TRT clinics...hard to trust sometimes (my numbers)

sirgawain

Member
I've been on TRT for years, through the same clinic. I hadn't been taking my AI during that time, but the doc really, really felt that my numbers should be lower than 20, so he advised me to give it a try. Just did the blood work and yikes.

T: 950
E: < 5
SHBG: 30

All of my other numbers are in normal range.

I inject 2x a week, sub-q. 6 units total for the week.

Obviously, I am stopping the AI, but wow -- that just *cratered*...are there outside factors other than the AI that could be driving Estradiol down?

I should've ignored that clinic doc....
 
I've been on TRT for years, through the same clinic. I hadn't been taking my AI during that time, but the doc really, really felt that my numbers should be lower than 20, so he advised me to give it a try. Just did the blood work and yikes.

T: 950
E: < 5
SHBG: 30

All of my other numbers are in normal range.

I inject 2x a week, sub-q. 6 units total for the week.

Obviously, I am stopping the AI, but wow -- that just *cratered*...are there outside factors other than the AI that could be driving Estradiol down?

I should've ignored that clinic doc....
Most experts do not believe AI should be routinely used, and if used at all to be done sparingly based on symptoms only and for a short time. E2 should be above 10 at all times to avoid detrimental effects on mood, bone mineral density, and possibly sexual function. In addition, it may be that the ratio of T to E2 should be maintained rather than an absolute level of E2 to shoot for.
 
the doc really, really felt that my numbers should be lower than 20, so he advised me to give it a try. J
Ask you doctor what is his scientific basis for this suggestion and can he provide you with concrete evidence to back up his claims. If he hesitates in his answer, you have enough information to disregard his suggestion.

You should ignore his suggestion anyways because he's confusing the abusing steroids with therapeutic TRT, in otherwards he's clueless.
 
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Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

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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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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