Help with TRT - 5 years no better symptoms

[pkp382]

I do drink, and frankly, it can be a bit much. Years ago, it was far more common, nowadays, objectively, twice a week with once being in excess. Periodically also, I have to take painkillers for a recurring back issue. It's very moderate, maybe 8-10 per month. I know that affects the liver also (and I don't mix the two), but my liver tests were always fine, so I wasn't concerned. I also did street chemicals fairly regularly in my 20s, tho nowhere near the point of addiction. Any effects from that should have normalized by now.

What you say about prioritization makes sense regarding the liver though. To assist with the e2 metabolism I take d glucarate and dim with every meal to help facilitate.

As for bf% I don't know offhand. Before all this occurred, from say 2002-2009 I could add 20 lbs in 6 months (bad weight) and take it off after a few months of hardcore diet and exercise. Now, 13 months later, not so much. I realize metabolism isn't what it was a decade ago but still expected better results. I'm considered obese on a bmi but I always thought those were a tad extreme in the ratios.

Objectively, I'd say I'm 30 lbs from "perfect" and 20 from my "normal". I know the cycle too - more belly fat = high estrogen and when you can't break that ratio a vicious cycle ensues. Hence the frustration - put in the work with no result. I've got a 36' waist, which oddly enough I had years ago while "overweight" at the time weighing about 190 which id kill for now lol.

I guess at the end of the day I just can't figure out why a 500 test avg with a 25-27 e2 avg just isn't yielding any results. I mean I am literally dripping with sweat after a workout. Like I mentioned before, because of the gyno from 3 months of 7-900 total, I'ts obvious (to me anyway, feel free to correct) that my best bet is to stay under 550 or so.

Thanks for easing my concerns on total estrogen and by the sounds of it the other values are not an impediment. Maybe I just need more healing time for the intestines from the celiac abuse to heal to help absorb my multivitamins, etc. the daily 2.5 mg helper assists with function too for intimacy- just wish I could solve the desire part as easily.

Again, many thanks and keep the tips coming if you have them. I'll look into that dht test also.

[OingoBoingo]

I do drink, and frankly, it can be a bit much. Years ago, it was far more common, nowadays, objectively, twice a week with once being in excess. Periodically also, I have to take painkillers for a recurring back issue. It's very moderate, maybe 8-10 per month. I know that affects the liver also (and I don't mix the two), but my liver tests were always fine, so I wasn't concerned. I also did street chemicals fairly regularly in my 20s, tho nowhere near the point of addiction. Any effects from that should have normalized by now.

What you say about prioritization makes sense regarding the liver though. To assist with the e2 metabolism I take d glucarate and dim with every meal to help facilitate.

I live in Bangkok, and spend a lot of time in bars. Although the temptation to drink from girls half my age and guys just here to party can be overwhelming, I try to remember what even a little booze is going to do to my E2. I haven't stopped completely, but have cut down quite a bit. Baby steps...

If taking D-glucarate and DIM makes you feel good, keep at it. But be sure to supplement with Zinc. I take 75mg spread throughout the day.

And find a doctor who will prescribe Anastrozole if you need it. As good as Zinc is, it can't compare to Anastrozole for controlling E2. .

As for bf% I don't know offhand. Before all this occurred, from say 2002-2009 I could add 20 lbs in 6 months (bad weight) and take it off after a few months of hardcore diet and exercise. Now, 13 months later, not so much. I realize metabolism isn't what it was a decade ago but still expected better results. I'm considered obese on a bmi but I always thought those were a tad extreme in the ratios.

Objectively, I'd say I'm 30 lbs from "perfect" and 20 from my "normal". I know the cycle too - more belly fat = high estrogen and when you can't break that ratio a vicious cycle ensues. Hence the frustration - put in the work with no result. I've got a 36' waist, which oddly enough I had years ago while "overweight" at the time weighing about 190 which id kill for now lol.

As mentioned above, more body fat will convert more Testosterone to E2. The good news is that your metabolism should improve on TRT, and with a little effort the fat should melt away.

I guess at the end of the day I just can't figure out why a 500 test avg with a 25-27 e2 avg just isn't yielding any results. I mean I am literally dripping with sweat after a workout. Like I mentioned before, because of the gyno from 3 months of 7-900 total, I'ts obvious (to me anyway, feel free to correct) that my best bet is to stay under 550 or so.

It could be that TT 500 is too low for you. In my case, there's a world of difference between 750 and 850: life at 850 is good, but 750 not so much. Dr. Crisler, Dr. Gordon, and the Life Extension Foundation say the upper quartile is the place to be, and that is my experience as well.

Also, it's not Total Testosterone that matters, but rather Free Testosterone. You can have all the Testosterone in the world, but if it's bound, it is not doing you any good.

Testosterone did not give you gynecomastia; it's a good bet that failure to successfully manage E2 did.