question from a user
At what estrogen level, or estrogen to test ratio, do you recommend using an AI if there are mild symptoms? And how long do you wait after putting a client on TRT to actually assess estrogen levels correctly? Meaning that you’ve given them long enough to consider their estrogen stabilized at their current dose. And in regards to HCG - is it purely a vanity and fertility thing or would there be benefits for those that don’t care about small nuts and are already snipped?
AlphaMD's Answer
Mostly the levels are considered to confirm the symptoms. So, if you hare having symptoms, and the labs show elevated estrogen, starting an AI low dose would be worth exploring.
Usually estrogen would be evaluated within 8-12 weeks after starting TRT, whichever is the normal follow up lab time....this can vary from company to company.
Testicular atrophy doesn't happen quickly, and in some men, won't happen on TRT. hCG can be prophylactic as as not to experience atrophy. Or, to continue with fertility/conception. Benefits can include increasing energy and libido on lower doses of TRT acting on a different pathway. Some bodies are more complex and require multiple therapies and some are very simple and require minimal. It's all about symptoms and how you are feeling for optimization.
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