I am a MedOnc specializing in prostate cancer x 35 years and also am very comfortable in discussing (acetyl L-carnitine (ALC) having been the principal investigator for ALC as far back as 1984. I know of no correlation between ALC and PSA, be it rise or drop.
In a patient with gynecomastia I would first check baseline serum prolactin and estradiol (E2), and then consider the use of prescription tamoxifen at 50 mg/d, and/or additional use of a prolactin inhibitor like cabergoline in an attenuated dose like 0.25 mg two to three times a week. This...
Anastrozole DOES lower estradiol (E2)
Arimidex (anastrozole) and exemestane (Aromasin®) are aromatase inhibitors and prevent the metabolism of T → E2. If you have baseline levels of E2 (serum levels easily available via all major labs) that are elevated then you can try either of the two...
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.
ℹ️ Input Parameters
Normal range: 300-1000 ng/dL
Predicted Hormone Levels
Enter your total testosterone value to see predictions
Results will appear here after calculation
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.
