Need thoughts on TRT issues and ideas on testosterone replacement therapy

[Muscle mechanic]

Also emw, I think it may be worth a try to lower your test dose to 100 mg week. Get your body down to a more natural level allow all your hormones to adjust and desensitized yourself.
At your dose and test levels u are at a cruise dose rather than trt. What I am saying is u staying on one level almost all the time.
What I found works best is either stay on dialed in testosterone 700-1000 total testosterone. Dail in aI.

Or if u gonna go higher u gotta keep adjustingredients more or cycling back. Any amount above our natural levels will always cause other hormones to eventually rise.
Stay where u are for now of coarse, just a thought though.

 

[Muscle mechanic]

Also your adex if I am not mistaken works better taken 3 times a week with trt twice week injections.

I have read on guys that switch to exmestane
But with daily dosing it can be $$

Switch your adex to 3 nights a week at approx. 1 mg divided by 3. Keep taking arimistane at 2 caps every night.
Continue until things are good or u get symptoms of low estro. U will notice drying first, should be a boost in libido and u possibly will not get low estro either and get balance.

I always get acne on shoulders, chest, face and hair line when things are good. We have more androgen receptors in those areas. At test dosage u are on the supplements alone should control your estro but I am not suggesting u try that at all. Give a whole week see what's going on with changes u notice.

I go thru periods where my hair on body and face head grow really fast. I get acne during these periods.

 

[EMW14]

Emw, I am a recovering addict myself. Sobriety date
05-29-06.

I don't know how I missed this post before. Congrats, 10 years is a pretty long time. I'm sober since 1986 myself.

You asked about TRT with no ai: I've had 2 periods of similar doses and fantastic function, one without any ai at all and one with:

Without: 175 mg a week (100/75 split Fri/Tues). This resulted in 1375 ng/dl test and 82 estro. During this time I had pretty bad acne. Not a lot of it, but big, painful zits, almost like boils, mostly on my lower back.

The 2nd period, with an ai:

180 mg/week (again Fri/Tues split 100/80). AI dose ~ 0.5 mg with test shot (so 2x per week, total 1 mg adex/week). I started taking adex when acne started to show up. The acne disappeared completely and had no effect at all on "wood", that was frequent, solid and reliable.

This period ended when I backed off to 140 mg/week (80/60 split) for trt bloods. I dropped the adex at the same time I lowered my dose; I probably should have tapered off slowly. I tested at ~850 test 42 estro. Acne came back pretty quick when I dropped the adex, so I think my estro rebounded somewhat, but 42 isn't all that high.

This was September I cut back to 140/week. I haven't been able to get it right again since then.

I'll give the cortisol inhibitor a full week and see where I end up. If I'm not where I want to be I'm probably going to skip at least one test dose, possibly 2, to let everything come down a little bit. Then start over. This has worked in the past.

I know 140/week puts me in the mid 800's, and I know this ain't enough to give me any wood. I need at least 160/week but everything else has to be in line, and so far I haven't been able to figure out what that really means. Apparently I just get lucky when I hit the sweet spot. As I said, 180 per week with all else being good is definitely the sweet spot, but again, I have no idea what "everything else" really is. All I know is that estrogen high or low doesn't seem to make a difference (I've been great with estro high and with it low). I've tried the anti P, without success, so I'm pretty sure it's not related to prolactin. Now trying this cortisol inhibitor. Jury is still out on that; too early to tell, I think. I'm only 2 days into that, but so far no change.

I thought I'd be able to figure this out, especially with your input, but so far it ain't looking good. So, if this latest experimemt doesn't do the trick I'm going to go back to what has worked in the past and change my test dose. I usually get back on track within a few weeks by doing that. Drop it down, then go back up. I will probably drop the ai completely also, just to start from scratch. Wait til the acne goes away and then increase the test. Add the ai when the acne begins to show. This has worked in the past but like I said, it's a guessing game.

 

[Muscle mechanic]

Emw, we will figure it out. Keep taking the supplements they will help. What u need to do is figure out if your estro is high or low. On your test u can't exactly go by because u changed up on things. U will not get a rebound from arimistane it does lower estro in a way exmestane does. In other words if u keep everything as is right now things will simply get better unless your estro is too low. I use it to help me regain balance without upping ai but sometimes I learn if ai needs to go up a little after discontinueing arimistane.
Keep taking it be patient it will improve ratios and allow more freed up testosterone to improve mood and sexual function instead of affecting prostate and estrogen as well as not increase sex binding and cortisol.

 

[BigZ]

Out of everything I'm seeing here, I don't see any reference to what the real issue is for ED. I'm seeing a lot discussed about what may help libido, but not ED. What you want to look out for (if your sex drive is okay) is what is affecting you via either a vasoconstrictor or vasodilator. This is the reason why we use Viagra or Cialis to treat ED--because they are vasodilators. If there is any malfunction of the adrenals related to ED, it is adrenalin that is the culprit, not cortisol because adrenalin is a vasoconstrictor. I'm 47, same age as EMW14. I've been on TRT since I was 30 (that's 17 years). Doesn't matter what the estrogen levels are or the SHBG. If you don't have enough vasodilation going on, you will not "keep it up." I've used Viagra, Cialis, and even PGE1/Caverject/Trimix. I've found the best to be a daily dose of 5-10mg of Cialis for ED.

 

[Muscle mechanic]

Out of everything I'm seeing here, I don't see any reference to what the real issue is for ED. I'm seeing a lot discussed about what may help libido, but not ED. What you want to look out for (if your sex drive is okay) is what is affecting you via either a vasoconstrictor or vasodilator. This is the reason why we use Viagra or Cialis to treat ED--because they are vasodilators. If there is any malfunction of the adrenals related to ED, it is adrenalin that is the culprit, not cortisol because adrenalin is a vasoconstrictor. I'm 47, same age as EMW14. I've been on TRT since I was 30 (that's 17 years). Doesn't matter what the estrogen levels are or the SHBG. If you don't have enough vasodilation going on, you will not "keep it up." I've used Viagra, Cialis, and even PGE1/Caverject/Trimix. I've found the best to be a daily dose of 5-10mg of Cialis for ED.

I hear u Big Z, but some men do have the issue that they need higher estrogen levels and don't have function at reference range for men with natural levels. I am one of them.
I get ED in times of stress, I have small kids and grown one with kids (my grandkids). I get it often when I have been on a blast too long and hormones adjust to compensate the extra testosterone. Sonething else that is directly affected by adrenals is aldosterone holding on to more fluids which estro along with cortisol cause. And that restricts blood. Blood pressure meds anti-diuretic hormones are affected by estro and cortisol. I take plenty of vasodilators agmatine sulfate, arginine all of them. Also cialis and viagra.
The point is I get this when on plenty enough testosterone.
I have adhd I take adderall and I have too much adrenalin even without adderall.
In all my years of researching my problem the only thing I have found is unbalanced estro, cortisol, shbg, or prostate which is not my issue dr check psa and had the finger.
I have good tsh, good estro to test ratio, free test is good and acth is all normal actually beautiful according to Dr both good and bad cholesterol levels too..my sex drive is there but in my case the ssri affects it alot. I take lexapro 10 mg buprenorphine 8 mg adderall 20 mg twice a day.
All is good until I stay on blast over 8 weeks or I go back to trt dose. Adjusting my letro has done the trick learning how to do it. Whatever the supplements are marketed as they help me restore balance with my letro. They help me everytime. And anything the lower sbhg always does the trick top.
Cortisol also makes us more sensitive to epinephrine and norepinephrine cause vasoconstriction
I'm my case I wouldn't blame my adrenalin or my adderall because I had issue when I have went off of it before. I have to say I am picky though I like to tool to work often and probably don't give it a break. Lol

 

[EMW14]

Out of everything I'm seeing here, I don't see any reference to what the real issue is for ED. I'm seeing a lot discussed about what may help libido, but not ED. What you want to look out for (if your sex drive is okay) is what is affecting you via either a vasoconstrictor or vasodilator. This is the reason why we use Viagra or Cialis to treat ED--because they are vasodilators. If there is any malfunction of the adrenals related to ED, it is adrenalin that is the culprit, not cortisol because adrenalin is a vasoconstrictor. I'm 47, same age as EMW14. I've been on TRT since I was 30 (that's 17 years). Doesn't matter what the estrogen levels are or the SHBG. If you don't have enough vasodilation going on, you will not "keep it up." I've used Viagra, Cialis, and even PGE1/Caverject/Trimix. I've found the best to be a daily dose of 5-10mg of Cialis for ED.

I have tried cialis, both in 20 mg "as needed" dose and as a daily dose (5 mg, I think is what that was). For me, the only thing I ever got from cialis is wicked heartburn. It did absolutely nothing for my limp dick problem.

I don't know why this is the case, but it sure is. I've tried it several times, always with the same result.

A good friend of mine, who is 57 and also on TRT at 200 mg per week (one injection, 200 mg once per week) swears by cialis. For him it works like a champ. "All you gotta do os touch it and it comes right back up".

Believe me, if this worked for me, I'd be all over it. Of all the vasodilators, amd I've tried them all, viagra is the only one that works for me. It will give me heartburn also if I haven't used it in a while, but as long as I take one say once a month, I don't get the heartburn.

Knowing this, I've tried to stick with cialis daily, thinking maybe the heartburn would stop amd maybe the hardons would come, but it didn't work. The heartburn got progressively worse and it never did anything at all to improve the ED.

Viagra has its issues, too: it works best when taken on an empty stomach. This isn't usually a problem, a lot of times it works fine when taken just before or after a meal, but not always. Also, it takes 15 to 30 minutes before it starts working, sometimes longer. My wife and I have found sex to ne most enjoyable when it's unplanned. When the mood steikes, if I have to take a Viagra and then wait, this can sometimes kill the mood. We can usually recover, but not always. If a quickie is what's in order, forget it.

What's most frustrating for me is knowing that none of this is mecessary when I have the testosterone and wverything related just right. When that's right, I don't need viagra or anything else. I get it up no problem, get hard while sleeping, it comes right up when my wife and I get together and stays up, all is well.

What's driving me fucking nuts is that it's been 2 fucking months that I've been trying to get back to that "all good" position and so far haven't been able to. And trust me, when you know your dick just isn't going to work, or even wonder if it will or won't, that kills the libido, too. Meaning sex drive, interest.

So, here I sit, taking the very same dose I was taking when all was well, and it's not working. Worse, everything I've tried has failed. I just took my 100 mg shot this morning. I'm going to stick with this cortisol inhibitor experiment until my next shot is due Monday. If it doesn't work, I'm dropping that. I will most likely skip my Monday shot and see how I react. What usually happens is, my dick will start to work a few days later as my testostwrone and whatever related hormones start to come down. Once I start getting the night time hardons, I'll wait a few more days and get back on the shot schedule. That has worked in the past.

One time, I fucked around for a few weeks thinking I was too high and progressively lowered my test dose to no avail. I knew I was low enough that I was TOO low. So I went back up at that point and got it just right.

So, like I said, if this doesn't get resolved by Monday, that's what I'm gonna do.

 

[Muscle mechanic]

If u don't want the HAF black
I'll take them!lol!
They really help me adjust my balance other people in my area too. U hit it on the nose it works sometIme and others it don't. I have had this way before trt but when I used to cycle and not blast cruise never on cycle except deca.
Ed has,lots of causes and trt only fixes a little there are other factors to figure out.

 

[Muscle mechanic]

Emw, the reason I told u I put on porn in private and not fuck porn, porn with women with a dildo is to see if it works turned on differently. This is too see if u distracted or if things need to be spiced up in the bedroom. Both of these things have worked for me. We get used of our partner, remember being so turned to point the dick would throb. The supplements work in the meantime talk to wife try and spice things up a little. The anxiety u are going thru will cause adrenalin like BZ said to knock it down.
The cortisol supplements help body to not be as sensitive to adrenalin and dim is in your supplement read about it get more of it. Dim can be taking in higher doses. The phosphat too but your supplement is designed to restore balance and arimistane is very effective as a stand alone hardener

 

[EMW14]

Trust me, "spice" is not the problem. We've been married 17 years and sex is still awesome. When it's not derailed by a non functional dick and/or the associated mind fuck.

There are all kunds of studies out there if you look hard enough. The problem is, some of them contradict each other. And there are plenty of "unknowns". For instance, "the effect of estrogen on erectile dysfunction isn't clear" according to one study. My own experience confirms this, as I've mentioned in previous posts. Prolactin is the same way. Conventional wisdom says high prolactin = bad. But I found a study, fairly recent, that contradicts that. What is very apparent to me is that there are no absolutes. What works for you might not work for me or Big Z or the next guy. Some guys I know are on 200 mg a week of test with no ai and no ED; that's never worked for me. I wish there was a solution that wasn't trial and error, but if I haven't found it yet.

- - - Updated - - -

Out of everything I'm seeing here, I don't see any reference to what the real issue is for ED. I'm seeing a lot discussed about what may help libido, but not ED. What you want to look out for (if your sex drive is okay) is what is affecting you via either a vasoconstrictor or vasodilator. This is the reason why we use Viagra or Cialis to treat ED--because they are vasodilators. If there is any malfunction of the adrenals related to ED, it is adrenalin that is the culprit, not cortisol because adrenalin is a vasoconstrictor. I'm 47, same age as EMW14. I've been on TRT since I was 30 (that's 17 years). Doesn't matter what the estrogen levels are or the SHBG. If you don't have enough vasodilation going on, you will not "keep it up." I've used Viagra, Cialis, and even PGE1/Caverject/Trimix. I've found the best to be a daily dose of 5-10mg of Cialis for ED.

I'm going to see what I can find about adrenal function on this...

 

[Muscle mechanic]

I agree EMW, whatever the issue with myself has never been proven. I read alot of studies as well and in my case the fact that during a coarse of a month or a week sometimes ED is present and other times it isn't.
The reason I tracked or narrowed my issues to hormonal imbalance is because it happens after 8 weeks of tapering up then after tapering down to trt dose.
In my case I am ramping up testosterone and other hormones then going down. Alot of times staying on a higher trt (cruise) then having to adjust for bloodwork.
I know anabolic steroids suppress cortisol, and I know coming off cortisol rebounds this is inevitable. One of the best ways to keep gains from a cycle is lower cortisol and increase zinc(zma). Zinc balance is also important all the time I have experimented with minerals but balance of minerals are very important because just like hormones one supports other. Thyroid issues will cause ED as well. I take all of those test and my functions are normal but I never test during a blast. Our bodies produce myostatin to prevent testosterone from allowing our muscles to keep growing. Our bodies counter with other things from levels too high and not proper balance. Our natural function that is our best or was our best has never been recorded in all these,aspects so it's hard to say. Yes we are all different and not the same as goes along with problems on what works and what doesn't but the bottom line is most of our problems those of us healthy and using anabolic steroids are not an underlying medical issues it's the fact that we screwing with our bodies natural functions and hormones. A dhea test is what is needed to check adrenals that are affecting ED if I am not mistaken. With that said the cure in this case is supplementing with dhea or pregenolone cream also hcg helps alot of guys on trt that still have ED.
I have read alot on this subject and the problems are mostly related to these things Estro to test, free test to estrogen ratio with sbhg being too high, dhea that cortisol and adrenals affect. If u look at conversation of cholesterol and other hormones by adrenals u will see how estro affects by aldosterone and cortisol. All of your adrenal hormones are dhea, aldosterone, pregenolone, cortisol, testosterone, ect... So adrenals are definitely affects periods reason water retention is involved with estro is affecting adrenals to make more aldosterone. Arimistane is a 7 oxo keto modified dhea and helps adrenals function

 

[Muscle mechanic]

I also suspect that u don't need an ai or that it is too highly dosed. Reason is the figure on dividing total testosterone by 20 then total by 15. Those ratios were developed by a trt specialist. Your best functions were at 83 estro that were during 1377 total testosterone. That falls within those ranges. Your other test bloods shown estro too low for that ratio range and u didn't have functions. Our estro and prolactin effect that everytime I have proven this from cycling while aromatasing or by taking deca. All guys who blast and cruise know the importance of too high estrogen and Ed or too low. To have a hardon lots of things happen in this process for starters free testosterone are necessary along with balance of estrogens. Everytime we get things right and drop our dose and up it things have time adjust because that dosage is only part we can control that much the rest we can't. If we go up significantly alot of times its a quick fix but to drop them go up a little we haven't gave ratio enough time to adjust in favor. One way to prove this to yourself is to take 400 mg test for 3 weeks if all is good you know u were at an unfavorable ratio with other hormones

 

[EMW14]

I'm thinking about trying the boost you suggestbut with tedt prop so it clears quickly. That would be an interesting experiment.

 

[Muscle mechanic]

It would be good to verify within 7 days you will notice if a boost in libido is there and if it gets hard when wind blows. When I start a blast after being at trt a while it's hard before I can take pants off. Lol!! That is how I narrowed it down for myself. What also bothers me is once sex drive with male function are that good it's hard to suffice. My wife still says I am like a twenty years old though. Even though it's hard cause it don't stay hard sometimes she knows it from the hormones I fooling with.
Happy Thanksgiving!!!

 

[Muscle mechanic]

Good article on adrenals and Ed on morningsteel. I completely disagree with whatever bigz said or the way he put it because adrenalin doesn't work alone in that way at all. Adrenals are tested with high cortisol and different times of day to see if high.
Pregenolone is tested
Dhea is tested
Different ones are elevated and lower at the different stages of problems with adrenals and cortisol is always either high or low with dhea being low never high if adrenals are not functioning properly. Another test is acth
And measure cortisol to see if sufficient.
Unless u are going thru finally stages of adrenal fatigue your cortisol will never be low.
Adrenalin always causes elevated cortisol. And without enough cortisol we are insensitive to epinephrine and norepinephrine. This is reason people with low cortisol have low blood pressure because it's needed to make us more sensitive to adrenalin to have vasoconstriction. I have looked into this enough over time that I am not just pointing fingers. If u are in good health and don't have enlarged prostate or artery diseases and your hormones are balanced ED will not exist and cialis or viagra won't be necessary. dr won't look for our problems 9 out of 10 they will guess and give us medicine and hope it works. I don't put faith into a Dr I use them to write my scripts and lab orders. If I need a surgery then I got use a surgeon of coarse. I watch dr give my kids all sorts of antibiotics and prednisone and they stay sick cause wife she thinks they God by I don't get sick hardly ever and figured out that those medicines bring down our immune system.
If viagra works then it what causes vasodation when we not doing it on your own in that area. I get a killer pump in my arms when I work them out whether I have ED or not so...

 

[EMW14]

I did a little bit of reading on adrenal fatigue. I definitely have some of the symptoms, however I probably am just "ordinary" fatigued: I started this week in a MAJOR sleep deficit. I worked W, T, F night shift. Slept sorta ok Saturday night but hardly slept at all Sunday. At 1:30 Monday morning I was still looking at the clock thinking, "FUCK! I have to get up for work in 2 hours!" So at best, I got 2 hours of sleep before work Monday morning day shift and worked days through Thursday. I'm off today and for the next couple, thank God. I slept for 11 hours last night and woulda kept on sleeping if my wife hadn't woke me up at 8:30 this morning. So I'm not going to go too far down the adrenal fatigue rabbit hole just yet. I know I need to get my hormones back in balance and that will solve this issue.

I may be getting there. Woke during the night last night with a hardon, which hasn't happened in weeks. Have to have the wife test ride it later amd see if it works... I just took a 100 mg shot yesterday morning. We'll see over the next couple days what happens. Either things will improve or get worse. If things improve, I'll stick with what I'm doing right now. If things get worse, I'll skip a test dose, or wait an extra day or two before my next shot.

Meanwhile, still taking 2 caps of the HAF Black per night as you suggested. Am now off the ai all together. Estrogen is DEFINITELY yp, I'm getting pretty bad acne in a few spots. I can live with that if my dick is working. If it comes back to life like it should I can add the ai back in slowly.

And Happy Thanksgiving to you and anyone else reading this, as well.

 

[Muscle mechanic]

Like Dean and I mentioned the neurotransmitter dopamine is needed to sustain an erection. Spontaneous is best way for dopamine release and prolactin is our bodies counter to balance this release. What else will affect woods are not balance of estrogen to testosterone, cortisol yes cortisol not adrenalin and everytime I take cortisol lowering supplements my blood pressure gets lower even if taking Cissus Quadrangularis and all others I mentioned. Cortisol is needed to make us sensitive to adrenalin just like exercise helps sensitivity to insulin and Glucophage does as well.
Increasing testosterone increases dopamine at least at first and so does other dht backbone compounds and androgenic ones. Ex. Masteron, proviron.
Proviron was once given to men for depression for its dopamine enhanced affect also for its male function boosting properties even boosted sperm and helped men with ED without treating Low testosterone.
An imbalance of things has to occur for ED. Most guys are overweight and overweight in older men =higher estro.
Alot of guys with Ed are overweight if they would lose it over the coarse ED would fix itself. Telling someone to lose weight... Dr's tell people this developing type 2 diabetes and do they do it??? It's so much easier for a drug company to make an expensive drug like viagra to make billions.
I know u not overweight but I am getting my point across. Ed exist in older men and not all of them. But it does because of testosterone levels depleting, overweight, cholesterol levels not optimal hense lack of blood flow, higher levels of shbg, higher estrogen and rarely checked for cortisol and dhea. Fixing lower testosterone in men who are already in shape and have good lipids and do not have prostate enlargement is only half the battle with ED. Some men that's all it takes. Others it takes finding proper trt dose and level ranges that their body can keep favorable ratio with other hormones to have functions. Less is more can be the case alot of times. And finding that takes time everytime we change our dose it takes time. I think I read that testosterone cypionate takes 60 days to stabilize. Some men have to adjust other things to help restore balance cortisol is a stress hormone and if ED didn't bother us then cortisol wouldn't matter much but if it bothers us and pisses us off then cortisol is definitely involved definitely. Cholesterol=dhea=pregenolone=cortisol or they can go in a different conversion depending on stress, neurotransmitters, other hormones that are high or low.
Vasodilation will always be better with lower cortisol and that is a scientific fact. Unless u are getting lightheaded upon standing your vasodation and vasoconstriction of adrenals are functioning properly to say the least for that.
If u are not suffering from vascular disease then viagra is only a quick and expensive fix for ED because your normal pathway isn't functioning properly from another reason that has to be a hormone imbalance. Adrenal fatigue occurs from too much stress and gets burned out from over production of cortisol so lowering stress and cortisol is the answer unless u are in final stages and cortisol levels are low from burn out which I highly doubt with a man that is doing a 5×5 routine and stays under 13% body fat.
Something u haven't mentioned clearly is if u have cycled ever. And how often and how long ago. If u haven't what where your testosterone levels before trt. Trt may never have been necessary. U may have only needed something to treat neurotransmitter imbalance which is called clinically depressed. It has nothing to do with sadness just the simple fact that those neurotransmitters are imbalanced. Ssri (selective seritonin re-uptake inhibitors) treat such imbalance and snri(seritonin norepinephrine reuptake inhibitors) These take time to work and only certain kinds or given for ED. Welbutrin is one but in class of its own.
To fix an adrenal problem causing ED it is suggested to treat other hormones your testosterone, estrogen, cortisol, and rarely prolactin but don't forget about dopamine. Losing weight is not to case here.
I know I have spoken alot in this thread but I know i am correct. On your problem maybe not but on ED and the causes and adrenals playing a role in i am correct about the things a mentioned because of my research on the subject.

 

[Muscle mechanic]

I did a little bit of reading on adrenal fatigue. I definitely have some of the symptoms, however I probably am just "ordinary" fatigued: I started this week in a MAJOR sleep deficit. I worked W, T, F night shift. Slept sorta ok Saturday night but hardly slept at all Sunday. At 1:30 Monday morning I was still looking at the clock thinking, "FUCK! I have to get up for work in 2 hours!" So at best, I got 2 hours of sleep before work Monday morning day shift and worked days through Thursday. I'm off today and for the next couple, thank God. I slept for 11 hours last night and woulda kept on sleeping if my wife hadn't woke me up at 8:30 this morning. So I'm not going to go too far down the adrenal fatigue rabbit hole just yet. I know I need to get my hormones back in balance and that will solve this issue.

I may be getting there. Woke during the night last night with a hardon, which hasn't happened in weeks. Have to have the wife test ride it later amd see if it works... I just took a 100 mg shot yesterday morning. We'll see over the next couple days what happens. Either things will improve or get worse. If things improve, I'll stick with what I'm doing right now. If things get worse, I'll skip a test dose, or wait an extra day or two before my next shot.

Meanwhile, still taking 2 caps of the HAF Black per night as you suggested. Am now off the ai all together. Estrogen is DEFINITELY yp, I'm getting pretty bad acne in a few spots. I can live with that if my dick is working. If it comes back to life like it should I can add the ai back in slowly.

And Happy Thanksgiving to you and anyone else reading this, as well.

Awsome if things may look up. It will always take a week or two to notice adjustments. Acne doesn't necessarily mean estro is high it just means your hormone fluctuations that u changing things that were stable. Stable may not mean correct ratio either. Be careful with your ai if u gotta break it down and measure by the drop down so just be sure u follow trt guidelines for taking adex I think it's either 2 or 3 times only one of these is correct depending on half life.
EMW, I don't mean to sound like a know it all on this subject cause I am not, I know I don't write very well either but I am a pretty smart guy and understand alot about science and our bodies functions. I have read tons of things in depth and I can't help but to wanna share what I have learned to help someone else. I have a passion for this stuff and learned alot. Lol
I would not skip a trt dose
All that will do is leave u with more estro and if that has helped u before then it's your ai u need to skip not testosterone dose. So instead of skipping test to give a higher ratio of estrogen to testosterone skip or decrease your ai like u doing the arimistane will keep things in check on trt dose. But be careful to not let estro rebound use ai little bits if u have to. Be patient before this month trail is over I hope u figure out what the culprit was and more importantly get your ai dosed correctly. If cortisol is playing in the picture there are lots of things to take to reduce cortisol that are good to take just if working out. Zinc or (zma) lots of things Cissus Quadrangularis all sorts of things for cortisol Rhodiola Rosea, holy basil.

I even vitamin C 1000 mg per night and I take b6 at 50mg

 

[EMW14]

Ok, I'll have to respond to one thing at a time here:

Have I ever cycled? No. 1st time I ever had a testosterone injection was my 1st TRT dose in 2012. I've taken Proviron and have cycled igf-1 a few times since then, but that's it. Highest test dose I've ever taken was 250 per week. The results were horrible in twrms of ED, so I dropped that pretty quick. (I think after 2 weeks)

What was my level before TRT?:
2 tests, one was 440, the other 395.

I currently take 50 mg zinc and also vitamin C1000 as well as magnesium and a multi. O, and vitamin D.

Clinically depressed??? Never even considered that.

Strees/cortisol? ED bothers the shit out of me. I love my wife and vice versa. She is hot, sexy and likes sex. I like it too, perhaps obviously. So not being able to get it up, or losing it before getting the job done = major mental/emotional negative effect. Definitely major stress sometimes lasting for days. It's self defeating, too, because once it's happened there's the fear or wonder, or whatever that it might not or probably won't work this time. So sometime, that becomes a self fulfilling prophecy... I know this to be the case but am still powerless to stop it.

 

[Muscle mechanic]

Lol! I hear u brother!!!
I went through this and still do. Ed happened to me today. Joints hurting and my estro is too low. Not taking letro tonight I will cut it back to two times maybe three a week. Was taking every night. Did last tren a and test a today. Going back to 50 mg test c 2xwk. I already know from times before I can do this at .26 mg letro 2 times a week maybe 3 then after about three weeks I taper it more. I can stay on trt with no ai I just gradually got get there.
Tomorrow I will probably stop and get some t1000 it's a supplement with arimistane and ostarine with phosphatidylserine and a couple other things. This will help my transition.
I can restore balance everytime with these supplements. Ostarine is a good addition because it makes my joints feel good and keeps a positive estrogen balance but in a good way. Always helps sex drive too.
Well if u already on trt no use turning back but your issues with Ed have to be solved. The fact that u stopping your dose of skipping and getting better tells me your estro is getting more favorable ratio to testosterone. When we stop test that always happens. Just let supplements work keep taking your testosterone same and keeput your ai cut back. If woods keep up u know u are doing some good. If things get fixed go test your estro. Drive that 30 miles. Do female hormone test estro and testosterone cheapest route. Just do one thing at a time a be patient it takes a week each adjustment. If all gets better u will have two choices well if estro recorded u will have a value range. One thing u can do is keep doing what u are doing and remember how to restore balance next time. Another thing is consider getting on exmestane. Adex or letro don't work good for some guy but exmestane does. Usually dosed daily or eod. Keeps things more stable 8n some men easier to adjust.

But before we project fix first be patient it will work u gotta extort problem with slow adjustments and there are lots of cortisol lowering supplements that are cheap and good addition to workout and all else.