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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Body Acne -- Caused by DHT or E2?
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<blockquote data-quote="captain_j" data-source="post: 181662" data-attributes="member: 40998"><p>I've been dealing with horrible acne all over my chest, shoulders, and back for about 4 months now. I started TRT back in October of last year (2019), but it took a while for the acne to develop.</p><p></p><p>Everywhere I look, I get conflicting reports on what causes body acne in men on TRT. Half the time I hear that it's DHT, and the other half of the time, I hear that it's caused by high estrogen.</p><p></p><p>Some methods I have tried to crush the acne have been a 30 day run of doxycycline, daily use of Fabior foaming retinol cream, showering twice a day, introducing an AI to lower my estrogen since my physician believes that my E2 level of 55 was the cause of acne, etc. My physician is also hesitant to introduce finasteride to lower DHT at the moment, since it would further complicate the protocol. But I am getting to a point where I am desperate to find relief. I have a trip to the beach at the beginning of August, and I already know there's no way it'll be cleared up by then.</p><p></p><p>The physician also mentioned that while we didn't test for SHBG, he noticed my ratio of free testosterone to total testosterone is pretty high, which is a sign of low SHBG. He said that in guys with low SHBG, they'll notice a similar ratio with their E2, meaning that my total E2 was tested at 55, but my free E2 would also be proportionally above range just like the free test.</p><p></p><p>Does anyone know the real truth as to what causes body acne? Could it really be that it's E2 in some guys, and DHT in others? Or are half of the people wrong when they say it's one of those over the other? I will say that lowering my E2 so far has not seemed to provide much improvement in the acne, so I'm about ready to go against my physician and start running finasteride (I have some left over from an old script).</p><p></p><p>My protocol:</p><p>20 mg test cyp daily</p><p>2 mg exemestane daily (vodka solution microdose)</p><p>140 IU HCG EOD</p><p></p><p>Latest Labs 2020-6-5 (taken before I went back on an AI):</p><p>Estradiol Ultrasensitive -- 55 pg/mL (<29)</p><p>Testosterone, Total, MS -- 1140 ng/dL (250-1100)</p><p>Testosterone, Free -- 275.9 pg/mL (35-155)</p><p>DHT, LC/MS/MS -- 47 ng/dL. (12-65)</p></blockquote><p></p>
[QUOTE="captain_j, post: 181662, member: 40998"] I've been dealing with horrible acne all over my chest, shoulders, and back for about 4 months now. I started TRT back in October of last year (2019), but it took a while for the acne to develop. Everywhere I look, I get conflicting reports on what causes body acne in men on TRT. Half the time I hear that it's DHT, and the other half of the time, I hear that it's caused by high estrogen. Some methods I have tried to crush the acne have been a 30 day run of doxycycline, daily use of Fabior foaming retinol cream, showering twice a day, introducing an AI to lower my estrogen since my physician believes that my E2 level of 55 was the cause of acne, etc. My physician is also hesitant to introduce finasteride to lower DHT at the moment, since it would further complicate the protocol. But I am getting to a point where I am desperate to find relief. I have a trip to the beach at the beginning of August, and I already know there's no way it'll be cleared up by then. The physician also mentioned that while we didn't test for SHBG, he noticed my ratio of free testosterone to total testosterone is pretty high, which is a sign of low SHBG. He said that in guys with low SHBG, they'll notice a similar ratio with their E2, meaning that my total E2 was tested at 55, but my free E2 would also be proportionally above range just like the free test. Does anyone know the real truth as to what causes body acne? Could it really be that it's E2 in some guys, and DHT in others? Or are half of the people wrong when they say it's one of those over the other? I will say that lowering my E2 so far has not seemed to provide much improvement in the acne, so I'm about ready to go against my physician and start running finasteride (I have some left over from an old script). My protocol: 20 mg test cyp daily 2 mg exemestane daily (vodka solution microdose) 140 IU HCG EOD Latest Labs 2020-6-5 (taken before I went back on an AI): Estradiol Ultrasensitive -- 55 pg/mL (<29) Testosterone, Total, MS -- 1140 ng/dL (250-1100) Testosterone, Free -- 275.9 pg/mL (35-155) DHT, LC/MS/MS -- 47 ng/dL. (12-65) [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Body Acne -- Caused by DHT or E2?
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