TRT situation after 5 years

[bigrugger]

Hi guys,

I am 39 years old, 195 pounds, about 20% bodyfat, over did sugars during my 20s.

I've been on TRT for about 5 years, diagnoses being:

Secondary hypogonadism
Insulin resistance/metabolic syndrome/dyslipidemia
Hyperestrogenemia
Hypothyroidism
Depression
Erectile Dysfunction
Mild Peyronies

My doctor is a urologist specializing in "gender reassignment", but also has many TRT patients.

Current TRT regimen (every other evening)
T Cyp 60mg EOD (0.3mL of 200mg/mL), IM
HCG 200iu EOD
Arimidex 0.5mg EOD
Synthroid 150mcg
Cytomel 15mcg
Vitamin D 2000iu daily
Also take Wellbutrin 150mg, Cialis as needed
Animal Pak multi vitamins

Last blood draw was last Monday around noon, 16 hours after last TRT meds.

Results:

Day between shots (16 hours after injections)

TT >1600 ng/dL (300-1600) <==== Too high?
FT 504.8 pg/mL (250.0-300.0) <==== Too high?
E2 44.8 pg/mL (20-56) <==== I think I want half that
SHBG 15.8 nmol/L (13.0-71.0)

Insulin 25.5 uIU/mL (6.0-30.0) <==== I'm really bummed about this
TSH 3rd Gen 0.61 uIU/mL (0.4 - 2.5)
Free T3 4.0 pg/mL (1.5-4.1)
Free T4 1.5 ng/dL (0.8-1.9)
Total T3 128 ng/dL (100.0-178.0)
Total T4 6.3 ug/dL (4.5-12.4)
rT3 199 pg/mL (90-350)

Vit D2 < 2.5 ng/mL
Vit D3 45.7 ng/mL
Vit D Total 45.7 ng/mL (32.0-80.0) <==== Want higher?

Cholesterol 181.0 mg/dL (0.0-200.0)
HDL 36.0 mg/dL (<35.0) <==== I would think I'd want more but the <35.0 range is what they had on the paper

LDL 127.0 mg/dL (0.0-130.0)
Triglycerides 90.0 mg/dL (0.0-175.0)


HOW I FEEL:
1) Moderate energy
2) Recover well after workouts
3) Good morning wood, but not when desired
4) Feel mentally overstimulated, have a hard time focussing on one thing, hard time reading, can't "relax"
5) Low libido

Any suggestions would be most appreciated.

Thank you!

[JanSz]

Hi guys,

I am 39 years old, 195 pounds, about 20% bodyfat, over did sugars during my 20s.

I've been on TRT for about 5 years, diagnoses being:

Secondary hypogonadism
Insulin resistance/metabolic syndrome/dyslipidemia
Hyperestrogenemia
Hypothyroidism
Depression
Erectile Dysfunction
Mild Peyronies

My doctor is a urologist specializing in "gender reassignment", but also has many TRT patients.

Current TRT regimen (every other evening)
T Cyp 60mg EOD (0.3mL of 200mg/mL), IM
HCG 200iu EOD
Arimidex 0.5mg EOD
Synthroid 150mcg
Cytomel 15mcg
Vitamin D 2000iu daily
Also take Wellbutrin 150mg, Cialis as needed
Animal Pak multi vitamins

Last blood draw was last Monday around noon, 16 hours after last TRT meds.

Results:

Day between shots (16 hours after injections)

TT >1600 ng/dL (300-1600) <==== Too high?
FT 504.8 pg/mL (250.0-300.0) <==== Too high?
E2 44.8 pg/mL (20-56) <==== I think I want half that
SHBG 15.8 nmol/L (13.0-71.0)

Insulin 25.5 uIU/mL (6.0-30.0) <==== I'm really bummed about this
TSH 3rd Gen 0.61 uIU/mL (0.4 - 2.5)
Free T3 4.0 pg/mL (1.5-4.1)
Free T4 1.5 ng/dL (0.8-1.9)
Total T3 128 ng/dL (100.0-178.0)
Total T4 6.3 ug/dL (4.5-12.4)
rT3 199 pg/mL (90-350)

Vit D2 < 2.5 ng/mL
Vit D3 45.7 ng/mL
Vit D Total 45.7 ng/mL (32.0-80.0) <==== Want higher?

Cholesterol 181.0 mg/dL (0.0-200.0)
HDL 36.0 mg/dL (<35.0) <==== I would think I'd want more but the <35.0 range is what they had on the paper

LDL 127.0 mg/dL (0.0-130.0)
Triglycerides 90.0 mg/dL (0.0-175.0)


HOW I FEEL:
1) Moderate energy
2) Recover well after workouts
3) Good morning wood, but not when desired
4) Feel mentally overstimulated, have a hard time focussing on one thing, hard time reading, can't "relax"
5) Low libido

Any suggestions would be most appreciated.

Thank you!

Change from T-shot=60mg
to
T-shot=50mg (or even 48mg)
average weekly dose 175mg (168)
expect not only better BAT but also E2 should fall down.

keep
arimidex(pills)=Liquidex(liquid)=Anastrozole(liqui d)
0.5mg/EOD

loose fat as much as you can
fat produces aromatase
aromatase converts T---->aromatase---->E2
-----------------------------------------------------------------------------
Vit D-8000iu/day
-------------------------------------------
Insulin 25.5 uIU/mL (6.0-30.0) <==== I'm really bummed about this

get glucose
better
glucose/insulin 75gram glucose challenge test,
0min
30min
60min
90min
120min
180min

actually, save your self that test, instead
make a list of all high and medium GI carbohydrates that you normally eat.

Make sure that you do not eat that anymore for at least 3 years, then we will revisit this again.
-----------------------------------------------
HDL 36.0 mg/dL

1000mg vit B3
with aspirin 325mg
----------------------------------------------
LDL 127.0 mg/dL (0.0-130.0)

4 tabs/day
Now Foods, DHA-500, 500 DHA / 250 EPA
-----------------------------------------------
Synthroid 150mcg
Cytomel 15mcg
TSH 3rd Gen 0.61 uIU/mL (0.4 - 2.5)
Free T3 4.0 pg/mL (1.5-4.1)
Free T4 1.5 ng/dL (0.8-1.9)
Total T3 128 ng/dL (100.0-178.0)
Total T4 6.3 ug/dL (4.5-12.4)
rT3 199 pg/mL (90-350)
---
#1--you are not providing any adrenal/thyroid vitamin/mineral support information

you are not providing any adrenal information

You are already using thyroid hormones
"Feel mentally overstimulated"
may have to do with inadequate adrenals or their support.

So get and collect info in that area.

Do you have info on thyroid antibodies?

get Lugol's solution
2-3 dropperfulls/week

Swich thyroid hormones doses to

T4-100mcg
T3-50mcg

////////////////////////////////////////////

Very important.
Check your iron status.

12 --------- Iron and Iron Binding Capacity (7573X) - (356N)
13 --------- Iron, Total (571X) - (24984P)
14 --------- Ferritin (457X) - (22764P)
15 --------- Transferrin (891X) - (30346P)
16 --------- Folate, RBC & Hematocrit - (1768N)
17 --------- Hemoglobin A1c (496X) - (45484P)
18 --------- Hemoglobin, Plasma (514X) - (7211P)


..............................

If you are able to arrange other tests, ask for list.

-------------------------------------------------

[anyman]

Jan-you said:

"make a list of all high and medium GI carbohydrates that you normally eat. Make sure that you do not eat that anymore for at least 3 years, then we will revisit this again."

3 years?? Really? That seems, um, rather long.....

[JanSz]

Jan-you said:

"make a list of all high and medium GI carbohydrates that you normally eat. Make sure that you do not eat that anymore for at least 3 years, then we will revisit this again."

3 years?? Really? That seems, um, rather long.....

long in reference to what?

look at his insulin levels

trying to prolong his time to first amputation
Insulin 25.5 uIU/mL (6.0-30.0)
..

[bigrugger]

Change from T-shot=60mg
to
T-shot=50mg (or even 48mg)
average weekly dose 175mg (168)
expect not only better BAT but also E2 should fall down.

keep
arimidex(pills)=Liquidex(liquid)=Anastrozole(liqui d)
0.5mg/EOD

loose fat as much as you can
fat produces aromatase
aromatase converts T---->aromatase---->E2
-----------------------------------------------------------------------------
Vit D-8000iu/day
-------------------------------------------
Insulin 25.5 uIU/mL (6.0-30.0) <==== I'm really bummed about this

get glucose
better
glucose/insulin 75gram glucose challenge test,
0min
30min
60min
90min
120min
180min

actually, save your self that test, instead
make a list of all high and medium GI carbohydrates that you normally eat.

Make sure that you do not eat that anymore for at least 3 years, then we will revisit this again.
-----------------------------------------------
HDL 36.0 mg/dL

1000mg vit B3
with aspirin 325mg
----------------------------------------------
LDL 127.0 mg/dL (0.0-130.0)

4 tabs/day
Now Foods, DHA-500, 500 DHA / 250 EPA
-----------------------------------------------
Synthroid 150mcg
Cytomel 15mcg
TSH 3rd Gen 0.61 uIU/mL (0.4 - 2.5)
Free T3 4.0 pg/mL (1.5-4.1)
Free T4 1.5 ng/dL (0.8-1.9)
Total T3 128 ng/dL (100.0-178.0)
Total T4 6.3 ug/dL (4.5-12.4)
rT3 199 pg/mL (90-350)
---
#1--you are not providing any adrenal/thyroid vitamin/mineral support information

you are not providing any adrenal information

You are already using thyroid hormones
"Feel mentally overstimulated"
may have to do with inadequate adrenals or their support.

So get and collect info in that area.

Do you have info on thyroid antibodies?

get Lugol's solution
2-3 dropperfulls/week

Swich thyroid hormones doses to

T4-100mcg
T3-50mcg

////////////////////////////////////////////

Very important.
Check your iron status.

12 --------- Iron and Iron Binding Capacity (7573X) - (356N)
13 --------- Iron, Total (571X) - (24984P)
14 --------- Ferritin (457X) - (22764P)
15 --------- Transferrin (891X) - (30346P)
16 --------- Folate, RBC & Hematocrit - (1768N)
17 --------- Hemoglobin A1c (496X) - (45484P)
18 --------- Hemoglobin, Plasma (514X) - (7211P)


..............................

If you are able to arrange other tests, ask for list.

-------------------------------------------------

Jan,

Thank you for the response and suggestions.

I posted all the tests I have. Nothing else was measured at the time.

I've been needing to get back to exercise and better diet. These days with long work days and very sick in-laws, I can lift weights on Saturday, Sunday and Monday evenings, and need to make time for cardio on other days.

Good point about the list of foods to avoid:
beer
pizza
cookies (especially those Girl Scouts cookies, dammit!)
M&Ms in those "trail mixes"
non-plain yogurt
Clif Bars
Sugary cereals (Kirkland brand at Costco)
The occasional oatmeal with honey
Very occasional pie and ice cream when eating out

Your suggestion that I avoid the above for three years is a good one. Considering I spent well over 30 years indulging, I actually accept your challenge.

What about oats only right after a workout?

I already avoid bread and wheat for the most part because all that stuff gives me heartburn. Lost 40 pounds just by making that diet change. However, the other items are more difficult to give up.

I used to drink probably 32-48 ounces of sugared sodas a day until I was about 30. Now I have one diet soda a day, and now have tea and coffee (sometimes with an artificially sweetened flavoring).

Will definitely increase the Vitamin D. My doctor agreed with you there.

My fasting glucose is always in the mid 90s.

For niacin, I'm taking 500mg time-release niacin in the morning. So you're suggesting I double that. Ok.

Thanks again.

[JanSz]

Jan,

Thank you for the response and suggestions.

I posted all the tests I have. Nothing else was measured at the time.

I've been needing to get back to exercise and better diet. These days with long work days and very sick in-laws, I can lift weights on Saturday, Sunday and Monday evenings, and need to make time for cardio on other days.

Good point about the list of foods to avoid:
beer
pizza
cookies (especially those Girl Scouts cookies, dammit!)
M&Ms in those "trail mixes"
non-plain yogurt
Clif Bars
Sugary cereals (Kirkland brand at Costco)
The occasional oatmeal with honey
Very occasional pie and ice cream when eating out

Your suggestion that I avoid the above for three years is a good one. Considering I spent well over 30 years indulging, I actually accept your challenge.

What about oats only right after a workout?

I already avoid bread and wheat for the most part because all that stuff gives me heartburn. Lost 40 pounds just by making that diet change. However, the other items are more difficult to give up.

I used to drink probably 32-48 ounces of sugared sodas a day until I was about 30. Now I have one diet soda a day, and now have tea and coffee (sometimes with an artificially sweetened flavoring).

Will definitely increase the Vitamin D. My doctor agreed with you there.

My fasting glucose is always in the mid 90s.

For niacin, I'm taking 500mg time-release niacin in the morning. So you're suggesting I double that. Ok.

Thanks again.

Drop time release Niacin, go for real thing.

Change to 2000mg/day with aspirin.

............

Dropping a beer would be a heartless,
but drop everything else.

we may discuss that again after you waist=33"
...

[bigrugger]

Drop time release Niacin, go for real thing.

Change to 2000mg/day with aspirin.

............

Dropping a beer would be a heartless,
but drop everything else.

we may discuss that again after you waist=33"
...

Got it. Beer good, the rest is bad :-)

Get to 33" and keep it there for 3 years. Sounds like a plan.

[Bulldog]

Got it. Beer good, the rest is bad :-)

Get to 33" and keep it there for 3 years. Sounds like a plan.

Just make sure it's a micro-brew! :cheers2:

[GirlyMan]

Dropping a beer would be a heartless,
but drop everything else.

Got it. Beer good, the rest is bad :-)

Just make sure it's a micro-brew! :cheers2:
Beer really spikes my sugars. A couple of good micro-brews (I really used to like Dogfish Head and Bell's, but I can't get Bell's this far east anyways) will put may sugars over 200mg/dl an hour later. MGD 64 doesn't spike my sugars at all. But that's 'cause it's not beer, it's piss-water. Wine doesn't have much of an effect on my sugars and booze actually lowers them.

Good point about the list of foods to avoid:
...
pizza
...

I quit pizza for 3 years until I learned I could make my own low-GI version using anyone of the low-GI wraps, flat breads, or burritos out there for the crust. The trick is to preheat the crust @350F for 7-10 minutes before applying the sauce, cheese, and toppings. Then cook @350F for another 20 minutes or so until the cheese melts. Anchovy pizza is now one of my staples.

[bigrugger]

I quit pizza for 3 years until I learned I could make my own low-GI version using anyone of the low-GI wraps, flat breads, or burritos out there for the crust. The trick is to preheat the crust @350F for 7-10 minutes before applying the sauce, cheese, and toppings. Then cook @350F for another 20 minutes or so until the cheese melts. Anchovy pizza is now one of my staples.


Ooohh. Low GI pizza. Hmm.....gonna have to try that.

You're right about MGD Light. There's a reason the Brit's call that stuff "pissed".

[PPC]

To me, the best low GI pizza is one made with a cauliflower crust. I know that sounds awful but my husband and brother did not believe me it was made with cauliflower when I first fed it to them. It's fantastic with any topping. There's a huge thread on it over at lowcarbfriends.com. I like Joseph's low carb pitas for a crust if I'm in a hurry and don't feel like prepping food.



Ooohh. Low GI pizza. Hmm.....gonna have to try that.

You're right about MGD Light. There's a reason the Brit's call that stuff "pissed".

[GirlyMan]

To me, the best low GI pizza is one made with a cauliflower crust.
Now that is something I'm interested in learning how to do so I can try myself. Don't make me google it. Please describe it here. In a new thread I guess, or not, I'm not good with knowing the splits and such.

[chilln]

Hi guys,

I am 39 years old, 195 pounds, about 20% bodyfat, over did sugars during my 20s.

I've been on TRT for about 5 years, diagnoses being:

Secondary hypogonadism
Insulin resistance/metabolic syndrome/dyslipidemia
Hyperestrogenemia
Hypothyroidism
Depression
Erectile Dysfunction
Mild Peyronies

My doctor is a urologist specializing in "gender reassignment", but also has many TRT patients.

Current TRT regimen (every other evening)
T Cyp 60mg EOD (0.3mL of 200mg/mL), IM
HCG 200iu EOD
Arimidex 0.5mg EOD
Synthroid 150mcg
Cytomel 15mcg
Vitamin D 2000iu daily
Also take Wellbutrin 150mg, Cialis as needed
Animal Pak multi vitamins

Last blood draw was last Monday around noon, 16 hours after last TRT meds.

Results:

Day between shots (16 hours after injections)

TT >1600 ng/dL (300-1600) <==== Too high?
FT 504.8 pg/mL (250.0-300.0) <==== Too high?
E2 44.8 pg/mL (20-56) <==== I think I want half that
SHBG 15.8 nmol/L (13.0-71.0)

Insulin 25.5 uIU/mL (6.0-30.0) <==== I'm really bummed about this
TSH 3rd Gen 0.61 uIU/mL (0.4 - 2.5)
Free T3 4.0 pg/mL (1.5-4.1)
Free T4 1.5 ng/dL (0.8-1.9)
Total T3 128 ng/dL (100.0-178.0)
Total T4 6.3 ug/dL (4.5-12.4)
rT3 199 pg/mL (90-350)

Vit D2 < 2.5 ng/mL
Vit D3 45.7 ng/mL
Vit D Total 45.7 ng/mL (32.0-80.0) <==== Want higher?

Cholesterol 181.0 mg/dL (0.0-200.0)
HDL 36.0 mg/dL (<35.0) <==== I would think I'd want more but the <35.0 range is what they had on the paper

LDL 127.0 mg/dL (0.0-130.0)
Triglycerides 90.0 mg/dL (0.0-175.0)


HOW I FEEL:
1) Moderate energy
2) Recover well after workouts
3) Good morning wood, but not when desired
4) Feel mentally overstimulated, have a hard time focussing on one thing, hard time reading, can't "relax"
5) Low libido

Any suggestions would be most appreciated.

Thank you!

Your very high bioavailable T levels are causing your body to dump a lot of that into E2 (hence your high arimidex dose) and DHT, as well as lower your SHBG to the floor, to force the liver to metabolize the excess T as fast as possible.

Your inability to get wood on demand is most likely because your dosage of arimidex is not perfect.

It's very very difficult to balance T against E2 using arimidex, when T levels are so high, because the hormone feedback loops are not very stable when T levels are so high.

One way to optimize arimidex dosage is to get your arimidex compounded into smaller doses, and take several smaller and more accurately prepared doses, as discussed here:

http://musclechatroom.com/forum/showpost.php?p=59066&postcount=31

When T levels are so high, even this method is unreliable.

###

However, a more efficient method, and more optimal in terms of long term health, to optimize T and E2 balance, when T levels are initially so high, is to reduce your bioavailable T levels by reducing your total T levels, which reduces the rate at which your body produces E2, and when this occurs, your body also stabilizes the rate at which it dumps T into E2.

You may still need to switch to compounded arimidex, but your dosage will deliver a more reliable result, because the hormone feedback loops are mote stable at the lower levels of T.

###

The most efficient method, and most optimal in terms of long term health, is to optimize growth hormone.

Both T and GH trigger most of the same repairs, the overlap is not 100%. The benefit of boosting GH is that GH triggers most of the same repairs as T, but doesn't result in the unwanted E2.

By balancing the boost in both T and GH, you should be able to completely avoid arimidex. No guarantees, but it is highly likely.

.

[bigrugger]

Your very high bioavailable T levels are causing your body to dump a lot of that into E2 (hence your high arimidex dose) and DHT, as well as lower your SHBG to the floor, to force the liver to metabolize the excess T as fast as possible.

Your inability to get wood on demand is most likely because your dosage of arimidex is not perfect.

It's very very difficult to balance T against E2 using arimidex, when T levels are so high, because the hormone feedback loops are not very stable when T levels are so high.

One way to optimize arimidex dosage is to get your arimidex compounded into smaller doses, and take several smaller and more accurately prepared doses, as discussed here:

http://musclechatroom.com/forum/showpost.php?p=59066&postcount=31

When T levels are so high, even this method is unreliable.

###

However, a more efficient method, and more optimal in terms of long term health, to optimize T and E2 balance, when T levels are initially so high, is to reduce your bioavailable T levels by reducing your total T levels, which reduces the rate at which your body produces E2, and when this occurs, your body also stabilizes the rate at which it dumps T into E2.

You may still need to switch to compounded arimidex, but your dosage will deliver a more reliable result, because the hormone feedback loops are mote stable at the lower levels of T.

###

The most efficient method, and most optimal in terms of long term health, is to optimize growth hormone.

Both T and GH trigger most of the same repairs, the overlap is not 100%. The benefit of boosting GH is that GH triggers most of the same repairs as T, but doesn't result in the unwanted E2.

By balancing the boost in both T and GH, you should be able to completely avoid arimidex. No guarantees, but it is highly likely.

.

Thanks Chillin'. What you wrote makes sense. "More is not better", so to speak.

I have asked my doctor about GH in the past, and he said he had no experience with it.

I think I'll start with learning how to boost GH naturally, or are you suggesting medical GH therapy?

[chilln]

Thanks Chillin'. What you wrote makes sense. "More is not better", so to speak.

I have asked my doctor about GH in the past, and he said he had no experience with it.

I think I'll start with learning how to boost GH naturally, or are you suggesting medical GH therapy?


I'm only referring to either:

a) peptide GH boosters such as GHRP-6, usually in combination with enhancers, such as those discussed in official GHRP thread, ie:

http://musclechatroom.com/forum/showthread.php?t=2456

or

b) recombinant GH,

...but the rest don't work with any significant impact.

.

[bigrugger]

I'm only referring to either:

a) peptide GH boosters such as GHRP-6, usually in combination with enhancers, such as those discussed in official GHRP thread, ie:

http://musclechatroom.com/forum/showthread.php?t=2456

or

b) recombinant GH,

...but the rest don't work with any significant impact.

.

Thanks chillin. Looks like I have some reading to do. That's a long thread.

Perhaps I'll need to go see Dr. Crisler too.

[bigrugger]

Bump for question to JanSz and anyone else with experience with Spectracell testing.

Do you think it would be good for me to get the Spectracell 5000 test? Perhaps an overage or underage of vitamins and minerals is part of my issue?

It looks like Minnesota has one lab that works with them, and fortunately, it's only 1.5 hours from me :-)

What do you think?

By the way, I think you were right about the Synthroid reduction.

My doctor wanted me to increase Synthroid from 150mcg to 200mcg. I humored him, and that was a very unpleasant few days. So I'm holding at 150mcg.

You suggested Cytomel should be 50mcg?! I was only taking 15mcg (3 pills), and there's no way I can take 10 of those a day if my doctor won't prescribe that much.

Finally, intuitively at least, I think you're right about the overall T. I am keeping arimidex at 0.5mg every other day, and gradually tapering down the T until I find the ideal spot.

Finally, I've started the "Anabolic Diet" getting carbs from V8, celery and spinach (gotta have some alkalinity). My morning fasted glucose levels have gone down from 105 to 86 this morning! It's been one week. :-)

Djiekuje! Thank you!

[chilln]

Finally, intuitively at least, I think you're right about the overall T. I am keeping arimidex at 0.5mg every other day, and gradually tapering down the T until I find the ideal spot.


Perhaps start with less arimidex than 0.5mg EOD. Perhaps start with 0.25mg EOD. Most people on 0.5mg EOD discover their E2 goes too low (admittedly not all, but most discover this).




Finally, I've started the "Anabolic Diet" getting carbs from V8, celery and spinach (gotta have some alkalinity). My morning fasted glucose levels have gone down from 105 to 86 this morning! It's been one week. :-)


:thumbup1:

.

[JanSz]

Bump for question to JanSz and anyone else with experience with Spectracell testing.

Do you think it would be good for me to get the Spectracell 5000 test? Perhaps an overage or underage of vitamins and minerals is part of my issue?

It looks like Minnesota has one lab that works with them, and fortunately, it's only 1.5 hours from me :-)

What do you think?

By the way, I think you were right about the Synthroid reduction.

My doctor wanted me to increase Synthroid from 150mcg to 200mcg. I humored him, and that was a very unpleasant few days. So I'm holding at 150mcg.

You suggested Cytomel should be 50mcg?! I was only taking 15mcg (3 pills), and there's no way I can take 10 of those a day if my doctor won't prescribe that much.

Finally, intuitively at least, I think you're right about the overall T. I am keeping arimidex at 0.5mg every other day, and gradually tapering down the T until I find the ideal spot.

Finally, I've started the "Anabolic Diet" getting carbs from V8, celery and spinach (gotta have some alkalinity). My morning fasted glucose levels have gone down from 105 to 86 this morning! It's been one week. :-)

Djiekuje! Thank you!

Dzieńkuje! Thank you!
Proszę bardzo! You are welcome!

Re-read my post #2, try to comply with it as best as you can.

Spectracell-5000
is always good thing, plus fatty Acid Analysis.

Just make sure that you get complete testing for Spectracell.

It have to be
all micronutrients
all lipids
all reports

You may want to vist Bryce720's thread.

He got little bit shortchanged on his Spectracell, so, you, be careful.

//

[bigrugger]

Perhaps start with less arimidex than 0.5mg EOD. Perhaps start with 0.25mg EOD. Most people on 0.5mg EOD discover their E2 goes too low (admittedly not all, but most discover this).

:thumbup1:

.

Thanks for the suggestion chilln. So if I already know my E2 was high, I'm not sure I understand why I'd cut the Arimidex in half at this point. Are you saying that because I'm going to be injecting less T, it's safe to cut the Arimidex down too?

[chilln]

Are you saying that because I'm going to be injecting less T, it's safe to cut the Arimidex down too?


While there's no guarantees, this is the most likely scenario.

Even if you and your medical professional adviser don't opt for this immediately, it's good to know the potential outcomes, because you can watch for the symptoms, and then you're more likely to associate a symptom with a specific hormone.

The most important thing we can all learn in hormone modulation therapy, is how to associate our symptoms with specific hormones.

By knowing how some hormones normally respond to changes in the levels of other hormones (their normal feedback loops) we are able to more quickly get tuned, and then start enjoying the benefits of being tuned.

.