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question from a user

Is it unhealthy to have an estrogen level of 3 after a decade of TRT? (No AI used, I just dont aromatize like I did in the past; test is about 950.) I know it causes osteoporosis and increases heart attack risks in win. If so how do you treat this?

AlphaMD's Answer

Testosterone itself increases bone density. Estrogen help prevent bone resorption. While having low estrogen will mean bone resorption rate will be higher, because your testosterone rate is high, you will create new bone at a high rate as well.Estrogen helps with cholesterol, but so does testosterone.Low estrogen in the setting of normal testosterone is not a cardiovascular risk factor, nor is it a risk of osteoporosis.If you feel good, and have no symptoms, then the fact that you are a low aromatizer is not something to be concerned for. Normal testosterone levels counteract all the long term risk factors of low estrogen.

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