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New to TRT... so much to learn!
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<blockquote data-quote="CoastWatcher" data-source="post: 144649" data-attributes="member: 2624"><p>Elevated or suppressed estradiol can be responsible for problems, and sorting out libido-related issues are some of the trickier challenges men face. There isn’t, sad to say, a linear relationship between testosterone levels and libido (or erectile function). Think of testosterone as frequently necessary, but not necessarily sufficient, in these areas.</p><p></p><p>In your specific situation, I would do nothing until I repeated the e2 test, this time with the appropriate methodology (sensitive, LC, MS/MS). If it comes back high I’d ask your doctor for a prescription for anastrozole (filled by a compounding pharmacy), 0.25mg once weekly. Evaluate.</p><p></p><p>Thyroid isn’t called the master gland for nothing. An underperforming thyroid can sabotage a TRT protocol. Addressing the muted lab values you present should be done.</p><p></p><p>TRT may well be in your future. But no need to jump over other issues. By the way, I suppose fertility was addressed? Was your LH and FSH captured, along with a PSA?</p></blockquote><p></p>
[QUOTE="CoastWatcher, post: 144649, member: 2624"] Elevated or suppressed estradiol can be responsible for problems, and sorting out libido-related issues are some of the trickier challenges men face. There isn’t, sad to say, a linear relationship between testosterone levels and libido (or erectile function). Think of testosterone as frequently necessary, but not necessarily sufficient, in these areas. In your specific situation, I would do nothing until I repeated the e2 test, this time with the appropriate methodology (sensitive, LC, MS/MS). If it comes back high I’d ask your doctor for a prescription for anastrozole (filled by a compounding pharmacy), 0.25mg once weekly. Evaluate. Thyroid isn’t called the master gland for nothing. An underperforming thyroid can sabotage a TRT protocol. Addressing the muted lab values you present should be done. TRT may well be in your future. But no need to jump over other issues. By the way, I suppose fertility was addressed? Was your LH and FSH captured, along with a PSA? [/QUOTE]
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