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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Erection issues after starting TRT
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<blockquote data-quote="madman" data-source="post: 106778" data-attributes="member: 13851"><p>As far as one first starting trt the most sensible approach would to be using testosterone only for the first 6 weeks and than having lab work done to truly know what effect testosterone (dose) has on ones total t/free and estradiol.</p><p></p><p>Adding in hcg right away is not necessarily a bad choice but seeing as it mimicks lh which stimulates the testes to produce ITT (intra-testiscular testosterone) and that can also increase ones testosterone and estradiol, than by adding hcg when starting trt it will be another contributing factor to ones increase in testosterone and estradiol levels.</p><p></p><p>As far as using aromatase inhibitors when starting trt they should only be added if someone is experiencing negative symptoms due to high e2 along with lab work showing it is too high on the estradiol (sensitive assay) pre-trt labs.</p><p></p><p>Without knowing pre-trt e2 levels than blindly adding in an aromatase inhibitor on the assumption that because you are going to be increasing ones t levels whether through (injection/transdermal) and the increase in testosterone will result in increased e2 than it is foolish and dangerous because in many cases you end up crashing the patients e2.</p><p></p><p>As we know low e2 can be just as bad or worse than high e2.</p><p></p><p>Compounded a.i. with testosterone is absurd as first off many men do not need an a.i right away and some never do and secondly there is a stronger chance of crashing ones e2 let alone making it next to impossible to manipulate the a.i. dose should e2 issues arise.</p><p>.</p></blockquote><p></p>
[QUOTE="madman, post: 106778, member: 13851"] As far as one first starting trt the most sensible approach would to be using testosterone only for the first 6 weeks and than having lab work done to truly know what effect testosterone (dose) has on ones total t/free and estradiol. Adding in hcg right away is not necessarily a bad choice but seeing as it mimicks lh which stimulates the testes to produce ITT (intra-testiscular testosterone) and that can also increase ones testosterone and estradiol, than by adding hcg when starting trt it will be another contributing factor to ones increase in testosterone and estradiol levels. As far as using aromatase inhibitors when starting trt they should only be added if someone is experiencing negative symptoms due to high e2 along with lab work showing it is too high on the estradiol (sensitive assay) pre-trt labs. Without knowing pre-trt e2 levels than blindly adding in an aromatase inhibitor on the assumption that because you are going to be increasing ones t levels whether through (injection/transdermal) and the increase in testosterone will result in increased e2 than it is foolish and dangerous because in many cases you end up crashing the patients e2. As we know low e2 can be just as bad or worse than high e2. Compounded a.i. with testosterone is absurd as first off many men do not need an a.i right away and some never do and secondly there is a stronger chance of crashing ones e2 let alone making it next to impossible to manipulate the a.i. dose should e2 issues arise. . [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Erection issues after starting TRT
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