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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Need some guidance. Palpitations / Anxiety.
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<blockquote data-quote="unknownwhom" data-source="post: 255401" data-attributes="member: 45535"><p>Hey All. I have been experiencing palpitations and frequent anxiety for the last few weeks. Sometimes its debilitating. It causes insomnia. Sometimes thoughts of something life threatening happening in my sleep. I am 33 yr old. Workout 6 days a week vigorously. Eat a good diet. I'm 5' 10" and around 190lbs. I've been on TRT for about 9 months now. I abused PEDs in my 20s and after coming off all of them and after some time, I had a lot of brain fog, weight gain, loss of muscle mass, etc. I ended up seeking TRT therapy.</p><p></p><p>I got prescribed the 200mg of T / 1mg of anastrozole once a week regime. I didn't initially take the AI. Felt good for months. But, I started to get gyno symptoms. Bloods showed</p><p></p><p>Total T - 1512ng/dl - lab range 250-1100 ng/dL</p><p>e2 - 74pg/ml - lab range < OR = 29 pg/mL</p><p></p><p>So I backed it off to 140mg a week and did not touch AI. After 4 weeks, this brought me down to:</p><p>Total T - 1147ng/dl - lab range 250-1100 ng/dL</p><p>e2 - 53pg/ml - lab range < OR = 29 pg/mL</p><p></p><p>IMO, still too high. Nipples were also still sensitive. Doc wanted me to take AI @ 140mg weekly as he likes e2 in the 20-30pg/ml range. He wanted me to take 1mg anastrozole once a week. I didn't listen and only took .5mg once a week for a few weeks. Shortly after latest labs, is when symptoms started.</p><p></p><p>Latest labs</p><p>Total T - 1155ng/dl - lab range 250-1100 ng/dL</p><p>e2 - 10pg/ml - lab range < OR = 29 pg/mL</p><p></p><p>Before getting labs back I stopped AI as I started to get described symptoms. I am now at 120mg a week EOD administration with no AIs. And, I haven't felt great since my e2 was around 53pg/ml but was having gyno symptoms.</p><p></p><p>I ended up going to see my PCP about the palpitations. I naturally have a low resting heart rate (44bpm) due to me being highly athletic the last 12 years. Blood pressure around 129/70. He listened to my heart and said it sounded great.</p><p></p><p>He did his own labs to check for possible reasons and an EKG. He saw some concerning things on the EKG. Specifically elevated QRS duration and elevated QT Interval. I have a halter monitor coming and an echocardiogram scheduled.</p><p></p><p>This has me spooked. Looking for some general advice. Should I stop exogenous therapy? Should I maintain 120mg a week? Is my EKG off and symptoms due to a disproportionate T/E ratio? Should I wait for the echo to make a decision? Thanks!</p></blockquote><p></p>
[QUOTE="unknownwhom, post: 255401, member: 45535"] Hey All. I have been experiencing palpitations and frequent anxiety for the last few weeks. Sometimes its debilitating. It causes insomnia. Sometimes thoughts of something life threatening happening in my sleep. I am 33 yr old. Workout 6 days a week vigorously. Eat a good diet. I'm 5' 10" and around 190lbs. I've been on TRT for about 9 months now. I abused PEDs in my 20s and after coming off all of them and after some time, I had a lot of brain fog, weight gain, loss of muscle mass, etc. I ended up seeking TRT therapy. I got prescribed the 200mg of T / 1mg of anastrozole once a week regime. I didn't initially take the AI. Felt good for months. But, I started to get gyno symptoms. Bloods showed Total T - 1512ng/dl - lab range 250-1100 ng/dL e2 - 74pg/ml - lab range < OR = 29 pg/mL So I backed it off to 140mg a week and did not touch AI. After 4 weeks, this brought me down to: Total T - 1147ng/dl - lab range 250-1100 ng/dL e2 - 53pg/ml - lab range < OR = 29 pg/mL IMO, still too high. Nipples were also still sensitive. Doc wanted me to take AI @ 140mg weekly as he likes e2 in the 20-30pg/ml range. He wanted me to take 1mg anastrozole once a week. I didn't listen and only took .5mg once a week for a few weeks. Shortly after latest labs, is when symptoms started. Latest labs Total T - 1155ng/dl - lab range 250-1100 ng/dL e2 - 10pg/ml - lab range < OR = 29 pg/mL Before getting labs back I stopped AI as I started to get described symptoms. I am now at 120mg a week EOD administration with no AIs. And, I haven't felt great since my e2 was around 53pg/ml but was having gyno symptoms. I ended up going to see my PCP about the palpitations. I naturally have a low resting heart rate (44bpm) due to me being highly athletic the last 12 years. Blood pressure around 129/70. He listened to my heart and said it sounded great. He did his own labs to check for possible reasons and an EKG. He saw some concerning things on the EKG. Specifically elevated QRS duration and elevated QT Interval. I have a halter monitor coming and an echocardiogram scheduled. This has me spooked. Looking for some general advice. Should I stop exogenous therapy? Should I maintain 120mg a week? Is my EKG off and symptoms due to a disproportionate T/E ratio? Should I wait for the echo to make a decision? Thanks! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Need some guidance. Palpitations / Anxiety.
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