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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Question about interactions
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<blockquote data-quote="madman" data-source="post: 97160" data-attributes="member: 13851"><p>Having HH with low ferritin and iron and elevated TSAT% I would say you are suffering from IRON AVIDITY and you have become iron deficient from too frequent phlebotomies.</p><p></p><p><a href="http://www.irondisorders.org/Websites/idi/Images/NanogramsDEC2010R.pdf" target="_blank">http://www.irondisorders.org/Websites/idi/Images/NanogramsDEC2010R.pdf</a></p><p></p><p>I would not consider itchy/sensitive nipples indicative of high e2 symptoms and joint pain is usually seen with low e2. </p><p></p><p>As you know we did not have the pleasure of the estradiol (sensitive assay) in Canada but it is now available at DYNACARE as of a few months ago.</p><p></p><p>Unless you were experiencing high e2 symptoms such as excess bloat, gyno (which is not common on trt unless one is genetically prone) or libido/ed issues and had blood work done with the estradiol (sensitive assay) test to confirm your e2 was elevated/high than you should have avoided starting an a.i.</p><p></p><p>I definitely would not rely on the estradiol (standard) test as it is meant for women and is not accurate in men (tends to overestimate).</p><p></p><p>You stated overall that you feel good and pretty dialed in on your protocol. I would not increase your t dose as your total t trough is already in the upper end of the physiological range although not sure what your free t sits at and where your shbg is at (low/mid/high).</p><p></p><p>Personally I would avoid the use of an aromatase inhibitor if one is not truly needed and if anything in order to manage the proper dose of a.i. the estradiol (sensitive assay) would be critical.</p></blockquote><p></p>
[QUOTE="madman, post: 97160, member: 13851"] Having HH with low ferritin and iron and elevated TSAT% I would say you are suffering from IRON AVIDITY and you have become iron deficient from too frequent phlebotomies. [URL]http://www.irondisorders.org/Websites/idi/Images/NanogramsDEC2010R.pdf[/URL] I would not consider itchy/sensitive nipples indicative of high e2 symptoms and joint pain is usually seen with low e2. As you know we did not have the pleasure of the estradiol (sensitive assay) in Canada but it is now available at DYNACARE as of a few months ago. Unless you were experiencing high e2 symptoms such as excess bloat, gyno (which is not common on trt unless one is genetically prone) or libido/ed issues and had blood work done with the estradiol (sensitive assay) test to confirm your e2 was elevated/high than you should have avoided starting an a.i. I definitely would not rely on the estradiol (standard) test as it is meant for women and is not accurate in men (tends to overestimate). You stated overall that you feel good and pretty dialed in on your protocol. I would not increase your t dose as your total t trough is already in the upper end of the physiological range although not sure what your free t sits at and where your shbg is at (low/mid/high). Personally I would avoid the use of an aromatase inhibitor if one is not truly needed and if anything in order to manage the proper dose of a.i. the estradiol (sensitive assay) would be critical. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
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