Latest labs - lots of help needed

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steve-wv

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Started TRT back in January . Initial labs total test 169, free 2.47, E2 21.3 . Started taking 140 mg test cypionate , 70 mg twice week. Did labs 3/31/16 total came up to 465, free was 2.47, E2 came up to 36.
doc upped dose to 160 mg , 80 mg twice week and we added 300Iu of HCG twice weekly on same day as test. Did labs Thursday and got results today and about shit my pants, need some good solid advise. I have not taken an AI. Labs are as follow

E2-82.7( range 7.6-42.6 pg/ml)
total test 1893 (280-1100)ng/DL yes that's not a typo
SHBG- 33 (10-80 NMOL/L)
free 50.42 (1.9-27) Ng/Dl
Hematocrit-49.8 (38.5-54%)

got follow up on Wednesday but need some solid advise, can this be accurate, I have had E2 symptoms, but where does one go from here. This labs were taken on trough day. They told me to take a one time dose of 1 mg anastrozole, which scares me in itself but once shouldn't crash me since I'm so high should it? Don't want a steroid cycle just want to feel like me , and it's been really hard to get dialed in .

Where to go from here and what protocol should I follow, sound advice needed, skip and let levels come down? Retest for accuracy?

thanks in advance.
 
Last edited by a moderator:
Defy Medical TRT clinic doctor
First, don't panic. Nothing's so bad here that you need to worry, it can be adjusted. Seems to me the best bet would be to lower the T dose...your doc will know how much. But that should lower the T (duh) and also lower the E2.
 
There is nothing to panic about here at all. Having your Total T above 1500 for a short time is harmless. Your E2 in keeping with the ratio of T:E is not too bad either at 22. The idea range is between 14-20.

Al you need to do is reduce your T dosage a bit and you should be fine.
 
Just decrease you T dose to 50 mg twice weekly and keep your HCG dose/frequency. Your hematocrit is OK and your TT and E2 will come down.

What high estradiol symptoms are you having?
 
I normally pin on Monday morning and Thursday night. I pinned yesterday with my usual dose before
I got lab results. Should I skip Thursday and let levels come down or just start the 50 mg twice right now?
Also the worst symptom was my achy joints especially in the knees, wrist and forearms. My arms felt like they were really stiff and retaining lots of water, weird.
 
Don't skip, just talk with your doc and agree upon a dose reduction of some amount. It'll come down fairly fast once you change it up, no need to go cold turkey.
 
Don't skip, just talk with your doc and agree upon a dose reduction of some amount. It'll come down fairly fast once you change it up, no need to go cold turkey.

ok. I did something I hope I don't regret. I did take the one time dose of 1mg anastrozole yesterday as doc directed to help get E2 down. Surely a one time dose wont crash me or jack me up? I guess just like you all stated, let it go down naturally from here?
 
Everyone has giving you solid advice talk to your dr about lowering your testosterone dose keep hcg the same that should help with estrogen. Anastrozole is a type 2 AI which means rebound is possible with a 1 time dose but I think you will be fine dropping T-dose would be more effective
 
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