question from a user

I’m really glad you all are doing this! Thank you for supporting this community! I just started TRT three months ago and got my first bloodwork back last week. Haven’t seen my provider yet. T is 8.27 ng/dL and estradiol is .6 (unsure of unit of measure rn.) since the 8.27 is my through number, would it be better to reduce my injection amount or add an aromatase inhibitor? I’ve got a lot of extra emotions and suspected for the last ~30 days my estrogen was going high. Thanks again for doing this!

AlphaMD's Answer

Given those numbers & while still being a bit unsure of the measurement type, it doesn't sound like numerically your Estrogen is off base, however your experience with it & how sensitive you are is important as well.

If it's impacting you negatively via extra emotions, then you may look at adjusting your dosing schedule to be more frequent, slightly lowering your dose, or adding a small AI.

If you're not really having any other side effects like sensitive nipples, and the extra emotions themselves aren't exactly negative but just noticeable, I might just take the approach of frequency adjustment first as it's the least hard swing to your levels. If you're once weekly certainly go twice weekly, and if you're twice weekly try out three times weekly.

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