I could tell you what I do. I follow a healthy low carb diet, with lots good eggs. I do supplement with NAC because of Nelson's recommendation.
N-acetyl cysteineWhat is NAC and how low did your HDL get while on testosterone?
N-acetyl cysteine
Nothing detoxifies the liver better than NAC ! It even helps increase HDL that is lowered by higher doses of testosterone
I use Jarrow brand.
Liver Detox Protocol
It's very odd for HDL to be negatively affected from a TRT dose, much less a very low one. You sure estrogen is actually high as confirmed from a sensitive or ultra sensitive test? That's just crazy at 60mg/wk, and would indicate some other health issue unless you get huge testosterone numbers from that tiny dose.
How long have you been on TRT? Has your HDL continued to decline the whole time?
My HDL went from 77 pre-TRT down to 55 after 3 months on TRT. A year and a half later, it’s still usually between 54-58 every time I get labs, so seems somewhat stable.
My HDL declined on TRT as well. Went from 63 prior to TRT to 55 on last blood test.
And my LDL climbed from around 100 to 138.
Now that I am off TRT and interested in seeing my numbers when I do labs in a few months.
N-acetyl cysteine
Nothing detoxifies the liver better than NAC ! It even helps increase HDL that is lowered by higher doses of testosterone
I use Jarrow brand.
Liver Detox Protocol
How long were you on trt?
N-acetyl cysteine
Nothing detoxifies the liver better than NAC ! It even helps increase HDL that is lowered by higher doses of testosterone
I use Jarrow brand.
Liver Detox Protocol
They take my NAC every morning. I've never cycled it, I've been taking it for at least 2 years now.Do you take it all the time or “cycle” it?
I looked into NAC before but it has been reported to cause kidney stones when taken long term.
Predict estradiol, DHT, and free testosterone levels based on total testosterone
This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.
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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038