Exgearslinger's picture
Exgearslinger
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Does TRT level testosterone require AI?

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Does TRT level testosterone require AI? I'm sure people will say it varies from person to person. Has anyone had high estro on blood work while on TRT dosing? I mean real TRT. 100-200mgs a week testostereone dosage.

A50's picture

I found even on a 100mg per wk TRT doctor prescribed that I still needed and anti-estrogen.

Exgearslinger's picture

Thank you for your input.

jasm87's picture

TRT is for life usually, and is supposed to help increase the mans quality of life. This can't be achieved if E2 is within supraphysiological ranges. Lipids problems may increase depending on ai dosage and the amount of time but generally speaking, E2 levels should remain lower than testosterone if you are in TRT as you wont feel any of the benefits and E2 can cause a host of health problems, like hypertension and LDL increases, not just gyno. Some individuals may not be fine on 200mg and get estrogenic issues but some may be fine.

We are all genetically different, some may not want to use an ai as they do not require them, whereas someone else may wish to due to a higher rate of aromatisation. Its up to the person but it should be discussed with the doc if your getting trt from them, they might even prescribe an ai for you.

Exgearslinger's picture

To me trt is self prescribed. The product is gotten from one of the top sources on eroids. The way I look at it if your over 40, trainiing, and juicing why bother with pct. Eat a bunch of pills to get to an inadequate level of natural test. So for me trt is the bridge to clean out the receptors and body but not loose the gains from the previous cycle. I did end up taking arimadex even on the low dose of test during the bridge time. Thank you for your input.

jasm87's picture

Ok brother, I understand where you are coming from and I agree that pct is not needed if there is no intention of stopping test at trt as It makes little sense. Well as long as you've an ai on hand anyway, you'll curb the e2 if necessary. One thing I would suggest but I imagine you already know this, get bloods done during the trt 'bridges' you might take just to make sure everythings all good - on that note I wish you well mate.

Exgearslinger's picture

I will do that. Thank you.

justaguy's picture

Simply put I did/do require it. After 1 month of pellet TRT, I had labs done, I felt like crap, no desire for sex, could perform but I had artificial help, tadafil. Labs showed estradiol at 87, talked to Dr about AI, began adex at .5mg E3d last lab now at 24

Exgearslinger's picture

I must say I have to agree with you. I'm now doing .5 arimadex eod. Seems to be working ok.

Exgearslinger's picture

Thank you very much for that detailed answer. With that I will continue to take my .5 mg eod of arimadex. Plus 1 from me.

klon's picture

Your hormone dose is related to the clinical picture and your symptoms. An uninformed physician will treat your lab data rather than you. Keep in mind that the lab's reference range for a particular test is nothing more than the 95% confidence interval of that lab's population base. Since men in optimal health are not the majority of patients getting lab work, the ref range will be skewed toward those that are ill or have a suspected illness.

In most cases, your labs are drawn immediately before the next injection so that a trough level can be determined. Men typically experience symptoms of testosterone deficiency not excess.

Keep in mind that Total Test levels below 550 ng/dL are associated with increased heart disease, stroke, diabetes and premature death.

The guys that will have problems with excess aromatase activity are easy to spot before treatment by evaluating their silhouette and behavior. Female fat deposits, gyno, emotional instability etc generally require an AI. On the other hand, the thin, bald guys may not. Again it's the clinical picture that provides the most information. Labs just confirm.

There are several things you can do to slow the conversion to estradiol if you are susceptible:
Limit/eliminate alcohol, caffeine and other stimulants;
Wear loose underwear and pants;
Treat scrotal varicocele.

Good Luck

Exgearslinger's picture

Man that was very informative. Thank you very much.

klon's picture

Thanks bro.

Exgearslinger's picture

Thanks for all the input and info. I guess there is no way around the damn blood tests. I hate the blood test. When someone invents the in home estro test like the pregnancy tests they will be rich!

jpal's picture

everybody is dif but i would get bloods done after running a trt dose for a a month or two and see where your estro is and go from there

daveman242's picture

when you say test should be 800-1000. when do you run test if pin every 7 days? in the middle of the week or right before pin?