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I started TRT a few months ago due to primary Hypogonadism, starting from 125, 150 to 175mg test E a week. I recently added HCG at 500iu a week split 2x a week same with test and recently blood shows very high E2 and Prolactin which is normal due to adding HCG. (Can show recent bloods if needed) I have since lowered my test back to 125mg and am wondering how else to lower e2 without AI since I am not too familiar with AI. I do have some Proviron on hand but not sure if they reduce E2 I haven't taken them yet Any help will be appreciated.

AlphaMD's Answer

If you have the option, switching to Test Cyp could help. They have similar half-lives on paper but C leans longer & E leans shorter. At the same dose, C would be more spread out.

When trying to lower E2 without an AI, the goal is always to create a more even level & limit the spikes of T, which is what triggers most of the alert in the body to start transfer.

You can try subq injections instead of IM, since it absorbs slower. You can also increase frequency from twice weekly to three times weekly or every other day.

That's typically where we start before lowering the dose to avoid using an AI.

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