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Nelson Vergel

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Estradiol is the most important female sex hormone and it plays a significant role in developing female secondary sexual characteristics. It also plays a vital role in maintaining proper bone density, regulating body fat, and ensuring a strong erection in men.


This type of hormone is one of the three estrogens found in the human body. The other two are called estrone and estriol. Estradiol is the most important and strongest of the estrogen hormones and it is primarily made in testicles, fat cells, and liver.

Approximately 80% of the estradiol found in a man’s body comes from the aromatization of testosterone. A small amount of testosterone is converted to estradiol to maintain healthy reproductive and cognitive systems in men, among other body functions.

Why is estradiol in men important?
Because maintaining proper estradiol levels is paramount for ensuring the correct functioning of various body processes. For example, estradiol is involved in:

  • Maintaining correct HDL cholesterol levels
  • Improving penile sensitivity
  • Maintaining an emotional balance in men
  • Promoting high bone density
There are numerous myths that circulate online when it comes to estradiol. Since this is a female sex hormone, some say that too much estradiol can give one “man boobs” or make him asexual. Although having very high estradiol levels can lead to various health issues, reducing the amount of estradiol in the body can also have negative consequences such as losing bone mass, having joint pains or having a decreased libido.

Keep reading this article to learn more about estradiol and how it can negatively affect the body if it circulates in the blood in sub-optimal quantities.

Estradiol Studies
Maintaining optimum estradiol levels is key to flourishing health and enhanced fitness performance. There are several causes or factors which might disrupt proper estradiol balance and lead to very high or very low estradiol levels.

  • Various medications such as HIV meds, etc
  • Toxins from the environment
  • Various foods
  • Age
  • High Body Mass Index (BMI)
  • Smoking too much marijuana
To achieve correct estradiol levels in the organism, one needs to learn more about this type of hormone and find out how it influences the body. The following study analyzes how testosterone and estradiol can influence muscle development, strength and sexual function in men aged 20-50.

Gonadal Steroids and Body Composition, Strength, and Sexual Function in Men
Study Purpose
This study aims to identify a direct relationship between testosterone and estradiol in men and various body functions and processes such as fat accumulation, muscle development and fitness performance, libido, and sex drive, etc.

Approximately 80% of the estradiol currently found in men results from the aromatization of testosterone. When if the levels of testosterone go down, estradiol levels will also be reduced and this might lead to changes in body composition.

Study methods
2 groups of 198 and 202 men participated in this study. They were healthy men aged 20-50 who were carefully monitored for over 16 weeks to find differences in body composition and fitness performance.

The first 198 men were given goserelin acetate which is a substance that suppresses natural testosterone and estradiol levels. They were also given a placebo gel as well as testosterone gel in different concentrations such as 1.25 g, 2.5 g, 5 g, or 10 g. The gel was administered daily.

The second group received the same treatment, but they were also given anastrozole which is a substance that prevents the aromatization of testosterone into estradiol.

Study conclusions
Key factors were monitored in these 400 men to determine the influence of testosterone and estradiol on muscle performance and strength, sex drive, and fat development.

The study concluded that the body fat percentage increased in men who received a placebo testosterone gel or 1.25 g or 2.5 g of testosterone gel without getting anastrozole. Lean muscle mass also decreased in these men and leg-press strength showed a significant decrease only in men who received the placebo gel. The significant increases in body fat are attributed to estrogen deficiency (suppression of the aromatization process of testosterone).

Both androgen and estrogen deficiency caused a significant decrease in sexual function which was represented by sexual desire and erectile function. Men who received the placebo gel or 1.25 g of testosterone gel experienced the most significant decrease in sexual function, as opposed to those who received a higher concentration of testosterone gel.

The study was funded by the National Institutes of Health and determined that decreases in testosterone levels primarily influence muscle strength and performance, decreases in estradiol can lead to a higher subcutaneous and intraabdominal fat percentages and both androgen and estrogen deficiencies can lead to poor sexual function.

Let’s take a look at more negative consequences which can appear as a result of having too little estradiol in the body.

Why low estrogen levels are dangerous for health and decrease fitness performance
As mentioned earlier, having less-than-optimal amounts of estrogen in the body can lead to multiple health problems in men of all ages. Let’s discover how low estradiol levels can hinder fitness goals or affect health.

1. Low estrogen levels prevent the translocation of Glut-4
Muscle hypertrophy is essential for fitness professionals and the protein carrier Glut-4 can help with recovery and growth by transporting nutrients from the surface to the core of the cells. However, this protein can sometimes become stubborn and remain inactive for long periods of time. As a result, insufficient amounts of nutrients are carried from the surface to the interior of the cells which might make the muscle recovery process less efficient.

The role of estrogen, in this case, is to make the translocation of the Glut-4 possible which leads to a higher amount of nutrients being delivered to muscle tissues for repair and growth. Having very low amounts of estrogen can prevent the activation of this protein carrier which is a significant loss for any fitness professional or bodybuilder.

2. Low estrogen levels allow myostatin to interfere with the muscle-building process.
As you probably already know, myostatin is an important suppressor of muscle growth in both males and females. It can be extremely powerful as presented in various studies and experiments performed on animals.

For example, animals which had their myostatin gene removed experienced dramatic increases in muscle mass, sometimes reaching up to 100% more muscle in comparison with animals which haven’t been genetically altered.

Studies show that the elevated estrogen levels in women can prevent myostatin from interfering with the muscle-building process. By having very low levels of estrogen, the myostatin substance is free to suppress muscle growth which is something all fitness professionals want to avoid.

3. Low estrogen levels can worsen insulin resistance.
Insulin, a substance produced by the pancreas, is essential for “unlocking” cells in the bloodstream, allowing them to absorb the existing glucose – a process which basically gives the human body energy to survive and to perform daily tasks.

When cells develop insulin resistance (as a result of a sedentary lifestyle, among other factors), type 2 diabetes can result. Doctor Evelyn Yu, M.D., MS.c, an endocrinologist at the Harvard University, concluded that estrogen deficiency can lead to a poor glycemic index as well as an increased resistance to insulin. Men and women of all ages can be affected by this and that’s why it’s important to never reduce the estrogen hormone to a dangerous level.

Another study conducted on men aged 40-74 years determined the important role of high aromatase activity in the body. Let’s take a closer look at its findings.

SAT-237: High Aromatase Activity in Men with Low Testosterone Is Associated with Higher Spine BMD, Increased Truncal Fat Mass and Reduced Lean Mass
Study Purpose
This study strives to determine a relationship between spine BMD (bone mineral density) and aromatase activity in patients with low testosterone levels.

Study Methods
90 men aged 40-74 years were carefully monitored during a genetic study on the effects of the aromatase enzyme on the bone mineral density. These men underwent testosterone replacement therapy as a result of low testosterone levels.

Their body composition was analyzed using advanced tools such as dual-energy x-ray machines and enzyme immunoassay, among other medical equipment.

Study Conclusions
The study concluded that men who had the highest estradiol levels in comparison with testosterone also registered the highest spine bone mineral density. At the same time, their high aromatase activity leads to an increase in truncal fat as well as a significant decrease in lean body mass.

The most important finding of this study is that despite having low circulating testosterone levels, high aromatase activity can lead to healthy musculoskeletal health in men over 40 years old. The direct relationship between estradiol and high bone density is clearly visible in this study.

Summary of Part 1
The role of estradiol in men’s health cannot be denied. There are numerous benefits this hormone can provide to men of all ages if it circulates in the blood in optimal quantities. This article is part of a series of documents which outline important findings of scientific studies on estradiol. The more information one accumulates on estradiol, the better decisions he can make when it comes to achieving healthy estrogen levels in the body.

One of the best ways to determine how much estradiol one has in his body is by using blood tests. This is an inexpensive and highly efficient method of knowing the exact estrogen and testosterone levels.

Do you have any questions? Do you know more about estradiol or want to provide feedback? Use the comment section below to ask your questions about estradiol or share your knowledge with everyone!
 
Defy Medical TRT clinic doctor
Solid information summed up in one post. It’s weird how some will decide that these findings apply to an exact level when the studies actually aren’t indicating there is a limit to these effects. Hard to let go of what you once knew was a fact.
 
Solid information summed up in one post. It’s weird how some will decide that these findings apply to an exact level when the studies actually aren’t indicating there is a limit to these effects. Hard to let go of what you once knew was a fact.
Or is it weird to think that because a small amount of something is necessary, a huge amount must be better? But: Drink too little water and you die. Drink too much water and you die also. See how this works?
 
Low E is bad. What level of E is too low? We don't know.

What is high E? We don't know.

There's really nothing new here to be seen.
 
Low E is bad. What level of E is too low? We don't know.

What is high E? We don't know.

There's really nothing new here to be seen.

You summarized the whole article in few words.
I was about to post the same.

At the same time, their high aromatase activity leads to an increase in truncal fat as well as a significant decrease in lean body mass.

This should ring a bell to Jay's fans saying to let your E2 going sky high.
 
they are talking about the ratio of Testosterone to estrogen , meaning it is in men that are converting more of the testosterone they inject into estrogen and/or dht, of course those results are going to come back the way they did , it is NOT about some specific number, that will be largely genetically determined plus lifestyle factors , nobody is saying E2 is going sky high, we are talking about a factor of 2 rise for example to 70 maybe, with a subsequent rise in testosterone
 
We’ve threads going back three or four years on the posssible role the so-called T:E ratio may play in balancing a man’s protocol. Like every other metric, it is suggestive - it is not diagnostic. When it is combined with all other lab values, patient’s subjective response to treatment, and the clinical experience of the treating physician, the ratio is one part of a mosaic. In isolation, it is of limited value; when considered in light of the aforementioned factors, it can certainly shed some light on a patient’s status.

As long as we always remember, “Everyone of us is different...”
 
they are talking about the ratio of Testosterone to estrogen , meaning it is in men that are converting more of the testosterone they inject into estrogen and/or dht, of course those results are going to come back the way they did , it is NOT about some specific number, that will be largely genetically determined plus lifestyle factors , nobody is saying E2 is going sky high, we are talking about a factor of 2 rise for example to 70 maybe, with a subsequent rise in testosterone

Oh, really?

DHT? Why should I care what my DHT levels are? If my hair is not falling out then why should I be concerned? If my hair or my patient was losing hair then I would treat with the appropriate meds and switch to injections. That has not occurred yet but if it did that is how I would approach. I don't need to know my DHT levels if I am doing great and having no symptoms no more than I need to know my E2 levels when I am doing great with no symptoms

If i am having symptoms of E2 excess and I know I am only going to take a AI until sympoms resolve can you tell me why I need to know a level. Since I am taking the AI for symptoms are you saying that I should measure a number and then reduce E2 to another number? If so, what are those numbers? Once again, it appears you are more caught up in following numbers that don't change treatment. I'm not sure what you mean by being aggressive or conservative. If I am going to take anastrazole 2x per week until symptoms resolve why would I need to know a number?

I'll spare you the Rouzier's claim on having high E2 in order to burn fat (as clearly proven wrong from the above study) and to protect the hearth from cardiovascular diseases.
 
Last edited:
Oh, really?





I'll spare you the Rouzier's claim on having high E2 in order to burn fat (as clearly proven wrong from the above study) and to protect the hearth from cardiovascular diseases.

Which study are you referring to? The study above in Nelson’s post indicated that higher estrogen levels reduced the bodyfat accumulation.
 
Role of estrogens in regulating body fat in males

Estrogens have a role in mediating the anti-obesity effects of testosterone. Estrogen receptor deletion in mice leads to weight gain and obesity (49). Men rendered hypogonadal with injections of depot gonadotropin-releasing hormone agonist lose fat when given testosterone, but they do not lose body fat if they are treated with an aromatase inhibitor which is responsible for converting testosterone to estradiol (50). These findings are consistent with the observation that hormone replacement therapy in women leads to less weight gain after menopause. In this context, it is relevant that male patients with diabetes have diminished expression of estrogen receptor and aromatase, both of which are restored following testosterone replacement (51). Consistent with these observations, estradiol concentrations are low in men with HH and type 2 diabetes, and increase after testosterone administration (52).

 
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