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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
E2 Mgt
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<blockquote data-quote="CoastWatcher" data-source="post: 57274" data-attributes="member: 2624"><p>Welcome to Excelmale. </p><p></p><p>There's no such thing as a "one size fits all" approach to estradiol management. In the first place, it's a critically important hormone for overall health. Men need it - in fact, there's no misery quite like the misery one can experience if e2 levels are crashed (which happens far too often due to ill-conceived efforts to suppress it in a TRT protocol).</p><p></p><p>One needs to measure estradiol with the proper lab test. It's no problem to find this if you live in the United States; it is impossible - or next to impossible - to obtain it of you live elsewhere. Tell your doctor, or pull it yourself through <a href="http://www.discountedlabs.com" target="_blank">www.discountedlabs.com</a>, that you want the "sensitive test" run (liquid chromatography/dual mass spectrometry, LC, MS/MS). Any other test is going to be unreliable when it comes to e2 levels in men. </p><p></p><p>You and your doctor must then begin the art of mapping your results to your symptoms. The ranges the large commercial labs have established for this test are an excellent guideline, but they are very wide. The notion of "in range" should not be considered "normal." Generally speaking, one does not want to drift much below 20 or exceed the upper limit by very much. But keep in mind that every one of us is different. I feel at my best if my estardiol climbs slightly out of range - stronger libido being what I notice most. It's an art as well as a science. A good doctor realizes this and works with his/her patient as an individual. No chart/cookie cutter approach.</p><p></p><p>Be cautious with anastrozole, the classic AI that lowers e2. It's a good and frequently necessary drug, but a little goes a long way...a very long way. Recall what I wrote above - a man who tanks his estradiol will feel miserable. </p><p></p><p>As as for education, there's excellent material here in the Forum that you should begin working through. Are you on a TRT protocol? If so, you'll generate excellent discussion if you post protocol details along with your complete lab work (make sure to include the ranges for each test, please). </p><p></p><p>We hope you'll join the discussion.</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 57274, member: 2624"] Welcome to Excelmale. There's no such thing as a "one size fits all" approach to estradiol management. In the first place, it's a critically important hormone for overall health. Men need it - in fact, there's no misery quite like the misery one can experience if e2 levels are crashed (which happens far too often due to ill-conceived efforts to suppress it in a TRT protocol). One needs to measure estradiol with the proper lab test. It's no problem to find this if you live in the United States; it is impossible - or next to impossible - to obtain it of you live elsewhere. Tell your doctor, or pull it yourself through [URL="http://www.discountedlabs.com"]www.discountedlabs.com[/URL], that you want the "sensitive test" run (liquid chromatography/dual mass spectrometry, LC, MS/MS). Any other test is going to be unreliable when it comes to e2 levels in men. You and your doctor must then begin the art of mapping your results to your symptoms. The ranges the large commercial labs have established for this test are an excellent guideline, but they are very wide. The notion of "in range" should not be considered "normal." Generally speaking, one does not want to drift much below 20 or exceed the upper limit by very much. But keep in mind that every one of us is different. I feel at my best if my estardiol climbs slightly out of range - stronger libido being what I notice most. It's an art as well as a science. A good doctor realizes this and works with his/her patient as an individual. No chart/cookie cutter approach. Be cautious with anastrozole, the classic AI that lowers e2. It's a good and frequently necessary drug, but a little goes a long way...a very long way. Recall what I wrote above - a man who tanks his estradiol will feel miserable. As as for education, there's excellent material here in the Forum that you should begin working through. Are you on a TRT protocol? If so, you'll generate excellent discussion if you post protocol details along with your complete lab work (make sure to include the ranges for each test, please). We hope you'll join the discussion. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
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E2 Mgt
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