Balance Acne TRT Side Effects and Symptom Relief

No blood work prior to the AI, this has all been experimentation by myself. In the past however, when I have suspected high estrogen, I have come back with pretty normal blood work for E2. Usually, it is around 20 pg/ml, which is right where you want it to be. However, I am measuring estrogen in the trough and my theory is that it is elevated during other times of the week.

I have tried literally everything else apart from using an AI because I am generally against the idea. It is without a doubt the fix in my case and I am grateful. I just hope there isn't any long-term effects from taking it because it works so well for me.

Nothing in terms of mental effects, I have no depression nor anxiety that I can note, in fact I feel pretty damn good right now. I'd say I had depression and anxiety from the fact that I couldn't get dialed in. We will see if the last issue, that is my skin side effects, resolve from this added AI. I am also on an incredibly low dosage. I had acne on dosages as low as 60mg test cyp per week, so I just think my body handles estrogen really poorly. This is 100% the best I have ever felt on TRT and I am looking to hear others input about the long-term safety on an AI at this dsoage.

I think with acne and cherry angiomas, both symptoms of elevated estrogen, I have found my fix. I will see if these skin symptoms go away. I will say I had neither of these skin side effects when my TRT clinic was adding AI to my TRT cyp without me realizing. So I do think I finally found my fix :)

Now if others can just chime in about the long-term safety of an AI.
What is AI? I see I'm joining the party years later. Did your acne issues get resolved?
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

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.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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