Update:
Ran with the majority opinion; didn’t change anything and waited for the end of week 4 for a retest. Still on the initial, prescribed protocol of subQ injections on a MWF schedule. T-Cyp 25 mg (200 mg/ml – 0.25 ml) along with HCG 300 iu.
Still running the initial protocol with a Defy follow-up scheduled for the first available – early January. Looking for some guidance on Estradiol management as my follow up is over a month away (earliest available.) I went from estradiol at 20 at pre-TRT to 71.9 at the end of week 4. My labidio has come back but still a little moody and emotional. Occasional morning wood; but not like it was pre-TRT. Some possible physical high E symptoms I've had are some severve muscle, back and joint pain.
I have been prescribed anastrozole tabs 0.15mg to have on hand in case of high E symptoms. I was wondering what I should take as a starting dose; I’d like to take as little as possible. Would twice a week be OK – and if so, what would the timing of the doses look like assuming that I stick with a MWF injection schedule?
Total test : 1080; ref 264-916
Free test: 29.0; ref 6.8-21.5
Estradiol, Sensitive 71.9 H pg/mL 8.0-35.0
Sex Horm Binding Glob, Serum 29.9 nmol/L 16.5-55.9
T4,Free(Direct) 1.07 ng/dL 0.82-1.77
DHEA-Sulfate 129.8 ug/dL 71.6-375.4
TSH 1.050 uIU/mL 0.450-4.500
Triiodothyronine (T3), Free 3.5 pg/mL 2.0-4.4 01
***Original post
First of all, thanks to Nelson and the members here at the forum. I'm a longtime lurker; first time poster. Would not have pulled the trigger on TRT without this excellent resource.
I started TRT through Defy Medical on October 22. Injecting the following subQ on a MWF schedule. T-Cyp 50 mg (200 mg/ml – 0.25 ml) along with HCG 300 iu. Prescribed anastrozole tabs 0.15mg to have on hand in case of high E symptoms. I haven’t used the AI.
Originally looking to start TRT due to brain fog and lack of motivation and the poor T labs (388 total, bioavailable 104). Workouts have been strong before and after TRT. Haven’t experienced the 3rd week jolt of motivation or superpowers at the gym yet. Motivation at work is still a bit lacking and fogginess hasn’t improved.
I’m only in the middle of week 3. Over the weekend I had a precipitous drop in my libido and overall poor erections –first time experiencing this so I’m hitting the panic button a little bit. Went from walking around wiht a loaded gun all the time to...well...nothing. Only change has been the initiation of TRT. In addition to the loss of libido, I’ve had a touch of teary eyed reactions to sad stories that I would normally not give a second thought to.
I’m thinking of just keeping up the current regime until at least 40 days so I can reach a stable T level and then get new labs. My fear is that my estrogen has spiked…so my question is, should I try to use the anastrozole 0.15mg maybe once or twice per week? Will changing the routine by trying the AI throw off my next labs? Am I stupid to even start the AI? My fear is crashing my E, but the total loss of libido is a bit unnerving.
My pre-treatment labs are below. My LH was low at 1.0, as was my bioavailable testosterone at 104. Everything else was in range. Total test 388.
I’m relatively fit, 45 years old, 5’6”, 180 lbs, lift 4 times per week. Probably around 20 percent body fat but working out religiously since March.
LIPID PANEL, STANDARD 155 <200 mg/dL
CHOLESTEROL, TOTAL 41 >40 mg/dL
HDL CHOLESTEROL 85 <150 mg/dL
TRIGLYCERIDES 96 <1OO
CHOL/HDLC RATIO 3.8 <5.0 (calc)
NON HDL CHOLESTEROL 114 < 130 mg/dL ( calc)
BASIC METABOLIC PANEL
GLUCOSE 83 65-99 mg/dL
Vitamin B12 312 200-1100 pg/ml
FSH 2.1 1.6-8.0 mIU/ML
LH 1.0 1.5-9.3
Prolactin 2.4 2.0-18.0 ng/ml
Estrodiol 20 <= 39 pg/ml
Cortisol, AM 9.7 4.0-22.0
PSA Total 0.8 <=4.0
PSA Free 0.3
PSA %Free 38 >25%
Testosterone, Total 388 250-827
Albumin 4.7 3.6-5.1
Sex Hormone Binding Globulin 34 10-50
Test free 48.7 46-224
Testosterone, Bioavailable 104.5 110-575
Vitamin D25-OH 48 30-100
DHEA-Sulfate 118.7 71.6-375.4
IGF-1 205 75-216
Estradiol, Sensitive 20.2 8-35.0
Ran with the majority opinion; didn’t change anything and waited for the end of week 4 for a retest. Still on the initial, prescribed protocol of subQ injections on a MWF schedule. T-Cyp 25 mg (200 mg/ml – 0.25 ml) along with HCG 300 iu.
Still running the initial protocol with a Defy follow-up scheduled for the first available – early January. Looking for some guidance on Estradiol management as my follow up is over a month away (earliest available.) I went from estradiol at 20 at pre-TRT to 71.9 at the end of week 4. My labidio has come back but still a little moody and emotional. Occasional morning wood; but not like it was pre-TRT. Some possible physical high E symptoms I've had are some severve muscle, back and joint pain.
I have been prescribed anastrozole tabs 0.15mg to have on hand in case of high E symptoms. I was wondering what I should take as a starting dose; I’d like to take as little as possible. Would twice a week be OK – and if so, what would the timing of the doses look like assuming that I stick with a MWF injection schedule?
Total test : 1080; ref 264-916
Free test: 29.0; ref 6.8-21.5
Estradiol, Sensitive 71.9 H pg/mL 8.0-35.0
Sex Horm Binding Glob, Serum 29.9 nmol/L 16.5-55.9
T4,Free(Direct) 1.07 ng/dL 0.82-1.77
DHEA-Sulfate 129.8 ug/dL 71.6-375.4
TSH 1.050 uIU/mL 0.450-4.500
Triiodothyronine (T3), Free 3.5 pg/mL 2.0-4.4 01
***Original post
First of all, thanks to Nelson and the members here at the forum. I'm a longtime lurker; first time poster. Would not have pulled the trigger on TRT without this excellent resource.
I started TRT through Defy Medical on October 22. Injecting the following subQ on a MWF schedule. T-Cyp 50 mg (200 mg/ml – 0.25 ml) along with HCG 300 iu. Prescribed anastrozole tabs 0.15mg to have on hand in case of high E symptoms. I haven’t used the AI.
Originally looking to start TRT due to brain fog and lack of motivation and the poor T labs (388 total, bioavailable 104). Workouts have been strong before and after TRT. Haven’t experienced the 3rd week jolt of motivation or superpowers at the gym yet. Motivation at work is still a bit lacking and fogginess hasn’t improved.
I’m only in the middle of week 3. Over the weekend I had a precipitous drop in my libido and overall poor erections –first time experiencing this so I’m hitting the panic button a little bit. Went from walking around wiht a loaded gun all the time to...well...nothing. Only change has been the initiation of TRT. In addition to the loss of libido, I’ve had a touch of teary eyed reactions to sad stories that I would normally not give a second thought to.
I’m thinking of just keeping up the current regime until at least 40 days so I can reach a stable T level and then get new labs. My fear is that my estrogen has spiked…so my question is, should I try to use the anastrozole 0.15mg maybe once or twice per week? Will changing the routine by trying the AI throw off my next labs? Am I stupid to even start the AI? My fear is crashing my E, but the total loss of libido is a bit unnerving.
My pre-treatment labs are below. My LH was low at 1.0, as was my bioavailable testosterone at 104. Everything else was in range. Total test 388.
I’m relatively fit, 45 years old, 5’6”, 180 lbs, lift 4 times per week. Probably around 20 percent body fat but working out religiously since March.
LIPID PANEL, STANDARD 155 <200 mg/dL
CHOLESTEROL, TOTAL 41 >40 mg/dL
HDL CHOLESTEROL 85 <150 mg/dL
TRIGLYCERIDES 96 <1OO
CHOL/HDLC RATIO 3.8 <5.0 (calc)
NON HDL CHOLESTEROL 114 < 130 mg/dL ( calc)
BASIC METABOLIC PANEL
GLUCOSE 83 65-99 mg/dL
Vitamin B12 312 200-1100 pg/ml
FSH 2.1 1.6-8.0 mIU/ML
LH 1.0 1.5-9.3
Prolactin 2.4 2.0-18.0 ng/ml
Estrodiol 20 <= 39 pg/ml
Cortisol, AM 9.7 4.0-22.0
PSA Total 0.8 <=4.0
PSA Free 0.3
PSA %Free 38 >25%
Testosterone, Total 388 250-827
Albumin 4.7 3.6-5.1
Sex Hormone Binding Globulin 34 10-50
Test free 48.7 46-224
Testosterone, Bioavailable 104.5 110-575
Vitamin D25-OH 48 30-100
DHEA-Sulfate 118.7 71.6-375.4
IGF-1 205 75-216
Estradiol, Sensitive 20.2 8-35.0
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