him on this site as he has only followed PCT protocol once (44 years old) even though he cycles on a regular basis. SUICIDE.

[OingoBoingo]

64 with range being 20-75 puts me damn near topped out in Estradiol range?

Off the top of my head, 64 is top of the fourth quintile, or roughly 20% below top of your range.

[OingoBoingo]

Really, if you think you have gyno, be the first one through the doctor's door when the office opens, and don't leave until the doctor has a look at your fun bags.

Either way, it's better than spinning your wheels.

[MBOS]

?. Sitting here smiling all by myself before heading to bed. "Fun bags", "sprouting jutters". Gonna go out on a limb and guess you're not from Alabama huh OB? I know you're correct. Gonna have to force a hand. Much appreciated.

[MBOS]

Research on Sermorelin and GHRP, very interesting videos.
Kelkel, after reading Dr. Walkers links that you sent I found these videos on YouTube. Great stuff.
http://youtu.be/S5OlEhbM7lQ
http://youtu.be/fpAKldjc494

[MBOS]

Lifted1, I'm reading that the GHRH analogue (Sermorelin) by itself "may not cause any GH to be released". "If paired with GHRP it WILL cause a pulse of GH to be released". Quoting DatBtrue. "Without GHRP you may get nothing". FYI.

[MBOS]

Just received my additional lab work back, FT3,4 and RT3. For simplicity sake I will post my spread sheet again. Any additional insight from you guys would be appreciated. Additionally, went to the urologist yesterday and have a stone that will have to be blasted on Monday, under anesthesia. Had to have a Lipotripsy just this past May so 2nd time this year.
Point being, this is part of the reason my back has been bothering me but not total reason, doc was sure I'm probably partially correct about estrogen effects. Will be going to an Endo he is referring me to, winked and said he would go to her if he had to choose one. Feels sure she will be my one stop TRT Doc.

Regards,

[MBOS]

Liquidex arrived today. Lab rats are nervous.

[lovbyts]

Nothing to be nervous about. Give them a piece of cheese with it.

[MBOS]

Will use that protocol LB.?. Love the wit.