E2 in Range But Joints and Tendons FUBAR

adrenalytic

Member
I'll start by saying I'm in cycle transition. Meaning I have discontinued the main compound I was running (DHB) but only 2 days ago so I'll be dealing with it for a few more weeks. I've also added microdose of tren E at 50mg/week which I just started so no saturation yet.

So full cycle looks like this:

210 mg Test E
400 mg DHB
50mg Tren E
25 mg Anavar PWO only.

Been running everything but the tren for 12 weeks.

It's been a great cycle but I'm ready to end it. Blood work looks great but I'm just exhausted and enflamed. Need a chill.

Anyway, to the point. My E2 is 22.7 pg/mL which is in normal range but I've very recently started getting elbow and stabilizer muscle pain on heavy benches. Don't really feel it on like 225 but when I push up to 315 I have to quit not because I'm tired but because the elbows joints, biceps and triceps start burning. Maybe burning isn't the best word. More like electrified. Like an irritating current that I only feel on the eccentric part of the lift. Anyway, I can't get to failure without being in unnecessary discomfort.

Could this be too low E2 for the amount of weight I'm pressing? Or does it sound like something else? I have some DHEA, preg and HCG on hand but don't wanna start popping shit willy nilly. I've also increased my test to 300 but that's gonna take a few more weeks to saturate. Would like to hear yalls feedback. Appreciate you.
 
What you’re describing is almost exactly what I went through when my E2 was “normal” on bloodwork but functionally too low for the compounds I was running. It wasn’t the number on paper, it was how my body was responding under load. Does it feel neuro? Like deep in the tissue, minor weakness feeling. Maybe even achy?

The burning/electrical feeling in the elbows, biceps, tris on the eccentric… that’s classic drybcompound, low-functional-E2 stuff. DHB is dry, and even a microdose of tren shifts the balance way harder than people expect. On paper your E2 looks fine, but for the stack you’re on, 22 pg/mL will feel way too low for heavy 300+ bench presses. Neuro electric?

Light weight feels normal, heavy sets feel like the tendons and stabilizers are pissed off? That’s exactly how mine reacted. It’s not fatigue, it’s not muscle failure, it’s that irritated connective tissue feedback that only shows up on the heavier reps.

It’s basically the same phenomenon guys get with EQ when their E2 looks okay but isn’t “functional” enough for the stress they’re putting through the joints. DHB, low end E2, even a little tren will equal dry, irritated stabilizers.

The good news is it’s not some mystery injury. Once the dry compounds taper out or estrogen comes up a bit relative to the androgens, the joints calm down fast. Mine disappeared almost overnight once the ratio shifted. I tested this by feeling great for 2 weeks then hit myself with the loaded cycle once again. It came back almost immediately.

Not telling you to take anything, just saying the symptoms line up perfectly with the androgen to E2 balance being off for the amount of weight you’re pressing. A little time and adjusting the ratio usually fixes it.

I'm a firm believer as androgens increase E should reasonably replicate, obviously absent negative E sides. Everyone has a threshold if that makes sense.

Fckd up beyond all recognition. Rah
 
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No problem dude, this is how we learn. In ignorance I dragged mine out via ego and attempted the push through mentality. Eventually I lost.

It gets worse before it gets worse... So jump to fixing it rapidly and feel better.

I lost motivation at one point to even lift. Seemed like it tracked through my whole body as time went on.

Transpired into a fatigue feeling and achy all the time. I won't get into how long I pushed it as it will seem ignorant.

I dropped the compounds I determined responsible and upped those with rapid aromatization. I felt better instantly.

Def boost your E2. Strangely enough I'm finding a higher E ratio is beneficial depending the cycle.
 
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No problem dude, this is how we learn. In ignorance I dragged mine out via ego and attempted the push through mentality. Eventually I lost.

It gets worse before it gets worse... So jump to fixing it rapidly and feel better.

I lost motivation at one point to even lift. Seemed like it tracked through my whole body as time went on.

Transpired into a fatigue feeling and achy all the time. I won't get into how long I pushed it as it will seem ignorant.

I dropped the compounds I prescribed responsible and upped those with rapid aromatization. I felt better instantly.
Ya Imma reconstitute the HCG tonight so I can pin it tomorrow which is also my next test shot and I might throw in 25mg DHEA just to kickstart it. Def learned something here.
 
This is a great threat to come across.

I've been dealing with left shoulder and right bicep pain in the tendons/connective tissue. Recently had blood work done and on 200mg Tren E a week in addition to compounds my E2 was <30 on labs. On 1200mg Test, I know I need that way higher. Looks like I need to up the HCG for a week or 2 and drop the AI dosage frequency to see if the pain subsides a bit on my heavier lifts. The shoulder pain is manageable but annoying, and the bicep pain is essentially unbearable if I don't do multiple light warm up sets.

Already on BPC-157/TB-500 stack and have been for the last 8 or so weeks.
 
Late to the party but you didn't mention (unless i missed it) what e2 test have you done, simple or ultrasensitive? If it's simple, that tren even if it's small amount, can show false positive on simple test and actually your e2 might be lower. Although, on me personally anything less than 35 on simple test and my joints and well being are terrible. 45-55 and i'm golden.
 
Late to the party but you didn't mention (unless i missed it) what e2 test have you done, simple or ultrasensitive? If it's simple, that tren even if it's small amount, can show false positive on simple test and actually your e2 might be lower. Although, on me personally anything less than 35 on simple test and my joints and well being are terrible. 45-55 and i'm golden.
Exactly - this wasn't an ultra sensitive (test before this was) so realistically my e2 is even lower. I had a bit of a gyno flare up in one nipple about a month ago and likely overcompensated a bit.

I've heard the ratio of test:E2 should be around 30:1 and that is definitely not my case right now. Surprised I don't have more sides other than achey joints tbh.
 
e2 can be normal via blood serum levels the question would be what’s going on with the tissue serum levels I think it happens to all of us even when I dial in my e2 with AI and on paper everything seems perfect oh boy I feel like a broken cracker same goes when I use masteron or any other DHTs whatever is happening in the tissue regarding e2 is effecting us so yeah paper numbers mean nothing when you combine more than 1 anabolic in the stack that can effect e2.
 
If your joints hurt now, what's going to happen when you go back to TRT dose and keep lifting heavy?

My cruise dose is higher than the cycle dose lol so doing pretty good now. Dropped DHB and been running HCG 250 IU 3xweek and 300 test and 100mg tren E. Running bloods again in about 4 weeks but so far no more pains as described above.
 
Ratios are just bs. They always end up messing you. Find your sweet spot and try to keep it there regardless of your total test levels. A 30 e2 feels the same shit to me whether I’m on 200mg test or 750mg.
It's interesting your perspective, but have you ventured to test this theory? Maybe it's not functionally noticeable to your conscious, but I can assure you that your performance overall will drastically increase with E being equivalent to androgen load absent any negative side effects.

Estradiol’s job is to modulate testosterone.
It undoubtedly protects joints, regulates nitric oxide, balances your dopamine, controls lipid metabolism, and overall prevents connective tissue injury. One of the first noticeable failures is lack of sufficient "muscle pump", you can supplement all you want, but can't achieve the full tight feeling. Couple this with joint conditions, and your almost guaranteeing your E load is deficient to androgens.

But it does this in response to how much androgen is present. If testosterone doubles and estradiol does not, the body is now functionally estrogen deficient, even if the lab number is “normal.” so maintaining a consistent number is not advantageous if your androgen load is astronomical. You may escape this and never notice consciously but your also not operating at an optimal achievable level.

This is why guys on Tren crash their joints, DHT compounds feel dry, and too much AI will make you feel brittle and depressed.

E2 isn’t low, it’s low relative to androgen load.
 
It's interesting your perspective, but have you ventured to test this theory? Maybe it's not functionally noticeable to your conscious, but I can assure you that your performance overall will drastically increase with E being equivalent to androgen load absent any negative side effects.

Estradiol’s job is to modulate testosterone.
It undoubtedly protects joints, regulates nitric oxide, balances your dopamine, controls lipid metabolism, and overall prevents connective tissue injury. One of the first noticeable failures is lack of sufficient "muscle pump", you can supplement all you want, but can't achieve the full tight feeling. Couple this with joint conditions, and your almost guaranteeing your E load is deficient to androgens.

But it does this in response to how much androgen is present. If testosterone doubles and estradiol does not, the body is now functionally estrogen deficient, even if the lab number is “normal.” so maintaining a consistent number is not advantageous if your androgen load is astronomical. You may escape this and never notice consciously but your also not operating at an optimal achievable level.

This is why guys on Tren crash their joints, DHT compounds feel dry, and too much AI will make you feel brittle and depressed.

E2 isn’t low, it’s low relative to androgen load.

Great explanation. So do you agree with the 30:1 test to e2 ratio stated above?
 
Great explanation. So do you agree with the 30:1 test to e2 ratio stated above?
That’s a hard one to actually speak on, as we are all different, and I’ll give some examples. There is no single magic testosterone to estradiol ratio that works across doses and individuals. 30:1 in many cases will leave most deficient. But there is a physiologic relationship that has been measured in real men. For instance, and this will be a TRT equivalent way of understanding it, because once each of us pushes the super physiological button, we won’t necessarily respond the same.

Example…
Test: 500 to 700 ng/dL
E: 20 to 40 pg/mL
That gives a rough ratio of 15 to 25 ng/dL of testosterone per 1 pg/mL of estradiol.
That’s the operating window the male body evolved to function in, confirmed by numerous labs across the board as a generally acceptable ratio.

I think we have all seen that and will mostly agree. So what happens when we do push the super button and have, say, 3,000 ng/dL testosterone. If you hold E2 at 30 (middle ground), the ratio becomes 100:1. That is severe estrogen deficiency in relation to androgen load. To stay in physiologic balance, 3,000 / 20 = 150 pg/mL estradiol. Now we will all look at that and freak, and rightfully so. Actually, it sounds insane, but it is exactly what your biology expects in theory. I'll take some heat for that I'm sure.

A working target, if I’m taking myself into account, would be 15 to 25 ng/dL testosterone per 1 pg/mL estradiol. That’s not exact, but it’s the zone where I notice pumps are crazy, joints feel fantastic, mood is stable, my libido rockets, as well as lipids and BP all behave and work together. You don’t want to block estrogen in a high androgen system, you want to balance it.

Now side effects, and those will be individual but may set the tone for how far you push your body individually.

But gyno, for example, requires three things simultaneously, estrogen, progesterone or prolactin, and breast receptor sensitivity. That is going to be individual as well, and moderating it is also going to be individual in my opinion. I use to take tamox just in case, and while it targets the breast tissue more specifically, it still takes estrogen from everywhere else.

This is where DHT compounds add the antagonism to breast tissue and should be a staple in all cycles, however, once again, side effects, for many, hair loss. DHT reduces how many estrogen receptors exist in breast tissue.

Basically, I’m saying all this as a personal opinion and venture into looking at how I’ve responded in various cycles. I love EQ, but at minimum have to run it 4:1 with Test. It took me consciously evaluating what was going on to realize once EQ got to serum levels, I would have diminishing muscle pump and joints became inflamed. As of my recent run with EQ, I incorporated E/cyp at 2 to 4 mg weekly. Man, I was blown away. Within a few days I was back at it as strong as ever. With that also frequency of injections. It gets tedious at times and I'm guilty as well, but daily injections despite the compound will prove more beneficial.

The body wants homeostasis, and if you provide that, it will accommodate what we're all trying to accomplish (looking good naked). Haha

I hope that helps explain a bit better, and sorry for the long read.

Edit: I wanted to elaborate on E/cyp. I don't think the average Joe on this board should be messing with it. It tastes clear understanding that your injecting it directly, there is no aromatization, and ancillaries won't control if it's overdone. Labs are essential, and dosing should be bare minimal to accomplish the desired effects. For those more advanced, I think it will be the future to running different cycles arrangements. Low T and heavy EQ, low T and heavy Primo for instance. All the desired benefits of the secondary compounds without the distraction of heavy T dose negatives.
 
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It's interesting your perspective, but have you ventured to test this theory? Maybe it's not functionally noticeable to your conscious, but I can assure you that your performance overall will drastically increase with E being equivalent to androgen load absent any negative side effects.

Estradiol’s job is to modulate testosterone.
It undoubtedly protects joints, regulates nitric oxide, balances your dopamine, controls lipid metabolism, and overall prevents connective tissue injury. One of the first noticeable failures is lack of sufficient "muscle pump", you can supplement all you want, but can't achieve the full tight feeling. Couple this with joint conditions, and your almost guaranteeing your E load is deficient to androgens.

But it does this in response to how much androgen is present. If testosterone doubles and estradiol does not, the body is now functionally estrogen deficient, even if the lab number is “normal.” so maintaining a consistent number is not advantageous if your androgen load is astronomical. You may escape this and never notice consciously but your also not operating at an optimal achievable level.

This is why guys on Tren crash their joints, DHT compounds feel dry, and too much AI will make you feel brittle and depressed.

E2 isn’t low, it’s low relative to androgen load.

First things first, i'm in Europe and basically besides USA and a few other countries doing a lcms test is not doable, so when we use 2-3-4 different compounds we can't be 100% accurate to what the simple test says. Yes, tren is the most known that skews the results but who knows exactly what happens with nandrolone, EQ etc.

I don't think e2 is doing much per anabolism simply because there was a whole era of bodybuilders who used to crash their estradiol all year round because they simply thought it was a female hormone. Their bodies grew like it was intented but who knows how their joints, libido and well being was.. (i'm curious).

There's no way someone come up with a ratio that works while having 600ng/dl and 6000ng/dl. It's mathematically impossible, even if it's 30pg/ml in the first case it has to be 300pg/ml in the second. I guess we can agree that ratios are bs.

Now, allowing a tad higher e2 while blasting in the off season might be ok, but still i doubt there's positive effects going north of 60-70 and still, if you can handle it. I've been up to 106 and nothing "better" came up. Just yesterday i had a conv with a buddy who's ifbb pro and currently running 900mg test + nandrolone+ mast and he was feeling like shit lately, he's also bloated, no libido etc and his e2 came up 120 which technically for 900mg test ain't that high (according to ratio dudes). His coach have him now at 1mg arimidex eod to bring that down to ~50.

Also, i've seen many guys in real life and here in meso too that regardless of total test if their e2 starts creeping up to 40-50 and upwards they're getting a number of sides, from mood swings, acne, bloating etc.
 
First things first, i'm in Europe and basically besides USA and a few other countries doing a lcms test is not doable, so when we use 2-3-4 different compounds we can't be 100% accurate to what the simple test says. Yes, tren is the most known that skews the results but who knows exactly what happens with nandrolone, EQ etc.

I don't think e2 is doing much per anabolism simply because there was a whole era of bodybuilders who used to crash their estradiol all year round because they simply thought it was a female hormone. Their bodies grew like it was intented but who knows how their joints, libido and well being was.. (i'm curious).

There's no way someone come up with a ratio that works while having 600ng/dl and 6000ng/dl. It's mathematically impossible, even if it's 30pg/ml in the first case it has to be 300pg/ml in the second. I guess we can agree that ratios are bs.

Now, allowing a tad higher e2 while blasting in the off season might be ok, but still i doubt there's positive effects going north of 60-70 and still, if you can handle it. I've been up to 106 and nothing "better" came up. Just yesterday i had a conv with a buddy who's ifbb pro and currently running 900mg test + nandrolone+ mast and he was feeling like shit lately, he's also bloated, no libido etc and his e2 came up 120 which technically for 900mg test ain't that high (according to ratio dudes). His coach have him now at 1mg arimidex eod to bring that down to ~50.

Also, i've seen many guys in real life and here in meso too that regardless of total test if their e2 starts creeping up to 40-50 and upwards they're getting a number of sides, from mood swings, acne, bloating etc.
Yes, we agree ratios aren’t reliable person to person. Also, extremely high estrogen is ridiculous in the sense that side effects do and will occur at some point. I was hoping to be clear in “side effects will determine how far you push your body individually.”

Now, as a contrast between the Golden Era and today...today bodybuilders step on stage looking like freak shows. Nobody looks at a competitor and notates how healthy they appear, simply because they don’t, they look depleted, dry to the bone, and exhausted, facial features sunken from dehydration. They sacrifice overall health in more ways than one for a position in time. I resonate with their drive, determination, and momentum to be the best, however, we’ve moved the line hard in the 90s through current times for what’s expected. Humans like extremes, even at the sacrifice of health.

Golden Era bodybuilders were never “crashing estrogen.” That wasn’t even possible. Aromatase inhibitors didn’t exist until the late ’80s to ’90s, and sensitive estradiol testing in men didn’t exist either. They ran test, Dianabol, Deca, and Primo, and Dianabol converts to methylestradiol, a potent estrogen. The full, pumped, joint friendly Golden Era look was literally built on estrogenic input. As for Primo playing a role, absolutely, but that wasn’t even knowledge to them at the time. Many of the golden era guys claimed eating 6 to 10 Dbol pills a day. In their time that was most likely 10mg, they had no way to combat methylestrogen as we still can't today. They had plenty of estrogen, and methyl being far stronger and superior. Methyleestradiol is more potent, stronger and faster acting/lasting, and far more active in the muscles and connective tissue.

Estradiol isn’t directly anabolic, but it is critically supportive. Joints, tendons, nitric oxide (pumps), vascular function, lipids, mood, and libido all depend on it. That’s why guys can have normal E2 on paper yet feel dry, achy, flat, and inflamed when androgen load is high it’s relative estrogen deficiency, but not absolute. Balance is what I'm preaching, and it can't be verified by labs depending on compounds.

There is no universal T/E2 ratio. A guy at 600 ng/dL and a guy at 6000 ng/dL are not in the same (endocrine) environment. EQ, Tren, DHTs, and Nor19s all suppress aromatase or alter receptor signaling, so fixed ratios like 30:1 don’t predict how tissues actually feel. The cycle you mention your friend is running and feeling like shit explains this.

Some people get sides at E2 40 to 60, others feel awful below it, that’s genetics, receptor sensitivity, prolactin, DHT, and so on. Personally, I thrive between 60 and 80. That’s me...that’s what I’ve noticed and kept in my desk drawer. I think it’s pertinent to the symptoms described in this thread.

History, physiology, and realworld experience all show the same thing, that estrogen isn’t the enemy. Unbalanced estrogen is.

Most guys get stuck at, “My E2 is 40, so estrogen can’t be the problem.” I’m just hoping to point out the missing layer “40 relative to what androgen load, what drugs, and what receptor environment?”

This is exactly why people on EQ, Tren, or DHT heavy stacks get wrecked joints, no pumps, and tendon pain, all while their labs say “in range.”

You also correctly called out something very few people do about Golden Era physiques. To clarify, they were estrogenic by design, not despite estrogen. They were balanced for the most part. Yes they also had various side effects. Distended gut (bloat)... And so on. But they always looked full, pumped, healthy in most light.
 
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