Nelson here you go - This changes everything regarding elevated E2

[Palermitano]

Apparently Nelson has been right all along, stay away from anastrozole. it is now considered optimal having higher levels, this changes everything. Here is a lecture given by Dr Neal Rouser regarding the benefits of TRT and estradiol. Well worth the 50 minutes.


https://www.youtube.com/watch?v=HYW5yIxPA18

 

[Nelson Vergel]

Yeah, I went to a conference and watched him speak 2 years ago.

I agree with him on this one, of course. I do not agree with his belief that you do not have to manage high hematocrit. I thought that was a little nuts knowing the data we have from EPO therapy in anemic patients.

 

[Nelson Vergel]

Dr Neal Rouzien's Position on Hematocrit and Estradiol Management

 

[ipi]

Nelson, so having E2 in 20-30 range is not right? I remember you mentioning that you have it in the 45 range. What's your take on it?

 

[Vince Carter]

What's being discussed with Estrogen is the theory or position that the ration of Estrogen to Testosterone (T divided by E2), rather than E2 being a specific range. Estrogen in this paradigm isn't managed at all unless it's posing a negative symptom, like night sweats, nipple issues, libido, erections, and so on. Most people under this protocol take no or very little anastrozole.