question from a user
I have low shbg, low T and high estrogen. How would I go about managing these when taking testosterone?
AlphaMD's Answer
Starting Testosterone will improve your low T & likely raise your SHBG a bit, but you would want to see by how much after starting, as everyone is unique.
For the high Estrogen, you would want to be careful to not raise it more by getting on Testosterone. You should tell your potential TRT provider about this up front. We would suggest using subq injections over IM injections to start & to try using an AI. If you're against an AI, the next best thing would be to increase the frequency of injections to lower your Testosterone spikes & the trigger for the Estrogen transfer.
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