Heat issues

[GeauxBears]

I’ve been on a stable TRT protocol for a few years. Recently, I’m experiencing:

-Red face (doesn’t feel flushed or hot, people just say it’s red)
- Wake up in AM with sweat around my neck but am not hot
- Generally insensitive to heat - lots of sweat and run A/C constantly to my wife’s frustration

Protocol:
T-Cyp - 13mg daily (I’m low SHBG)
Anastrozole - 0.07mg daily
HCG - 500ius BIW

I also take Armour for hypothyroid, 60mg daily.

Any thoughts of where I should look? I’m thinking E2 or thyroid but wanted to get a second opinion before focusing on one or the other.

 

[Westin]

At that dose why are you taking an Ai? What was your last blood work showing? Can you post? I would be surprised if an AI was needed, that possibly could be the issue. The blood should show some insight.

 

[GeauxBears]

Saya and I have been tuning it in. E2 is in low 30s at this dose. That said, it may have gotten out of whack causing these latest issues as I haven’t had bloodwork in a while.

I will find bloods and post.

 

[Vince]

I know a few members, with low shbg. They try to match their shpg with their estradiol levels. I don't believe it's common, put some feel better with closer matching levels. Which would give you a very low estradiol level.

When you say you inject 500 IU of HCG bi-weekly. What exactly do you mean?

 

[GeauxBears]

I know a few members, with low shbg. They try to match their shpg with their estradiol levels. I don't believe it's common, put some feel better with closer matching levels. Which would give you a very low estradiol level.

When you say you inject 500 IU of HCG bi-weekly. What exactly do you mean?

I meant twice a week, sorry! Interesting on the SHBG to E2 match.

 

[Vince]

I meant twice a week, sorry! Interesting on the SHBG to E2 match.

I would lower your dose of HCG, it may be raising your estradiol levels. I would probably do 100 IU twice a week, unless you're trying to remain fertile. If you feel that dose is too low, you could slowly start raising your dose again.

 

[Tommy Wall]

-Red face (doesn’t feel flushed or hot, people just say it’s red)
- Wake up in AM with sweat around my neck but am not hot

Since I started with TRT I also have these sides.

 

[GeauxBears]

I would lower your dose of HCG, it may be raising your estradiol levels. I would probably do 100 IU twice a week, unless you're trying to remain fertile. If you feel that dose is too low, you could slowly start raising your dose again.

I do feel like I’m retaining more water than normal.

 

[Stylo]

Hows Blood pressure? I’d drop AI. Daily? Wow thats a recipe for disaster. Take your T, split your HCG into EOD or daily shots, and lower it a bit. Estradiol is not your enemy.

 

[Westin]

I dropped the HCG, not that Im done forever, but since I stopped the HCG I dropped the AI and all is good after 3 weeks.

The HCG does play games with E2, but shrinkage plays games with the mind. Trade off.

 

[GeauxBears]

I appreciate all the comments here. I‘m not going to make significant dose changes until I connect with Saya as we’ve been working on this a long time, but it’s good to know where to be looking.

As an experiment, I skipped one night’s dose of T, but kept the AI. I try to not read into single day changes, but being on a daily dose there is sometimes enough of a change that gives me a hint.

I seem to have been retaining a ton of water, as the next day the water moved through my system much quicker than normal and I felt less bloated (didn’t realize I WAS bloated to begin with). So add those symptoms to the red face and heat sensitivity - does it seem like I may be carrying a bit too much E2? I know T itself can cause water retention, so I’m trying to read between the lines.

 

[Stylo]

Without bloodwork you wont know. It took me over 3 months to stabilize without an AI. I did notice some bloat on some days. Day to day stuff is not how you should be gauging your TRT.

 

[Westin]

Everytime I change the slightest bit of my protocol its 6 weeks before I see a change. Everything goes south, nothing works. And, everyday after changing Im convinced its not working after 6 long weeks the results start to show. Unfortunately test cyp takes time. Looking for a quick change, forget it.