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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Recommendations on newly started therapy
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<blockquote data-quote="madman" data-source="post: 78970" data-attributes="member: 13851"><p>Your pre trt total testosterone of 10.07 is definitely low barely borderline as most ranges in Canada where I reside are 7.6-8.4 nmol/L for the low end of the lab range. Your e2 is more than likely the standard assay which tends to overestimate most of the time and is not as accurate as the sensitive assay which is used in the US but not Canada or most European countries. Sensitive assay is what you would need to truly know an accurate reading for e2 and your e2 of 103.8 pmol/L is basically in the middle of the range of 41.4-159 pmol/L not high and more than likely overestimated and I would say your aromatase inhibitor was not needed and more than likely why you feel shitty as you might have crashed your e2. I would try dropping your ai and see how you feel. Regarding your protocol it will take atleast 6 weeks to reach stable blood testosterone levels and you need to be retested 6 weeks in to see where your total t and e2 are let alone you should have your free testosterone/dht/hemoglobin/hematocrit/tsh and complete blood count levels checked also. Usually in the first 2 weeks for most you should notice an increase in libido especially when starting out as you are still producing testosterone endogenously for the first few weeks before your hpta shuts down and you are also injecting the exogenous t. It takes time to start to feel the full effects of trt and libido should be one of the areas that you will notice quickly. Shame your doctor would put you on an aromatase inhibitor especially right away as your levels are mid normal not high on the standard e2 test you had done and yes e2 will increase when starting trt or increasing dose thats why it is imperative to wait 6 weeks before testing bloods as when starting trt to allow testosterone blood levels to stabilize and also e2 and other hormones so you can get an good idea of how your levels are on at that particular dose of testosterone and how it is effecting your overall symptom relief than a doctor should decide depending on how you feel overall/your lab numbers if you need a dose increase and also if you are experiencing high e2 related symptoms than and only than implement an aromatase inhibitor in your protocol. Do you have more thorough blood work as not only total t/e2 but shbg/dht/prolactin/lh and fsh/full cbc which includes hemoglobin/hematocrit and psa should be done PRE-TRT. You definitely need to find a new doctor that specializes in treating trt but in Japan as you say it seems to be difficult. Hopefully other members will offer advice but I would drop the ai and see how you feel after a few weeks!</p></blockquote><p></p>
[QUOTE="madman, post: 78970, member: 13851"] Your pre trt total testosterone of 10.07 is definitely low barely borderline as most ranges in Canada where I reside are 7.6-8.4 nmol/L for the low end of the lab range. Your e2 is more than likely the standard assay which tends to overestimate most of the time and is not as accurate as the sensitive assay which is used in the US but not Canada or most European countries. Sensitive assay is what you would need to truly know an accurate reading for e2 and your e2 of 103.8 pmol/L is basically in the middle of the range of 41.4-159 pmol/L not high and more than likely overestimated and I would say your aromatase inhibitor was not needed and more than likely why you feel shitty as you might have crashed your e2. I would try dropping your ai and see how you feel. Regarding your protocol it will take atleast 6 weeks to reach stable blood testosterone levels and you need to be retested 6 weeks in to see where your total t and e2 are let alone you should have your free testosterone/dht/hemoglobin/hematocrit/tsh and complete blood count levels checked also. Usually in the first 2 weeks for most you should notice an increase in libido especially when starting out as you are still producing testosterone endogenously for the first few weeks before your hpta shuts down and you are also injecting the exogenous t. It takes time to start to feel the full effects of trt and libido should be one of the areas that you will notice quickly. Shame your doctor would put you on an aromatase inhibitor especially right away as your levels are mid normal not high on the standard e2 test you had done and yes e2 will increase when starting trt or increasing dose thats why it is imperative to wait 6 weeks before testing bloods as when starting trt to allow testosterone blood levels to stabilize and also e2 and other hormones so you can get an good idea of how your levels are on at that particular dose of testosterone and how it is effecting your overall symptom relief than a doctor should decide depending on how you feel overall/your lab numbers if you need a dose increase and also if you are experiencing high e2 related symptoms than and only than implement an aromatase inhibitor in your protocol. Do you have more thorough blood work as not only total t/e2 but shbg/dht/prolactin/lh and fsh/full cbc which includes hemoglobin/hematocrit and psa should be done PRE-TRT. You definitely need to find a new doctor that specializes in treating trt but in Japan as you say it seems to be difficult. Hopefully other members will offer advice but I would drop the ai and see how you feel after a few weeks! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Recommendations on newly started therapy
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