Advice of Lab Results-High Estradiol

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HootSnik

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Comments on Recent Lab Results

I just received my latest lab results and would like to get input from the “brain trust” on my proposed adjustments and plan of action.

Background: I started TRT back in June due to a very low free T (LabCorp 5.3 on scale of 6.6-18.1) and the traditional symptoms. We started testosterone enanthate (IM) at a very low dose (at my request) and over the last five months and two labs have adjusted the dosing based on how I feel and the lab results. My current protocol is 40 mg every 3.5 days which has resulted in a total T (blood draw 1 hour prior to dose) of 1045 and a free t of 17.4—I am obviously very sensitive to exogenous testosterone as I understand that this is a fairly low dose for those results. At this level I am now feeling healthy, all save two (important) symptoms have disappeared, energy is up, motivation/initiative is up, and mood is stable. The two remaining symptoms are that I still have lingering E.D. and delayed ejaculation — I am wearing my wife out trying to finish. However, I think the current labs show the basis of these remaining symptoms.

Current Labs: All lab results were within LabCorp’s range except hematocrit which was 52.1 against their scale of 37.5 to 51 and estradiol (ultra sensitive) which was 62 against their scale of 7.6 to 42.6. It appears that I convert a significant amount of the exogenous testosterone to estrogen which we think could be the reason for the lingering symptoms—my pre t estradiol was 23.

The adjustments I am considering are to reduce the dose from 80mg/wk to 70mg/wk and add 0.25 mg of anastrozole once per week. I am hoping that the reduced dose and resulting reduced total t will drop the hematocrit down (my blood pressure has crept up slightly) and the anastrozole will drop the estradiol and address the two lingering symptoms. Since I will be converting less of the testosterone to estrogen with the anastrozole, I am hoping that we will not have a significant effect on free t—as I feel good at the current free t level of 17.4.

Comments-suggestions??
 
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