Help: T and E too high, I'm red etc.

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goldmember33157

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Beyond Testosterone Book by Nelson Vergel
Hi all,

I've been on TRT a little over a year. Started at 100mg a week; was tested a month in and numbers were still low so i was bumped to 150mg a week. I was tested about 6 weeks after the increase and my total t and free t were considered "optimal" - I believe total was right around 1000 and free was at 170 on my doctors scale, which is exactly where they wanted me; E2 was around 40. Seemed to be going well for a while but about four months after the dose increase I turned red - flushed cheeks and red chest and generally mottled looking skin. My hematocrit/rbc has remained in reference range this whole time. Body acne also got terrible and I seem to be having a lot of trouble losing fat (even on a deficit), especially around the mid section (I've lost about 20 pounds and still have a disproportionate amount of fat around this area, and generally look and feel "soft." More recently I have also been feeling more emotional, anxious, OCD type thoughts with a short temper and maybe some water retention.

I had my one year follow up labs and my Total T was 1268, Free was 300 and something, and E2 was 62. I have since lowered/changed my dose to 125 a week, split between two doses, as of two weeks ago. My question is: are these all hallmark symptoms of everything being too high and needing a dose adjustment? Should the changes I made, with my doctors advice, help resolve these over time as the T and E2 hopefully comes down? Since my E2 was a bit high even prior to trt (hot flashes was one of the symptoms that led me to seek out trt), should I be considering a blocker?

Appreciate any help. I am being retested at the end of the month and if my levels are still high we are reducing the dose to 100mg a week.
 
Defy Medical TRT clinic doctor
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