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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Med student here. I have been on TRT since 21. Here is what I have learned about ED, libido and hormones.
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<blockquote data-quote="Jucaro" data-source="post: 192501" data-attributes="member: 22223"><p>No E2 issues apart of less libido, but to be honest, I don’t use to do labs very often; I did it often but at the beginning of starting TRT, I soon learned to identify high or low levels of E2 by correlating the way I felt with the labs results… and today the way I feel is the main indicator for me to evaluate my protocol. And yes, I think my fluctuation on libido is related to E2 levels. I use the top dose of testosterone I can tolerate without using any AI, it is about 80-86 mg a week, but when taking tadalafilo (2.5 mg daily), allows me to rise Testosterone dose to 100 mg a week, which is what I am doing currently.</p><p></p><p>Only 2,5 mg tadalafilo cause 5 mg to me is very disturbing with ridiculous high libido, too much frequent erections and hard time to ejaculate. Tadalafilo itself is not supposed to work on libido but this effect on me may be related to the combination with testosterone and its influence to modify E2 levels. When I take tadalafilo but no exogenous testosterone (I have tried that too) I still have erection but no libido, I actually feel like “I don’t know what I am doing” when having sex with tadalafilo but no testosterone. Tadalafilo also works on my brain to improve my mood and stamina.</p><p></p><p>At the beginning of my TRT I couldn’t even take 80 mg/week of testosterone without having High E2 issues (ED, HBP, Red face, etc.). Once my body composition changed, increased muscle mass and burned belly fat, I tried successfully to quit AI, now about 2 years without using AI.</p><p></p><p>I also noticed that including low dose of HCG (250 IU twice a week) was key to accelerate body composition change (even with no exercising), but the real reason I started with HCG was because I couldn’t deal with testicular shrinking.</p><p></p><p>Regarding having a protocol with slightly fluctuating levels of testosterone at a weekly dose which doesn’t increase E2 too much, probably allow the body to clear off the excess of E2, which levels fluctuate around the sweet spot, hitting it one or two times a week. It is also my guess that keeping very steady levels of testosterone also keep the E2 loading all the time, exceeding the body capacity to clear off and compensate. It is supposed that you could find an effective dose of T with “Steady levels” protocol that keep a good “Steady” balance of E2, but it was impossible to find for me. It is important to remember that naturally, the body works on a circadian rhythm, having time to “work” and time to “recover”.</p></blockquote><p></p>
[QUOTE="Jucaro, post: 192501, member: 22223"] No E2 issues apart of less libido, but to be honest, I don’t use to do labs very often; I did it often but at the beginning of starting TRT, I soon learned to identify high or low levels of E2 by correlating the way I felt with the labs results… and today the way I feel is the main indicator for me to evaluate my protocol. And yes, I think my fluctuation on libido is related to E2 levels. I use the top dose of testosterone I can tolerate without using any AI, it is about 80-86 mg a week, but when taking tadalafilo (2.5 mg daily), allows me to rise Testosterone dose to 100 mg a week, which is what I am doing currently. Only 2,5 mg tadalafilo cause 5 mg to me is very disturbing with ridiculous high libido, too much frequent erections and hard time to ejaculate. Tadalafilo itself is not supposed to work on libido but this effect on me may be related to the combination with testosterone and its influence to modify E2 levels. When I take tadalafilo but no exogenous testosterone (I have tried that too) I still have erection but no libido, I actually feel like “I don’t know what I am doing” when having sex with tadalafilo but no testosterone. Tadalafilo also works on my brain to improve my mood and stamina. At the beginning of my TRT I couldn’t even take 80 mg/week of testosterone without having High E2 issues (ED, HBP, Red face, etc.). Once my body composition changed, increased muscle mass and burned belly fat, I tried successfully to quit AI, now about 2 years without using AI. I also noticed that including low dose of HCG (250 IU twice a week) was key to accelerate body composition change (even with no exercising), but the real reason I started with HCG was because I couldn’t deal with testicular shrinking. Regarding having a protocol with slightly fluctuating levels of testosterone at a weekly dose which doesn’t increase E2 too much, probably allow the body to clear off the excess of E2, which levels fluctuate around the sweet spot, hitting it one or two times a week. It is also my guess that keeping very steady levels of testosterone also keep the E2 loading all the time, exceeding the body capacity to clear off and compensate. It is supposed that you could find an effective dose of T with “Steady levels” protocol that keep a good “Steady” balance of E2, but it was impossible to find for me. It is important to remember that naturally, the body works on a circadian rhythm, having time to “work” and time to “recover”. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Med student here. I have been on TRT since 21. Here is what I have learned about ED, libido and hormones.
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