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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
What would cause sore joints on TRT?
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<blockquote data-quote="UroPA" data-source="post: 180705" data-attributes="member: 40824"><p>It's been my experience that men, especially men actively working out and trying to gain mass and strength, feel better with a slightly higher E2. But again, I want to be clear that I don't think you can treat HRT like a cooking recipe. Its as much art as science. The "numbers" may tell me that this patient should have a lower E2 or a higher ratio but the patient feels great. I don't concern myself with numbers as much as signs and symptoms. I mean, of course, the numbers are a good reference point. I would also mention that I prefer NOT to use AIs if I can avoid it. I see a lot of E2 crash with them and secondary sexual dysfunction. There seems to be this tendency to blame E2 for normal physiologic responses to increased testosterone. </p><p> With my patients, we start with a baseline addition of T, then go from there and chart their treatment course based on their response, goals, activity level, diet, etc. But in general, yes, I see better results with a slightly higher E2 ratio. But I also think men do better overall at the high end of normal and even frequently supranormal testosterone levels as well.</p></blockquote><p></p>
[QUOTE="UroPA, post: 180705, member: 40824"] It's been my experience that men, especially men actively working out and trying to gain mass and strength, feel better with a slightly higher E2. But again, I want to be clear that I don't think you can treat HRT like a cooking recipe. Its as much art as science. The "numbers" may tell me that this patient should have a lower E2 or a higher ratio but the patient feels great. I don't concern myself with numbers as much as signs and symptoms. I mean, of course, the numbers are a good reference point. I would also mention that I prefer NOT to use AIs if I can avoid it. I see a lot of E2 crash with them and secondary sexual dysfunction. There seems to be this tendency to blame E2 for normal physiologic responses to increased testosterone. With my patients, we start with a baseline addition of T, then go from there and chart their treatment course based on their response, goals, activity level, diet, etc. But in general, yes, I see better results with a slightly higher E2 ratio. But I also think men do better overall at the high end of normal and even frequently supranormal testosterone levels as well. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
What would cause sore joints on TRT?
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