Judge my blood work. Do I need an AI?

Just got these labs done.
3 months trt.
28yr old male
Started because of low T 150-200.
100mg test cyp mon and thurs
250iu HCG tues and fri
NO AI


Was tested for pituitary tumor and testicalular before TRT started because of my naturally high IGF-1 just to be safe.

I’m a small dude, zero fat, zero mood swings, sex Drive is awesome and I feel great I repeat zero issues. I lift 3x a week
.


BUT I’m I told I need an AI by the trt clinic…
After reading stuff on here I’m against it but you guys tell me.
 

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I would say no, but your low SHBG might mean you can’t handle higher e2 levels. It’ll depend on how you feel or physical side effects.
 
I’m gonna try and do 100iu HCG everyday that I don’t do the test shot and do bloods after a month and see if that lowers it.

I have noticed if I take 500iu 2x HCG I feel like crap so I brought it down 250iu 2x and I’ve been great, thinking I can go lower and spread it out.
 
I’m gonna try and do 100iu HCG everyday that I don’t do the test shot and do bloods after a month and see if that lowers it.

I have noticed if I take 500iu 2x HCG I feel like crap so I brought it down 250iu 2x and I’ve been great, thinking I can go lower and spread it out.

So which is it here? You say one thing and then a new post about you feel like crap:

I’m a small dude, zero fat, zero mood swings, sex Drive is awesome and I feel great I repeat zero issues. I lift 3x a week
 
Re-read what I wrote.

The 1st two weeks of trt, everytime i shot up 500iu HCG that entire day I felt like crap (moody) and I got acne about 5 hours later.

Dropped it down to 250 and zero issues.
But I’m thinking I might be an HCG high responder and lower it to 100iu everyday (except on test shot days)

I’m not sure if that will effect the E2 or not it’s just an idea.

Other than that Zero issues.
 
A low SHBG guy (<15) and twice weekly dosing and let alone being on HCG and doing well, definitely not the norm.

Adding the AI could only make things worse.
 
Whatever you do, DONT add an ai!!! How you feel is all that matters. DO NOT take an ai. Hopefully that answers your question lol. 10/10 guys on this forum will tell you not to use an ai on your current protocol and with your numbers. Your E2 is literally perfect for overall health. It’s not high by any means. Your free E2 is probably pretty high, but you’re perfectly fine.

With your SHBG being so low, the only thing I would change is do EOD injections of both test and HCG. Keep all doses the same. No need to mess around with everyday injections of either compound if you’re already feeling great.
 
What brand of HCG are you using? Just curious. It’s interesting to see that you feel so good with an elevated prolactin. But it doesn’t matter. It’s only slightly above the range, and again, how you feel is really all that matters as long as all your labs are not crazy out of range. I would just switch to EOD injections and focus on enjoying life.
 
Whatever you do, DONT add an ai!!! How you feel is all that matters. DO NOT take an ai. Hopefully that answers your question lol. 10/10 guys on this forum will tell you not to use an ai on your current protocol and with your numbers. Your E2 is literally perfect for overall health. It’s not high by any means. Your free E2 is probably pretty high, but you’re perfectly fine.

With your SHBG being so low, the only thing I would change is do EOD injections of both test and HCG. Keep all doses the same. No need to mess around with everyday injections of either compound if you’re already feeling great.

Great thx sir!
 
What brand of HCG are you using? Just curious. It’s interesting to see that you feel so good with an elevated prolactin. But it doesn’t matter. It’s only slightly above the range, and again, how you feel is really all that matters as long as all your labs are not crazy out of range. I would just switch to EOD injections and focus on enjoying life.

Wells pharmacy
 
Just got these labs done.
3 months trt.
28yr old male
Started because of low T 150-200.
100mg test cyp mon and thurs
250iu HCG tues and fri
NO AI


Was tested for pituitary tumor and testicalular before TRT started because of my naturally high IGF-1 just to be safe.

I’m a small dude, zero fat, zero mood swings, sex Drive is awesome and I feel great I repeat zero issues. I lift 3x a week
.


BUT I’m I told I need an AI by the trt clinic…
After reading stuff on here I’m against it but you guys tell me.
When you say you inject 100 mg of testosterone Monday and Thursday. Is that a total of 100 mg, 50 on Monday and 50 on Thursday or is it 100 a Monday and a hundred on Thursday?
 
A low SHBG guy (<15) and twice weekly dosing and let alone being on HCG and doing well, definitely not the norm.

Adding the AI could only make things worse.
he is new to trt. you can pretty much do anything at that point and feel good. the true test is when you get a couple years in.
 
@Vince @sh1973 Just curious, why would you guys advise him to lower his dose when he feels great? Not only does he feel great, but other than a slightly elevated prolactin, his numbers look perfect, including his E2.
 

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Understanding Your Hormones

Estradiol (E2)

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.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

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

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