I’m looking for some guidance on my current TRT protocol. I’m taking 75 mg of testosterone cypionate twice a week (Monday and Thursday), and the lab values below are from my trough levels before the Monday injection.
For the first three to four weeks at a total of 150 mg/week, I felt incredible—my libido, energy, strength, and motivation all surged. However, around the five-week mark, I started regressing to how I felt prior to starting TRT. Two months in, I had labs done and noticed my estradiol (E2) had jumped to 68 pg/mL. I also began experiencing symptoms like nipple sensitivity, snoring, reduced energy, lower libido, weaker erections, heart palpitations, bloating, and anxiety.
After doing some research, I see a few ways to address elevated E2: reducing my testosterone dosage, using an aromatase inhibitor (AI), losing weight, increasing cardio, or adding something like primobolan. My immediate concern is bringing my E2 immediately down because I’m feeling pretty uncomfortable at my current levels. I feel like shit.
I’m hesitant to lower my testosterone dose, as my trough levels seem to fall within normal limits. Plus, based on the ratios, I don’t believe a modest dose reduction would significantly decrease my E2. Before starting TRT, my E2 was at 20 pg/mL with a total testosterone of 344 ng/dL, so I suspect that if I reduce my dose too much, I might undermine the benefits of TRT.
What do you recommend?
- If I opt for an AI, what dosage would you suggest? Perhaps 0.125 mg?
- How often should I take it—on injection days, twice a week?
I’d love to hear your thoughts and experiences. My lab results are attached for reference.
What would be the best approach? First of all I want to immediately drop the E2 down because I am not a happy camper currentIy at my level. I also don’t know if I want to reduce my testosterone dose since my trough is within very normal limits and I believe when I calculate ratios if I drop it, I won’t drop my E2 too much, reason I say this is because before TRT my E2 was 20pg/ml with 344 total testoerone because my E2 will still be on the higher side just not as high.
What do you guys recommend? If I choose ai, what is the recommended dose? 0.125mg? How often? Twice a week on my injection days?
Would love some advice. Or should I try primo with a 3:1/2: 1ratio of test to primo.
Age: Mid 30s
Height: 6’0
Weight: 200 lbs
Body fat: 20-25% give or take
Also, posting lab results for credit.
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