TRT lump under nipple
I've been on Dr. rescribed TRT for the last couple of years. My dose is 250mg/w test e. My levels are sitting just above mid range on the spectrum. For the last 3 months I've gotten itchy nips and general discomfort in the nipple area. Here's the thing, I do bloodwork every two months to check estrogen and estradiol. At no point has my estrogen gone outside of the normal range on spectrum, so my Dr. refuses to prescribe an A.I.
I now have a nasty little lump under my left nipple. actually, I also have a lump under the right nipple, but the right side one is much smaller and doesn't hurt. The left lump hurts like a bitch when I'm lying in bed and it presses against it. I brought it to my Dr. attention and his first response was to take me off test completely.
I started using ugl arimidex for the last month, but the lump isn't getting smaller or atleast the pain hasn't subsided at all. I realize an a.i. is just an inhibitor and not an anti estrogen. But at such a small dose of test I thought it would help.
What's interesting to me is that I've done two simple cycles in the past (500mg/w test for 12w and test/eq) both ugl gear and never had gyno issues even with minimal a.i. use. And now with a low dose of pharma test I'm getting lumps.
Here are my little dilemma: I have just started a new cycle two weeks ago. Test only 750mg/w. I'm very iffy on this a.i. even though it's from a top source and I realize I gotta hit the letrozole quick.
Can I still stay on the current test cycle while hitting the letro and what would be the best dose and for how long to get rid of the lump(s).
Or is it best to get off this cycle I just started and hit the letro until lump is gone?
Thanks for the advice and help.
P.S. One thing I've learned is to never rely on bloodwork alone! Sometimes you gotta go with how you feel. despite what the bloodwork says, a lump is your bodies way to tell you that something is not right!
It pisses me off how ignorant Drs are on the subject of trt. (sorry, had to vent).
Also, for what it's worth, always take an a.i, when on TRT and YES DO PCT as you transition from blast to TRT cruise.
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ive been on doc hrt/trt and first is this your primary care doc or a specialist, like and endo?
2nd, as u are hinting cant always go by bloodwork. do u have any baseline bloodwork, before u started trt? id imagine u do. what was ur estro then?
what i am thinking, and take this with a grain of salt cause i am NO doc, but sounds like you are estro sensitive and need to be on the lower end. before i started TRT my estro was 6-8 on a range of 3 and i think 70 and my test was around 250-300 on the range of... i forgot exactly but 350-11xx. around there.
if my estro stays over 25 to long, same sides. matter of fact i have a lump under right nip ive had since teens i keep an eye on.
with that being said and the help of this board read around
but first, if your doc is not a specialist, ask for one.
come off the cycle first or you risk getting help. your asking for trouble with possibly estro sides and increasing ur test dose.
and now u know, keep AIs, etc on hand. i like my standard ai (adex or asin), letro for emergencies and nolva as extra insurance as the letro kicks in if i need it.
Gambit, thanks so much for the reply brother. To answer your Q. It's my primary care doc. I did see an endo, but he wanted to take me off the test and put me on clomid for life. I'm currently waiting to see another endo.
We established a baseline for test prior to starting trt, but never one for estrogen or estradiol. But you're right, I'm definitely estro sensitive, despite what the bloodwork says.
I will come off my current cycle. I have arimidex, nolva and clomid on hand. I'm just not sure how to dose them along with the trt to get rid of the lump. And or if i should just letro the sucker and get off trt... only to go back to trt later and run with heavier a.i....
If you want to use Letro;
You will start with .25mg of letrozole, and bump it up by .25mg everyday. You will stop increasing by .25mg, once you get to 2.5mg a day (day ten). You then continue taking 2.5mg everyday until the lumps have shrunk down. This could take several weeks. Once you have shrank the lumps, you will taper down at .25mg a day. At the last dosing of .25mg, you begin taking nolvadex at 20-40mg a day for one week. I suggest you get your estrogen levels checked at the end of week one. Then post the levels here for further advise. Without blood work, you would drop nolvadex to 10-20mg a day for another week.
At this point, you could come off nolva but if your estrogen is still high when you do so the gyno will come back. That is why you need to check your estrogen levels so you know when to drop nolva.
Pez, thank you for your help! That's what I needed to know. fr sent.
It would be a waste of money to run a blast and crash your estrogen with letro.
So with 250mg pharma TRT dose and 750mg UGL test that means you have a gram pr week in you bro?... or am i reading this wrong?... no way are you going to escape aromatisation at that amount.
No, I just upped the dose from 250 to 750mg. Sorry for the misunderstanding. 750mg/w is all.
Please bro never discount 750mg to be a low dose... thats massive in my book and defo needs a close eye and control with a full blown Ai or like in my case just estro control with a masteron/provi combo.
Clearly your condition predicts YOU cannot run test without ancills in place 100% of the time...... being TRT you have no alternative to get this under control real fast or you will be in for a world of pain for the rest of your life.
"Please bro never discount 750mg to be a low dose."
It's amazing how people think 750 mg is a low dose of testosterone. You can cut that dose down to 400 mg, and if you eat correctly, train correctly, and recover correctly, most people would exceed the goals of their wildest imagination. But when I say this very few people believe it. That's my rant.
I don't disagree that it's not high dose. But it is highly individual. Case in point 250mg trt gets me to mid range on the NORMAL side of the spectrum. Now, if you took an 18y/o with raging hormones whose test levels are at the HIGH range of the spectrum and then gave him 250mg that's a totally different scenario.
And then there's knuckle heads
bostin loyd as well as many popular bodybuilders who cruise on 1500mg-2000mg/w just to sustain/keep their gains...
I personally would do everything I could to get my SHBG as low as possible before i up the dosage.
I would cut out morning carbs.
I would use prov.
I would space out my injections to EOD.
Most folks dont know that 250mg of test has the potential to increase protein synthesis by upto 30%.............. if only folks would learn to eat properly and count macros!.. instead of searching for the magic bean and instead realising that i just wrote it down (AGAIN) .
People are blind to my teachings and blunder along forever just believing more gear must be the answer.
I would say 250 mg could increase it even more depending on the individual. I think macros are very important but I also believe in the quality of macros as well. I think if you eat a cheeseburger diet to get your macros it would be totally different outcome than grass fed meats, organic yams, and organic nuts (As an example).
I don't believe it's just about macros. Quality of the macros is also important in my opinion.
I just read it again, noted it the first time. There's still a few that are paying attention.
Viking,thanks for the input. I agree that 750 is not a low dose, merely saying that it wasn't 750+250.
Just wondering, what kind of moderate dose of mast/prov would you run with trt 250mg a week?
Definitely will get this under control. Thanks again for your help.
50mg provi ED and masteron E@ 300mg pr wk.......... that combo works sweet for me bro on TRT cruise or a full blown blast with multi compounds/esters.