High LH, low thyroid, No Estradiol & Natty.

[watson350]

I am seeing my endocrinologist tomorrow, curious for initial recommendations as to correct course of action to feel better, low estradiol symptoms.... I had thought of asking about HCG, or estradiol supplementation. Thank you for the help.

 

[Systemlord]

I am seeing my endocrinologist tomorrow, curious for initial recommendations as to correct course of action to feel better, low estradiol symptoms.... I had thought of asking about HCG, or estradiol supplementation. Thank you for the help.

I wouldn’t expect much from your endocrinologist, which more often than not seem out to lunch with regards to sex hormones. Your Total T and Free T are normal, not optimal. The low estrogen is alarming.

I wonder could you be taking any supplements that act as natural aromatase inhibitor that could explain your low estrogen?

High LH values usually indicate testicular failure.

I’m not seeing low thyroid values. The majority of people with thyroid problems have a high TSH, yours is low. The majority of people with testicular failure have a high LH value.

 

[watson350]

I wouldn’t expect much from your endocrinologist, which more often than not seem out to lunch with regards to sex hormones. Your Total T and Free T are normal, not optimal. The low estrogen is alarming.

I wonder could you be taking any supplements that act as natural aromatase inhibitor that could explain your low estrogen?

No, my primary asked me that, I had Serotonin Syndrome in December 2021, I thought I was back to my normal self in March of 22 only to have symptoms come back in August for no reason, very similar to low estradiol symptoms. So, my theory is I damaged my HPA axis and the luteinizing hormone is demanding more estradiol but aromatase is not happening. Everything estrogenic I take makes me feel better, anything that has mild AI can cause me to have a panic attack, Its specifically the low estradiol, the estrogen is low normal, I need to get it up.

 

[Systemlord]

the estrogen is low normal

Maybe for a child before puberty, but NOT and adult male. Most healthy adult males are between 20-35 pg/mL (excluding outliers), obese men can see estrogen levels quite a bit higher. I can recall quite a few members with estrogen in the mid-teens and an osteoporosis diagnosis to go along with it!

 

[watson350]

Maybe for a child before puberty, but NOT and adult male.

An interesting trial would be, if I took testosterone and my estradiol was still low

 

[Systemlord]

An interesting trial would be, if I took testosterone and my estradiol was still low

Yes, most likely. The protocol of choice for a male with a low testosterone diagnosis and very low estrogen after starting TRT, is TRT alongside hCG.

A lot of endocrinologist are not going to see a problem with estrogen in the bottom of the range, not understanding that this is not okay for an adult male!

 

[watson350]

Yes, most likely. The protocol of choice for a male with a low testosterone diagnosis and very low estrogen after starting TRT, is TRT alongside hCG.

Should I start both at the same time, or hop on TRT then add hCG after a period of time?

 

[Systemlord]

Should I start both at the same time, or hop on TRT then add hCG after a period of time?

If your endocrinologist offered you TRT, I would start hCG at the same time, otherwise you risk setting yourself up for treatment failure.

 

[watson350]

An interesting trial would be, if I took testosterone and my estradiol was still low

If your endocrinologist offered you TRT, I would start hCG at the same time, otherwise you risk getting yourself up for treatment failure.

Any recommendation on dosing?

 

[Systemlord]

Any recommendation on dosing?

Well, the hCG would add some intra-testicular, testosterone, and estrogen on top of the exogenous testosterone, so 80mg cypionate and 350-500 IU hCG twice weekly is a reasonable starting point.

 

[watson350]

Well, the hCG would add some intra-testicular, testosterone, and estrogen on top of the exogenous testosterone, so 80mg cypionate and 350-500 IU hCG twice weekly is a reasonable starting point.

thank you

 

[watson350]

Well, the hCG would add some intra-testicular, testosterone, and estrogen on top of the exogenous testosterone, so 80mg cypionate and 350-500 IU hCG twice weekly is a reasonable starting point.

Is the 80 mg cypionate twice weekly as well? sorry for the questions, appreciate the help.

 

[Systemlord]

Is the 80 mg cypionate twice weekly as well? sorry for the questions, appreciate the help.

80 my total weekly dosage.

 

[watson350]

80 my total weekly dosage.

thank you again