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I wanted to add when you take an aromatase inhibitor, you’re also lowering estrogen within the tissue, which is where it’s made and does its amazing things. Measuring the serum levels, the leftovers, the scraps doesn’t tell you how much estrogen is in the tissue, which is where you’re blocking...

Your doctor is brain dead and fails understanding of pharmacokinetics! You shouldn’t inject any less frequently than once weekly. There are a small percentage of men that respond to injections every two weeks. For most this isn’t treatment, this is torture! Run don’t walk away from this...

Update pictures on very first post! My Experience On Jatenzo (Oral TRT) Log

Or they go in search of help on men’s health forums. We get guys like you in here all the time, you’re a dime dozen! What happens a lot of the time is the patients quit these clinics because they don’t feel any better, and search for a more knowledgeable provider. You don’t even know the...

Men aromatize 0.2 0.3% of testosterone to estrogen. The normal ranges for estrogen were derived from men with a total testosterone <500. Your total testosterone is higher therefore your estrogen is going to be higher. This is perfectly normal and to be expected.

There’s only one way to answer that question.

The majority of men do need to be near the top end of the ranges to feel their best. This seems to be consistent from provider to provider. https://www.excelmale.com/threads/at-what-free-t-level-do-you-feel-optimal.26295/

You just need some context, your levels change every day, if you test your hormones every day, you'll get a different result each time. Biology doesn't do linear, peaks here, dips there, your hormones don't follow an flat unchanging rhythm. It akin to measuring the wave height as the sets are...

Too much testosterone can lower libido, men on cycles report diminished libido and even erectile strength. There's two types of causes for low libido, primary and secondary. Primary you can do nothing about, it's your natural baseline level, a genetic lottery, secondary low libido can have...

This is mismanagement at it's finest! Your provider should have decreased the AI to 0.25 or stop it completely as your estrogen was a bit low and kept the 150 mg TRT dosing unchanged. Instead they increased the TRT dosage to treat the low estrogen, instead of decreasing the AI. This provider...

I think adding the AI is killing your libido, even with normal estrogen. The act of inhibiting aromatase hard enough can cause symptoms with normal estrogen. Your testosterone has been at various levels and still having libido issues, that means it has to be estrogen or AI related. It seems...

You may be metabolizing the testosterone more quickly now that your body is acclimated to TRT. I find extremely consistent hormone levels on Jatenzo! No change in hormone levels in two years if I test at 6 hours or midpoint as last test. This leads me to believe that absorption via the small...

2 mg

I agree with you, it doesn’t make sense. That’s your first clue that something else is going on. I think your genetics doesn’t make for a positive TRT experience. Clomid has a similar half-life to testosterone cypionate, at 5-6 days, so around 40 days.

You’re not dealing with high estrogen, you’re using anastrozole as a diuretic to treat fluid retention caused by testosterone action on the kidneys, which tells the kidneys to absorb more sodium and therefore water or fluid retention. The fluid retention can increase blood pressure and even...

All that means is the concentration/strength is higher per dispenser. Mine was 200mg/mL and one click was 50 mg, not really an adequate dose. So by going to a 400 mg/mL dispenser, you can now achieve a higher dose per click rather than requiring two clicks to achieve a 100 mg dose. 200 mg/mL...

If the cream doesn't work, your only option is the newer oral testosterone undecanoate, Jatenzo, Kyzatrex and Orlando. There's not much you can do about the single digit SHBG, you play with the cards you were delt. You need to go through the process to figure out what works for you.

I would wait 6-8 weeks. If you need to see labs to know how you're responding, then you must not feel any different. I would have felt something on the second dosage whether on a daily or every other day protocol.

While on injectable testosterone, there is no replacement for hCG treating testicular atrophy. HCG at 250 IU per week is laughable and this makes your doctor look like an amateur! HCG has a half-life of 2 days, and this is why it doesn’t make sense for a weekly dose!

I never had this mindset when starting TRT, I selected a dosage and waited for improvement, if there was none, I made a change. I didn't plan out everything so meticulously. If you go through the Canadian healthcare system, you can forget about hCG together with TRT, not going to happen...

Your Free T is slightly over the range, men convert 0.2-0.3% of their testosterone to estrogen, so it's normal to have estrogen over the limit when testosterone is high. The normal ranges for estrogen were derived from men with Total T <500, not men with high testosterone. HCG is known to...

I wouldn't bother to torturing yourself, you're in for a real bad time! Constantly changing things is going to force your body to adapt to these changes and too many changes is going to lead to instability. Overthinking this is going to lead to misery!

The only way you’re ever going know is to get your feet wet!

TRT isn’t a set and forget therapy, your hormone levels will still fluctuate even though your dosage hasn’t changed. Changing brands of testosterone can be the reason. https://www.excelmale.com/threads/different-brands-of-t-cyp-give-me-varying-results.19909/#post-278908

Low B12 can contribute to iron deficiency.

My thoughts exactly! All one needs to do is look at Hong Kong as an example. The highest red meat consumption in the world per capita, 20 ounces per person, per day and ranks #1 for longevity!

There was a study from Harvard that showed three groups of men on TRT, those with testosterone levels on the lower end, testosterone levels midrange and levels above the normal ranges, supraphysiological, and the men with the highest testosterone lost the most fat! Then all groups were given an...

Low iron will actually make TRT much less effective because low iron causes all sorts of metabolic abnormalities preventing TRT for working. If your body doesn't have enough oxygen, it can't function normally and metabolic processes slow to a claw. Too much iron can do the same thing and I...

I continue to make significant improvements in how I feel every single morning since stopping the iron supplements. I have more energy, more erections, and a higher mental clarity! At the rate things are improving, in a couple of weeks I'll be in new territory as far as how I feel. The entire...

The newer oral testosterone undecanoate, Jatenzo, Orlando and Kyzatrex did not cause secondary erithrositosis in the clinical trials, due to the very short half-life and PK profiles. This may be the solution to your problems. Your problems may also be that you are overdosed, but since you...

I‘m confused as to why you would rather take a drug, a toxin instead of a bio-identical hormone. Why is TRT off the table?