I guess my issue is this... Sometimes it is wonderful and sometimes it's not. Based on this my assumption is I don't have venous leakage because otherwise I wouldn't be able to get rock hard at times. This leads me to believe it's purely hormonal. I cannot for life of me figure out how to find a formula that works for me. I cannot understand why there are days where Viagra doesn't work. I don't want to have to take an AI. I hope this is the case at 36mg EOD. I'm going to stop everything except just the test cyp. Am I better off doing daily than every other day. People commented about my hematocrit... Does it affect erections? Why yesterday after taking .25 anastrozole was I rock hard all day and a wet noodle at night? I just wish I understood better.
Hi all...So i had additional bloodwork done on July 13th. I had injected myself Sunday morning with 52mg which was my final injection at this level. My last dose of anastrozole was Thursday evening which i took .05mg. I took HCG Sunday morning as well 300iu.
This past Saturday i took .25 anastrozole and was rock hard all day and have been having an issue getting an erection ever since. i feel like i might have bottomed out my e2 but who knows. im thinking since i took the anastrozole on Saturday, today would be a good idea to test and see where i ended up. Thoughts? Am i nuts testing this much. I am trying to get to the bottom of a very frustrating puzzle for me. i am consuming myself with this because of my recent divorce and inability to perform while being only 39.
This past Saturday i took .25 anastrozole and was rock hard all day and have been having an issue getting an erection ever since. i feel like i might have bottomed out my e2 but who knows. im thinking since i took the anastrozole on Saturday, today would be a good idea to test and see where i ended up. Thoughts? Am i nuts testing this much. I am trying to get to the bottom of a very frustrating puzzle for me. i am consuming myself with this because of my recent divorce and inability to perform while being only 39.
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madman
Super Moderator
As stated before you need to drop the AI and stay consistent with your protocol until you have blood work done at 6 weeks.
Again for the last time, you just recently lowered your T dose and hormones are in FLUX, forget worrying about where your e2 sits as of now.
Most will experience ups/downs during the transition.
So you think the e2 will naturally go where it needs to? Up or down? What about prolactin and cortisol issues? Also free t4 on the low side. What do you think?
Now i know why doctors dont see estrogen bcas it doesnt matter. We shouldnt look testosterone to estrogen ratio bcas both does different job and wont interfere. High estrogen is not a problem if u have high testosterone also. Tats my understanding. If you have ed issues, then try to reduce cholesterol or body fat and see if that make difference. Its all about flow of blood and muscle relaxation when it comes to erection and nothing else. This is just my understanding.
So I have a question... Can anyone tell me what I'm looking for with respect to total vs free test ratios. July 13th was about 5 hours after my injection which I do EOD. July 22nd was on a trough and I did my injection after the lab test.
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Free is the one you're mainly interested in. It is unbound and therefore "free" to do all the positive things we associate with TRT.
Your peak to trough spread is fairly minimal, though that's too be expected with EOD injections. What's your SHBG?
I was actually talking about the ratio of free to total. Also didn't know if my numbers seem off to people.
Your ratio is largely driven by your SHBG level. A higher number binds up more testosterone, leaving less free T. It's great to have a decent level of free T but I don't think the ratio matters much. @Nelson Vergel ?
I have low shbg between 12 and 18 usually
Low SHBG makes everything more difficult on TRT no matter what someone (usually with normal SHBG levels) will tell you. My SHBG ranges between 8 and 14 and I have tried very low T doses, daily T doses, bi-weekly doses, creams, injections you name it and I too have very unpredictable days with no libido, days with strong libido, etc...I have been with Defy for years and while they are awesome, they haven't been able to do anything that really helps make TRT actually "work" if your definition of successful TRT is more energy, stronger libido, perhaps adding a bit of muscle and loosing a bit of fat. I am 56 and shut down now so going off is not an option, or else I would.
So I've been off the AI since this last post on the 18th. I had my estradiol checked on the 22nd. My estradiol was 12 which means the .25 I took crashed my estradiol most likely. I felt like shit for days and couldn't get an erection for close to a week. My question is this... Will the fact that I'm now on this reduced EOD dose.... Should my estradiol level out where I never need AI? How does this work? How does it end up at the appropriate place? I guess what I'm saying is if I'm not going to require an AI... If the .25 anastrozole that I took on the 18th gave me an estradiol reading of 12 on the 22nd...will my estradiol just go to a comfortable place or is it going to stay low because my dosage will keep it low? Am I making sense? Or will it keep rising and I need to go to a lower dose of T?
FYI this was the ultrasensitive test.
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Vince
Super Moderator
I would try cutting your dose in half. If you’re still not feeling good after six weeks. Then I would consider stopping the AI.
I think I wasn't clear. I'm off AI now because I lowered my test dose. All I'm asking is how my body can keep estradiol in a good place without AI. it's never going to be exactly the same all the time.
From July 12
Round and round we go?
Back then yes until I got on a lower dose of ai
Vince
Super Moderator
Your estrogen is just below 60, which most consider the highest limit and can still feel good. Your main issues is your low shbg. If you’re feeling good, there’s nothing you need to do. Except keep your protocol.
I don't feel good. No erections that high. I took .25 stupidly of AI. the day I took it my erections were great and by that night they were gone again because I crashed my estradiol. I tested on the 22nd and my estradiol was 12
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