Male Estrogen Management with Testosterone Replacement
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- Опубліковано 21 лют 2016
- Managing estrogen levels with HRT patients is crucial! Not only for their short term results and quality of life, but for their long term health as well. High and Low Estrogen is extremely dangerous and can lead to many diseases and conditions.
Great video!!! This guy knows his stuff!
I saw this video in the past. This guy is excellent. Advices to the average good-guy. Timings like some little clomid and hCG during the testosterone cycle, bringing a lots of benefit that the bodybuilding culture seems to be ignore- for example,running testosterone without hcg to emulate a chastity state. Sure if you are a badass that sounds great. If you are standard guy that jerking some and living a balance life, this is the way to go. cheers
Thank you so much for the videos
Thanks! for the video very good information to know..
thanks for the info
You ar the best
A big hi from Romania
I’ve been on TRT for over a year now. 100/mg Test Cypionate (50mg x times a week) No AI, ever. When I first started TRT my Test levels shot up tp over 1000 and estradiol was 74. Within 8 weeks my Test has leveled at between 790 (right before a shot) and 890, estradiol is down to 39. Unless one is having gyro issues I would recommend holding off on AI’S.
Yep. Hardly any of our guys at 100mg weekly need an AI. The higher the dose, the higher the probability, but we only prescribe them as needed. We try to take them off as much as possible.
Please help! I've been on trt for about 18 months. Test levels around 900 and estrogen between 50 and 60. I'm up to 4 mg per week of AI now and it's still making no difference. Only getting 100 mg of test per week. Keep getting bloods and my estrogen levels just aren't going down! Any thoughts?
@@joeysalazar4356 that's pretty strange. We don't have a single guy on that much of an AI. Call us to get a consultation set up just to see what's going on. The consultations are free
Good info. Thank you!
Great info. I had no idea about alcohol and testosterone. I think that's why the suicide rate for middle-aged and older men in the UK is so high, because they first have low testosterone from normal aging combined with a lot of drinking, and the result is a very depressed and suppressed man.
Ryan L you’d be shocked at how many guys come off of anti-depressants when they get on T!!
@@Lowtnation Yup I was on Wellbutrin XL 150 and went off it since the TRT took care of 99% of my mood boost. And now I can drink a bit socially again!
What do you think of DIM as a supplement for women on TRT, to fight off Estrogen climbing over time?
At 10-12, I'd probably check igf levels before messing with estrogen.
Low T Nation Please let me know what you think.
I have gyno in my nips (more noticeable in left than right nip), and a bit of acne breaking out on my rear delts, shoulders, and arms.
Did labs and here’s what I noticed was off:
Test free: 28.8 ng/dL (standard range 240-950 ng/dL)
Test Total: 992 ng/dL (standard range 5.05-19.8 ng/dL)
Estradiol: 13pg/ml (standard range 27-52 pg/ml)
SHGB: 23nmoI/L (standard range 17-56nmoI/L)
Free T4: 1.0ng/dL (standard range 0.9-1.7 ng/dL)
Total T3: 116ng/dL (standard range 80-200ng/dL)
TSH: 1.84uIU/mL (standard range 0.50-5.70 uIU/mL)
HYPOCHROMIA: PRESENT (standard range NONE)
MPV: 12.9 fl (standard range 8.4-12.0 fl)
Current protocol:
40mg Test cyp 5x a week (200mg)
250iu 2x a week (500iu)
1.5g anastrozole (1 1/2 tabs weekly)
I take enanthate for about five years, 1 ml 250 mg 14 days. Converted to estrogen, I was strong and solid, but too much body fat.
Endo did not give an AI so got some elsewhere. That bought my estrogen to better level, dropped some weight but tidied up diet as well. Cut test to .5 ml every 8 days.
Has made a big difference.
So did you take HCG? Are you with Low T Nation?
lol your problem is NOT your dosage or lack of an AI your problem was 250mg per 14 days....dosage frequency is a MASSIVE deal when it comes to estrogen conversion if you inject lower amount more frequently it reduces estrogen conversion significantly and then you wont need an AI which is extremely unhealthy. All that being said 125mg/week isnt awesome anyways id want atleast 150mg/week
You gave an excellent presentation!!
I've been taking stinging nettle root to help my estrogen. Its supposed to stop dht from binding to the prostate...
Ive had my testosterone levels checked the last 6-8 months, i am just wondering if estrogen levels are a seperate test or should it be in the test and free test levels blood work? Test Cancer survivor so I'm on Test cyp pretty much the rest of my life.
Added: I take 1 cc 200mg IM every week, I am perscribed Arimidex but i haven't taken it because my original DR. has retired and im working with a new DR. who is great but this is not his area of expertise but he prescribes my Testosterone …. I am about to start seeing a new Specialist soon though. Thanks for any help!
Thank you for this great video. I’m 23, Just started TRT Nebido 1000 mg/4ml (testosterone undecanoate) and after a week from getting the shot I saw your video and did an E2 test. My result was 44 pg/ml ( ref. Range 11-44). Would you say this is too high ? Because I suffer from most of the symptoms related to high estrogen.
Alpha sagga I would take .5 mg of adex one time that should bring you down to 20-30
How did you deal with your high E2 ? I am on my 3rd week with Nebido and have very high E2 because of it also.
You ever get this fixed
I think that the study that you mentioned was a study in mean with heart failure. I'm not sure that this is a representative population
I am on 7th week of TRT (100 mg/week with HCG, no AI); bloodwork has come back with T 1041 and E 59; not much side effects of elevated E except lil bit sore nipples; should I start taking Arimedix now ? my doc is suggesting 0.5 mg/week. I felt very bad when I first took it in my week 1 of TRT (even it was only 0.125 mg), so I am worried to take 0.5 mg. Any suggestions/thoughts will really help. thanks all and a great video.
Do u recommend calcium d glucerate and dim in conjunction with TRT?
What blood tests do you typically do for a new client to establish a base line?
Typically Free and Total Test, Estradiol, PSA, CMP w lipids, and CBC. Also, thyroid and IGF-1 if needed.
The shift has changed so much now a days. The online TRT community has become very estrogen loving.
It has. Even our protocols have changed. We now tupically use the 20-45 range.
In relation to when you take your HCG injection, when would be the ideal time to take your oral Anastrazole? same time? 6 hours later? at night? a day later? thanks.
He says, stay away from soy products. Well isn't it ironic, that so many foods now contain soy? 20 years ago I doubt if I even had heard the word soy yet. I'm not saying it's a conspiracy, but if the shoe fits
Yeah I agree eat flaxseed they say, it's good for cholesterol they say... look at what it does to estrogen in men
Asians have been eating lots of soy for eons.
@@felixcat9455 most, not all, Asian men aren't very masculine.
Fucking soy boy there's a vegan in every comment section on UA-cam there's no hope
Hello, greats vids . I’m 26 and my test levels were in the 470 range and estrogen was 41. The dr prescribed me anastrozole 1mg 2x per week bringing it down 12 points. However my test levels was still under 500. This month I plan on getting on a test cycle of cyp (200mg) per week. Will I get results? Also how should I manage estrogen during PCT
Yeah, that is way too much anastrozole. A level of 41, honestly, is a great level for many people. if you are going to supplement with testosterone, make sure to consider something for a testicular support, hcg, gonadarellen, kisspeptin etc. Also, estrogen management should be done from a symptomatic requirement first.
What should your estrogen level be 8 weeks into Trt roughly mibe is 56 with test at 688 after 8 weeks of trt Plus Dr says it takes months for increase in Test to work way into cells. True ? Also would you consider me telling my Dr the estrogen is to high my anxity has been getting worst to
My doctor thinks that if you increase your testosterone you also need higher levels of estrogen. She thinks that estradiol between 50 - 70 is good if your testosterone is over 1000.... She refuses to prescribe an AI, so I had to lower my dose to lower my Estradiol. I feel that the higher estrogen is increasing my anxiety, and lowering my mood. My Estradiol on my trough day (3 days after injection, I did 2 a week) was at 43. I injected again right after the blood was taken so that's my low!
PMS is a woman's physiologic response to elevated estrogen levels in a body. Irritability, anxiety, frustration, increased water retention, loss of energy and sensitive nipples are just some of those symptoms. We are no different, our bodies respond exactly the same way to TOO high of a level. If you're feeling estrogenic symptoms, it's my opinion that you should be treating it. Hope this helps..
my e2 levels are 49 pg/ml , and thats without using any testosterone, my test levels are at 490 ng/ml (i am 37 years old) , i think my e2 levels are high, i have puffy nipples and struggle with sleep, do any of you have any recomendations on monotherapy dosage using arimidex?
Idk if I need more t or less t idk if I need cal d and dim or not. These are my last labs on 25mg since then I lowered to 23 but still not right. AI is not an option for me:
TT 1072 (250-1100)
FT 260 (46-224)
E2 68 (
hello ... thanks for the video ... i am on TRT since 2 weeks 100mg testE/w and 50mg proviron/ED ...my E levels at start was 19 .. now it is 74 ... i am 35% body fat... Dr told me that proviron should do the job (balance E level) in 4 to 6 weeks and he did not agree at all to put me on AI for the side effects... currently i dont feel any positive changes, still low libido and energy and holding more water than before despite following strict diet... should i wait more? or discuss with my Dr Again ? please advise..
fitness_spirit where did you find a doctor that prescribed proviron?
Proviron is not an acceptable form of AI
I’ve had so much trouble with estrogen on TRT. If I don’t manage it completely, I get terrible anxiety, panic attacks. If I think it to low with Arimidex, I feel even worse. I’ve never really been able to balance it consistently.
I'm having the same issue right now. Panic attacks, emotional (want to cry all the time because the anxiety is so bad) my blood pressure has gotten really high as high as 160/89. I can feel the pressure in my neck. My vision is strange and when I wake up I feel like I've taken a disassociative drug. Start panicking because I feel so weird. It's so hard to do TRT through a clinic because any time something gets off it end up costing $400-$500 with the bloodwork and phone appointment.
@@normanderson01 your blood pressure is high because your estrogen is to high and it’s causing you to retain water water retention causes extra pressure on the vessels which raises blood pressure. U need to take something to lower your estrogen if your jot already. That happens to me every time if I don’t take something for the estrogen, my blood pressure gets high I start getting ringing in my ears. I can usually control it but getting the proper dose of arimidex and not dropping my estrogen too low is very tricky. I’m starting to feel like microdose ing is the right option. Its something that I’ll try in the future probably in the near future. Good luck with things.
Do you guys have a recommendation for good treatment facility in Austin, Texas. Currently undergoing treatment with my urologist but do not feel he is monitoring me correctly. Any advice would be greatly appreciated.
Secret Squirrel yes. Give us a call and we’ll direct you in. 866-349-5698
One in Canada?
I think 20 to 30 is a little bit of a stretch. I agree you shouldn't be under 20 but I personally feel better at 35 or 40 than I do at 20. I inject 75mg of test cypionate twice a week and 125 IU of HCG once a day. My levels tend to stay right around there between 35 and 40. I feel great at those levels. When I try to chase it down to closer to 20 with an AI no matter what I do a lot of times I crash it below 20 and then I feel horrible. No sex drive at all.
Kevin Shaw Kevin, you’re totally spot on for many! Most need a little less than you, but MANY need higher than avg levels. The video is just talking about averages and is leaving out the individual tuning that is patient specific. Good job on figuring out what works for you.
are you taking anything to suppress estrogen and/or prolactin? I'm on 100 Enanthate biweekly but i have ED and i don't know why? I always think it's due to higher estrogen because i get puffy face OR higher prolactin? !
@@trickcyclist1 You're on 100mg Test E biweekly? Meaning every other week? If that's the case that's way too little testosterone and probably why you have low libido.
Do u take any e blocker?
Thanks. Given your views, how do you respond to the views of and literature cited by Dr. Neal Rouzier? ... Thanks in advance.
With respect to Dr Rozier and yourself, he has tons of opinions and stances and I'm not sure what you're referring to. Can you be a little more specific? In general, we usually agree but definitely not 100%.
@@Lowtnation he has found that if estradiol increases associated with trt that it is not correlated with problems as opposed to high estradiol levels in people that are not being treated with trt.
I’ve heard that Dim can be anti androgenic and actually increase e2 is that true?
I have read some consider the sweet spot 15-20 picoliters for estradiol...do u feel that is too low...
Not necessarily. We just choose a slightly higher threshold (20-30) because that range is cited in several studies. I think 15-20 is still fine.
Where is the study man? cant find it
Have been on a roller coaster with two doctors who I thought knew what they were doing. Every time I’m ether high or low estrogen. I have been put through the ringer. New doctor suggested beta blockers and thyroid medication. Told her my symptoms. She never even mentioned estrogen. Have have all of the symptoms. Besides suggesting more medicine she thinks I should increase my testosterone from 1800 to 1900. I now looking for new doctor.
Yes. Please look for a new one. Lol.
Hi Doc My estrogen level is 91 and also just starts my TRT and its Test E 250 every 2 weeks. What dosage of AI arimidex should be good for me and for how long. I believe my estrogen levels were already high and I was on HCG 5000 IU for almost 10 months before I start TRT. Could you please advice
The AI dose can be figured out in a couple months, until then it's just a guess. In the meantime, I'd recommend switching to at least weekly shots with your testosterone and HCG.
@@Lowtnation Thanks for the response
My TRT doc wants to start using anastrozole IM injection combined with the TRT cypionate injection. I thought anastrazole only came in pill form? Is the IM injection of anastrazole effective??
kbull01 I've heard of these injectable AI's. I don't see any reason to use them since the orals are extremely effective and have very mild side effects. Bypassing the first pass mechanism may totally throw off the side effect matrix. When something is super simple (and cheap) (and safe), leave it alone. :) I'd stick with the orals and shoot for that 20-25 level. Good luck! If you do use the injectable, please keep in touch. I'd love to hear about the outcome.
Thanks, My guess is, it will adjust the half life and absorption rates. I dont see any research on the injectables, but I will have frequent follow up labs. I Will keep you informed, great videos BTW. Thanks for the reply
Where is the study in the description?
J. P.M. Good call. Let me get the links posted.
Can you take aromosin instead? What’s your take on aromosin? My estrogen is at 120 from taking hcg twice 2000iu per week. Tried arimedax , 1mg after each hcg, the estrogen dropped a bit but still pretty high like in the 80 range. Should I take aromosin or letrazol instead? Thanks
You can. Your body responded super well to the hcg, driving your testosterone Up. Usually they both work about the same. We rarely see a time where one works and the other one doesn't.
Low T Nation Thanks for your reply. yes my total T now is over 1000，free T over 60. Estrogen is pretty high. For the 3 months period of hcg, would you recommend me using 2000iu twice weekly throughout? Or maybe 2000iu twice weekly in the first month then try 1000iu twice weekly for the later 2 months. The reason for this hcg use is to jump start my HPTA from shady ester used a year ago.
Question for you guys. I'm currently on trt, no AI no hcg .. currently my last blood draw I had upper 900 testosterone levels but completely crashed estridol .. I'm suffering from the low e sides (acne , mood swings, insomnia) how is this possible not to convert a little to estrogen? . What can I do with my doc to get my E levels into normal ranges . Hcg? Is this common? What should I ask my doc to test on my bloods .. she is clueless
Some men make no estrogen at all hardly. It's rare but I've seen it. Some docs will write for a small dose estrogen cream to help with this to get you into decent ranges.
can you just drink some beer or wine?
@@Lowtnation
@@r6bbie251 Always :)
I just got my results from labcorp.. My sensitive estrodial was 78.9.. When I showed my primary care doctor.. She said she wasn't familiar with sensitive estrodial and wants to refer me to a endocrinologist... I'm tired of being tired..
Labcorp I know their ranges well enough to know 78.9 is very high. You need a Doctor like the ones here. Guys who know the subject. I assume as high as your estrodial is that you are on testosterone. Get some help
Ya need a TRT doc.
Jorge carrejo why in the hell is he going to a female doctor? Huh?
I’m only on 85mg TRT E3D and my trough total T is 600 and free T is 173 pg/ml but my e2 is at 48.. doc wants me in AI but I hesitate I have no symptoms. She won’t raise my T dose to 100mg stating my e2 will further spike..
You're both right :) Might be worth a low dose (.25 weekly or so) to see what the higher test dose does for ya. I know what all the forums say, but the reality is, anastrozole rarely causes a problem when administered in low doses.
What are side effects of Arimidex? Doesnt this drug deplete HDL
Crashes estrogen often you take to Much. It’s strong
Hi Thanks for this valuable video. I recently started TRT (T was ~200 ng/dl and E was 11 pg/ml). My T dose is 100 mg/week. My doc also advised me to take Anastrozole 1 pill per week. However once I take the pill i felt horrible with headache and more fatigue. Can it be because of my E has gone further down now? My E was anyways low. Or something else going on here .. . any suggestions/thoughts pls.
Yeah, it's totally possible. Most of our 100mg /week guys dont need the anastrozole.
@@Lowtnation thanks so much. I will be taking HCG injection twice in the week (last 2 days of the week before my next T shot) to keep my testis working.Does that have any side effects to be aware of?
Jay no :)
@@chattop I would get a new doctor. He should've know not to prescribe you 1mg anastrozole per week (pretty strong) if your baseline estrogen was only at 11, and you're only going to be injecting 100mg test per week.
Anyone used estrogen creams, and had much success with raising estrogen? If so, how often and dosage works for you?
We've only had to do that a couple times over several thousand patients. It's incredibly rare. It does work though. Typically increasing testosterone or reducing the AI will do the trick.
He's good
Thank you!
I'm an obese 32 year old man who's taking 25mg of clomifene and 400 iu Vitamin E every morning. I'm not sure if I should be concerned about my estrogen levels and get it checked since I'm not receiving any testosterone injections.
Definitely get it checked, sometimes the labs will really surprise you. It will let you know if the clomid is doing the trick or not. Also if you need to manage the estrogen level.
I can understand estrogen being high in all these situations as it is correlated with obesity. The question is, does estrogen contribute to those conditions or is it the obesity?
It's a catch 22. Estrogen is by no means the enemy. We believe in carrying optimal levels. However, when it gets way out of control, it can really lead to a lot of issues including weight gain. Just like any other hormone as far as that's concerned. The trick is to keep optimal levels of both test and estrogen in a healthy ratio.
What about this?
Here are some key points and studies that show the benefit of estrogen.
Here are some key points.
-Low serum estradiol has been more strongly associated with low bone mineral density in elderly men than low testosterone.
-men with low estradiol levels are at an increased risk for future hip fracture.
-Men with both low Testosterone and low estradiol are at the greatest risk. (Why I don’t block conversion)
- 32% mortality in first year in men with hip fracture.
-Low estradiol levels have been reported to be a predictor of bone loss in men and have been associated with increased vertebral fracture risk.
Study. Amin S, Zhang Y, Felson DT, et al. Estradiol, testosterone and the risk for hip fractures in elderly men from the Framingham study. Am J Med. 2006 May;119(5):426-33
-The physiological effects of estrogens on bone in men were largely unanticipated until recently, when estrogen deficiency in males with aroma tase deficiency and estrogen resistance was found to cause delayed fusion of epiphysis despite sufficient serum testosterone.
-Serun estradiol is more related to bone mass than free testosterone in normal men.
-Serum estradiol determines bone mass in men.
Study. Ongphiphadhanakul B, Rajatanavin R, Chanprasertyothin S, et al. Serum oestradiol and oestrogen-receptor gene polymorphism are associated with bone mineral density independently of serum testosterone in normal males. Clinical Endocrinology 1998 Dec;49(6):803-9
-A higher estradiol level was associated with lower risk for cardiovascular disease event in older med
-estradiol has vasculoprotective influences in men.
Study. Arnold J, pence a MJ, Amin S, et al. Endogenous sex hormones and cardiovascular disease incidence in men. Annals of Internal Med. 2006 Aug 1;145(3): 176-84
-increase in libido, frequency of sexual intercourse,masturbation and erotic fantasies with estrogen replacement.
-Relevant modification of the patient’s sexual behavior occurred only during estrogen replacement.
-Estrogen could play a role in male sexual activity based on this study
Study. Carini C, Rochera V, Faustini-Fustini M, et al. Role of estrogen in male sexual behaivor: Insights from the natural model of aromatase deficiency. Clinical Endocrinology. 1999 Oct;51(4):517-24
-Patients were randomized to receive weekly IM injections of 100mg testosterone enanthate or 100mg testosterone enanthate plus 1mg of anastrozole, an aromatase inhibitor. To block the conversion(aromatazation) of testosterone to estradiol.
-Only the group with elevated estradiol levels demonstrated significant verbal memory improvement
-In healthy older men, improvement in verbal memory induced by testosterone administration depends on the aromatization of testosterone to estradiol.
Study. Cherrier MM, Matsumoto AM, Amory JK, et al. The role of Aromatization in testosterone supplementation: effects on cognition in older men. Neurology. 2005 Jan 25;64(2):290-6.
-Estrogens appear to have significant effects in the male biological system. Favorable effects have been noted on bone, brain, and the cardiovascular system.
-Free or bio available estrogens may decline due to an increase in sex hormone binding globulin.
-estrogens produce significant effects on skeletal growth...on the brain, on cognitive function, coordination of movement, pain and affective state,and are maybe protective of Alzheimers’s.
-Impaired estrogen action in men leads to dyslipidemia
-age associated increase in sex hormone binding hormone causes decrease in bioavailable estradiol. Level in young 46.5 +15.7 poml/L. Middle age 40.3 +11.1 pmol/L and older men 37.5 + 10 pmol/L show a small but statistically significant lower level of E2 in the oldest compared to the youngest.
Study. Gooren LJ, Toorains AW,. Significance of estrogens in male (patho)physiology. Annals of Endocrinology. 2003 April;64(2):126-35
-estrogen reduces homocysteine, fibrinogen,and plasminogen activator inhibitor-1 (PAI-1) concentrations and has favorable influences on VLDL, LDL, and HDL subclass without increasing markers of thrombotic risk.
Study. Giri S, Thompson PD, Taxel P, et al. Oral estrogen improves serum lipids, homocysteine and fibrinolysis in elderly men. Atherosclerosis. 1998 Apr;137(2):359-66
Jacob Deakins we totally agree with these. There is a very hermetic effect with estrogen. Low estrogen is dangerous and high levels are as well. Typically high levels run concurrently with obesity and therein lies the confusion. We prefer the optimal mid-range levels.
Do sell / prescribe just an AI ?
Im on TRT. My dr. Doesn't think an A.I. is beneficial for me...
It depends on the patient. Some do, many dont. It just depends on the e2 levels and symptoms of the patient.
Low T Nation my doctor wants to start me on an AI (DIM) as soon as the first injection is started. Is that normal? Thanks!
@@joshuadodson6874 DIM is more if a supplement than an AI. Nothing wrong with taking DIM right away. It actually raises free t in some men.
@ Low T Nation I had a Doctor that had me running 250mg Cypionate weekly and 50mg Clomiphene x3 weekly. First 6 months I felt great. Months 7-10 my Test level was at 1,500 and I was absolutely miserable. Severe Panic attacks, depression, irrational thoughts, couldn’t leave the house, etc. I assume that my Estrogen levels were through the roof but the doc I worked with didn’t believe in using testing Estrogen or using Amrimidex. I dropped my dosage and quit the Clomid and actually felt worse. Stopped everything for the last 8 months, however my low-T symptoms are back worse than ever. I want to get back on because my test levels are 216 and I feel like I’m dying. Any ideas.
For sure. That was a double whammy witj high estrogen and clomid at the same time. A smaller does without the clomid (use HCG instead) is the route. Let your symptoms dictate whether you should consider anastrozole.
@@Lowtnation Thank you!
@@warweaponx6629 how are you doing now brother?
@@bgoodorhell4u Thanks for asking. I stayed off for awhile and everything went back to normal. Got back on the test and felt great until my doctor added Nandrolone. Nandrolone really screwed me up in many ways including BP. I’ve been off it for 6 months now and just sticking to a lower dose of trt and feeling great.
@@warweaponx6629 good to hear brother. I recently started trt and feeling better already . From what I gathered if you could feel good on a low dose it’s better for you over all .your first doc did not know what he was doing I don’t think you could use clomid and testosterone at the same time and you was on a large dose.
No one ever posts their Free T levels or their SHBG levels. These are foundational blood markers you need to treat your low T symptoms.
Would Zinc supplements help in reducing Estradiol while on TRT?
Abhishek Singh it will reduce e2 conversion, but only by a small margin.
Low T Nation Thanks for the reply!
Would be kind of you if you could please answer few more questions related to the same topic-
What form of zinc supplements you recommend to your patients? What would be its ideal dose(say for a male weighing 160lbs)? Also is it important to add some Copper supplements along with it? If yes then which form of it and what dose?
Kind Regards,
Try DIM... helps balance estro to test levels
What about hair loss?
Anthony Armstrong hair loss is about 90% genetics. If you have the genetic predisposition for hair loss, testosterone (actually DHT) can exacerbate the hair loss. For most men, it’s not a problem.
E BOOK DOES NOT DOWNLOAD
Do you recommend taking HCG continuously on TRT or 1. On a cyclical basis to keep testes healthy and avoid potential infertility 2. Only when trying to impregnate?
What is your standard recommended dose and frequency for AI use while on TRT? I'm on 150 to 200mg test cyp per week with 1mg Arimidex every other day. Can I safely continue this AI dose indefinitely or should I only add AI when e2 range is above preferred range?
Thanks for imparting knowledge and keep up the great work.
Kobus Botha hey man. Our philosophy lends to ALWAYS using hcg when on testosterone. And the estradiol doesn’t need managing if you can naturally stay within healthy ranges. Don’t take the AI just because it’s part of an on paper protocol.
20 pic grams per milaliters/30 pic grams of estrogen?
7 weeks? Man at 2 weeks my e levers were so fucking high. Gyno was already permanent at that point. 7 week follow up in my humble opinion is way to long to go. There needs to be one at 2, and 7. Or more if you can afford it. That was at 100 mgs a week. And I’m a skinny 160
I don't see the links or any information pertaining to the studies you mentioned on estradiol you said you were going to share it, will you please Thank you.
Thanks you for the information in this video, Im currently self medicating with Testosterone as my doctor said i wasn't low enough (although i was just above his guideline)
I'm experiencing tenderness in my nipples and feeling puffy, i do have some extra belly weight.
I ordered some tamoxifen so that i can try treat the symptoms.
Would i be right in thinking this will help if i start with 40mg 2 weeks - then 20mg 2 weeks then 10 mg either 2 weeks or should i continue taking it and track my levels of estrogen with tests and use tamoxifen to help keep it stable?
We really try to find protocols that work long term. Cycling up and down introduces so many variables while a clean, repetitive program (when balanced right) gives a much healthier and more optimal quality of life. Ditch the cycling :)👍
2 balls Cain Start by raising testosterone to optimal levels. If they are adequate, check SHBG, too high or too low can lower estrogen. If SHBG is too high, boron and some other naturals may work. If SHBG is low or normal, the guy may need an estrogen cream.
Estrogen at 30 on try would make my bones hurt 😢
On TRT .2ml twice a week.
E is at 75.
Looking at an AI
That's quite a low dose. Why don't ya give us a call. 866-349-5698. Let's chat about a few things.
How do you know that's a low dose. If its 0.4ml / wk of T400 then it's an average HRT dose
My numbers are test serum-447
Free test 13.1
Estradiol 9. What are your thoughts. I'm 34 years old
It's more about how you feel at those levels. For some men, those are optimal levels, for others, your levels aren't sufficient. If you're feeling exhausted and find it hard to focus, lose weight, add muscle, and if libido is suffering, you could be low.
Low T Nation ok thanks for replying.
What’s your opinion on guys who’s estrogen runs super high, like in the 80s, but are having no adverse reactions and feeling good?
Typically, mine runs high 60s to mid 70s and I just let it roll. I personally feel much better with higher estrogen levels. We do have patience who run with high levels and insist on leaving them there. I don't personally have a problem with that.
@@Lowtnation thank you for writing me and Interesting! Recently, I’ve talked to several guys who say the same thing. One of my buddies doctors told him he felt that 60-80 should be the new range for most men. Seems like that 20-30 range isn’t as linear as a lot of the data shows.
For me, I ran mine to about 40, sexually, I think I felt better with it higher but I got anxiety, gained 20lbs of water, and got sensational gyno like feelings in my chest, despite an ultrasound showing no activity there. I take 1mg of Armidex twice a week and all those symptoms have gone away, but I’d say I was prolly slightly better sexually with it higher. Hard to say though cause since then I’m pulling 60+ hours a week and don’t sleep enough which I know has an effect on it.
Do you think 2mgs a week of armidex is too much? I’m due for blood work this Thursday and again in June which will mark my year mark on TRT. I ask, cause I’ve talked to a few other clinics who say I will eventually crash my estrogen on that dose.
@@TheJLAMAR23 yeah, everything you're saying makes sense. 2 mg is a monster dose of arimidex. Since you're so close to lab work, I would continue the protocol and see what your estradiol looks like.
We used to be in the group that went with 20 to 30. Now we typically recommend somewhere between 30 and 50.
@@Lowtnation that was my thoughts as well before I make any adjustments. I have a feeling that spacing out that second dose over the course of a few weeks is the right call just based off of how I’m feeling. I felt really good around 30-35.
Naturally , I was mid to upper 800s with my total T and my free T was Around 22-25. Estrodial was also around 30ish then I started crashing around the low 300s in total test, free t dropped to 10-12, and my estrogen at its lowest was 3. Never done a steroid, SARM, pro hormone , drank a sip of alcohol or smoked anything either. They think it was related to my auto immune causing it. Doctors wanted to bring me back to 800s and I’m definitely above that now but feel great, aside from I feel like I could benefit from slightly more estrogen. I’m on 200mg of cypionate 1x week, 50 units of HCG 2x a week and 1mg of anastrozole twice a week.
Now they wanna put me on gonaderllin (which I’m totally against) or Clomid since HCG is banned, which sucks. I’m unsure of what the right move is gonna be with the Clomid +armidex and they want me to take that twice. A week too.. Feel like if I follow that protocol, im just straight up gonna destroy my estrogen. Thought about spacing the Clomid out once every 7-14 days to try and “mimic” Eclomiphene since Clomid has a longer half life.
I’ve seen the long terms effects and it’s worrisome
@@TheJLAMAR23 yeah man, check out the latest video on our channel. It addresses enclomiphene vs clomid.
I was listening to a endocrinologist and he surprised me with a couple things. One he said clinically he saw no correlation between more body fat and higher estrogen and the other was he let’s his male patients go all the way up to 50 estradiol as long as there are no symptoms
Mike Lindner it’s all about symptoms. But eventually it goes too high and it will be too much. So 20 to 40 or so is what they say is normal for most. Big range
What is your take of an estradiol of 33 (pg/ml) and an estrogen, total serum of 117 (pg/ml) on NO trt? Thank you.
Giovanni Miceli 117 ng/dl? Sounds pretty low. How are ya feeling?
Low T Nation the 117 was my estadiol serum total and my test is 248 I feel very fatigued a lot. 30 min workouts weak, etc...
I am interested in using low t nation. I go to my endocrinologist on the 1st, and if he starts in with the creams and gels, I'm done with him and going to LOW T Nation. I need to start feeling better. but the way my Estrogen serum total was 117 my total estradiol was 33... thanks for all your help.
G, that estrogen level is through the roof. Give me a call man, 770-596-5524
Low T Nation is there a good time that works to call?
@Low T Nation Hello, I feel bad and I'm tired I'm 32 years old, my Estradiol results are low?
Testosterone (O41) 5.53 ng / ml
Estradiol (e2) 11.04 pg / ml
Yeah, that is low for sure.
@@Lowtnation How can you effectively increase Estradiol?
@@0906mlynek0906 Increasing testosterone is generally the most preferred route for men.
@@Lowtnation and what should be the right ratio of Testosterone to Estradiol?
@@0906mlynek0906 usually somehwere between 25-1 to 40-1
We all know we need to manage estrogen... How about talking about ways to do that??? Cutting out fat, alcohol, and plastic minimally affect estrogen. You need to talk about dim, anastrozole, and real-world solutions...
I agree. We will put one together! Thanks for the feedback.
Losing weight is a big one. Less body fat = less aromatase.
The total estrogen to testosterone ratio is most important. Normally around 4-5% is something to shoot for.
I'm confused,I read somewhere 20 to 40 is a normal range can someone clear this up my rang is 37
Since this video, we've adjusted our range to 25-45. There are many outliers on either side.
My estrogen is a 41 and my face is beet red nonstop. I'm also having hot flashes and my libido is tanked. Any idea what may be going on?
@@ToblerX Our sensitivity to estrogen varies from person to person. I was on 75mg Cyp every 3 days and no AI. My estrogen came in at 67 pg/ml yesterday. Was hoping to aviod an AI but I'm pretty sensitive to Estrogen and my libido sucks. Test was 649 ng/dl so I increased test to 100mg x 2 a week, and 0.5mg anastrozol x 2 week. Will repeat labs in a few weeks. Quest labs states less than 39 pg/ml for estradiol is normal.
My right ear hears nothing
But my left ear is very smart now.
Probably too much estrogen buddy.
You may need a right ear hearing aid
My total T is 1005 my free is 265 my estrogen is 184 could this be why I have Ed
Arimidex has far too harsh side effects for me would aromason be better ?
Aromasin destroyed me. I’m about to try Arimidex but haven’t gotten it yet
Aromasin is a very strong ai, suicidal they call it, because it cannot unbind estrogen molecules
everyone is different. 2 previous guys complained of aromasin. for me arimidex has horrible side effects, with aromasin I don't experience them.
I'm on trt at 250 of enanthante its been 8 shots once every 2 weeks and my levels went from 220 to 791 but my total estrogen is 251.89 my estradiol is 47.75 free test is 19.68 shbg 24 free androgen 113.6 please help me figure out if this is bad or good and what I can do thank you I'm 36 years old
8 shots once every two weeks?
Spread your shots out
Late comment but he was saying he injects 250 mg every 2 weeks. He’s used 8 doses so far. Poor punctuation aside it wasn’t that difficult to comprehend.
@@1brunner699 My punctuation was nonexistent on that for sure, lol thanks, I'm down to .3 every three days now and sitting around 800 and feel great. They put me on small does armidex as well; I wasn't feeling any problems, but I guess my estrogen was binding everything up. One pill a week seemed to keep me level for the most part; no up and downs anymore, and fat fell off, and mood and energy went up. It was like a cloud lifted, but sometimes I think it gets too low since they lowered my dose but didn't change my armidex, so sometimes I crash hard and get really moody and depressed. When it's on, I'm a different person, almost like I'm bipolar I want to find a perfect constant range to get in for me been trying for five years now so close
For someone with high SHBG, would a SERM or AI be better for managing estrogen. Before being on test my estrogen was at 20. When I began TRT My doc had me on .25 mg arimidex 2x a week. the next time we did blood work my e2 was 18. I told him I felt better when I skipped the AI(especially sexually) but he does not want me to stop taking it because he is afraid my E2 will rise to high.
You can control SHBG significantly with boron. About 6mg per day for a month reduces SHBG by 25-30%. As for estrogen, ask your doctor about reducing the dose by half, taking on pill on your shot day. I don't like the SERM approach because it will elevate your SHBG even more.
I have been on TRT for 2 months. Due to past anabolic use. I am taking 1 ml of 100 mg of test c once a week. My estrogen is kicking in hardcore. 187 pg. No one seems to give a shit. Any tips before it gets out of hand?! Thank you so much. I am SUFFERING
Man, sorry to hear you're suffering. I'd definitely try to speak with a doctor that understands this. If you can get one to prescribe you a small dose of anastrozole, even .5 a week, it could make all the difference.
Low T Nation do you reccomend the .5 administration on the day of injection ?? Or split to .25
Split
Low T Nation ok. Do you rec. Me to take all the 100mg once a week do every 4 days .5 ml (50 mg) of test c. I have heard split dosages are better
Its up to you and your doc. We consider the patients schedule in this. If they're hectic and all over the place with travel, once a week is better simply to reduce the missed injection days.
How do you increase your estrogen levels? I'm on a TRT program with my endo. My estrogen levels have been between 10 and 12 and my doc says that's ok. I'm miserable, fatigued, and have ED. I'm on a weigh reduction plan. I'm 6', 234lbs., 54 years old.and just a all out bitch. Never felt like this in my life and I've never been this heavy. Help!
if your on trt ,you should be watching your estro levels,,you can have a stroke etc..your dr should have you on a estro blocker with the testerone
@@andyyarrington8602 bro...hes literally stating that his estrogen is low...if anything he would need to reduce the amount of ai he is taking to reach a good level around 18 to 22
Slow down on the AIs. What did you end up doing? How do you feel now
Did you find a solution?
@@titsandbeer2693 Nope.
what is the stuff name to reduce the estrogen
+zamolxes dacul Anastrozole.
+zamolxes dacul Anastrozole.
Anther great vid. But fix that mic.....
you right!
My father law just got his blood test back and his estrogen was at 300. He takes 200 mg of test cyp a week. Really need help please
micro dosing will alleviate this....30mgs every shots with an insulin needle every other day should hone his E2 in and thats a big dose too btw. retest bloods 4-6 wks later :)
@@robbigski1862 ty!!
my dr. says 40 is perfect ,if your on trt
It is for some. For sure! We've adjusted our protocols since this video and use the 25-45 range now. What's determines the right number is the way the individual feels at a particular number.
I heard of a supplement called dim and neetle root can help balance estrogen and tetesterone
Dim can (in some men) help with. Nettle root is a little more hit or miss and generally not something we can use with any sort of consistency.
My doctor as me on 300mg test a week and I take estrogen blocker 1mg once a week 2 days after injection does this sound right when I went back to the dr my estrogen level was 0.5.
300mg test per week? How on earth did you get your doc to prescribe you that? That's a mild steroid cycle lol
And to answer your question, estrogen at 0.5 (unless a typo) is way too low. Cut back on the AI.
My doctor said I didn’t need to test my estrogen. I know he’s wrong
My Dr. won’t test my estrogen levels.
Change Doctor
If this is a male patient yes. Which by the name I'd say you are. Unchecked estrogen in males is a horrible ride. Ask for a female hormone panel work up.
no your doctor is right. you shouldn't be managing estrogen on trt. you only need to test estrogen if you are experiencing low estrogen side effects which will include achy bones and lower sexual function b/c you listened to a walnut on youtube that wants your estrogen in the low 20-30s lol. this video is malpractice.
I know this is a old video, but since I've been doing some research on estrogen levels TRT and HCG, it seems that all these study's that everyone is doing about low estrogen levels and mortality rates that all the study's were done on men between 60 and 80! Here's my thoughts, why doesn't the researchers do study's on groups of men ages 30-60, to me that's the ages where men are having low T issues and low or high estrogen issues. Just my Opinion!
Preach it Big Pappa!
mate there is some noise on your mic
I come to the fucking conclusion you try to fix what's going on with your body as you get older like low t you have to worry about being on trt with the side effects of you can't win.
Ed, the side effects (when using a clinic that knows what their doing) are far less dangerous than the side effects of have very low testosterone. There is of course a few potential problems, but when done right, it's a life changer.
estrogen management shouldnt be a thing if you know what your doing and your dosage is proper...no AI should be needed unless your cycling test at high dosages usually 300mg/week and higher. HOWEVER even at 300mg/week if you take it in microdose injections multiple times a week that will lower e2 conversion enough to not need an AI and still feel great.