TRT - Crashed estradiol waiting on clinic.

Oldguyjiujitsu said:
Drop the ai and let your body fine its natural level over 4-6 weeks, Then get bloods.

Bet you feel way better.
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Yeah I pinned the 100mg last night no ai. Looking forward to all this resolving.
Devson said:
Are you prescribed the anastrozole? Most people don't need any AI for trt especially at 100mg a week. I don't take an AI until in using 400mg for a month straight. Your estrogen can be a little higher as long as your not getting side effects that is an important part of why people run testosterone with other compounds.
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Yeah they prescribe it. I was in the 130s without it when I started so I needed it.
Trenbolone&Cheese said:
better off paying for a clinic who has a urologist or endocrinologist. men’s clinics are great until things aren’t exactly how they should be. one hiccup and the staff are lost, and have minimal advice to give.
Being said, my endocrinologist is through the Horizon Health here in NB (we have 2 private operators through government money) and for that reason, he’s busy as fuck and has hardly any time for me.
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I am holding out for a unicorn doc who can just help me with whatever I ask and tell me when I am being stupid, not likely though. My regular doctor doesn't want me to ask for anything ever and the nurse practioners knowledge is limited. Even asking my regular doc for a requisition for the bodyscans that I have to pay for draws an eyeroll from her. Its been hard to navigate the medical community as they all tell me I shouldn't be on it( reg docs, cardiologists etc) but then I have the two blood tests I took to confirm the hypogondal state I was in. Then I have all the results like improved mood, clarity, etc. So it's almost like they're trying to convince me feeling ok is going to kill me. Even when I clear all tests with great results like ekg, full bloods etc. Its wild.
 
Freshional said:
I am holding out for a unicorn doc who can just help me with whatever I ask and tell me when I am being stupid, not likely though. My regular doctor doesn't want me to ask for anything ever and the nurse practioners knowledge is limited. Even asking my regular doc for a requisition for the bodyscans that I have to pay for draws an eyeroll from her. Its been hard to navigate the medical community as they all tell me I shouldn't be on it( reg docs, cardiologists etc) but then I have the two blood tests I took to confirm the hypogondal state I was in. Then I have all the results like improved mood, clarity, etc. So it's almost like they're trying to convince me feeling ok is going to kill me. Even when I clear all tests with great results like ekg, full bloods etc. Its wild.
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medical physicians have a duty to not only do what’s necessary. but to also fulfil patient requests when possible. if your doctor won’t sign the form, threaten her to the college. something deemed “medically unnecessary” doesn’t equal “medically detrimental.” if you were asking for tren sure lol but a scan? she just needs to sign the requisite!
 
Freshional said:
I was aware it was all nurse practioners which I am fine with as it allows us access to this stuff without waiting on a doctor. Though you are right I do find some of their recommendations at odds with the great info I have read here.
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Sorry but they are not all nurse practioners either.. I was given awful advice the first time I paid to speak with them and went over blood work.. The girl was arguing with me about something so basic like injecting 3x a week vs 1 time.. I couldn't handle it and told her on that first call I was done.. I asked her if she was actual a dr.. she said no.. I asked why does she think she is able to give me medical advice, she told me she was trained under dr brown blah blah blah.. so I toldher I wanted my money back and they would be lucky if I didn't call college of medcince.. She panicked and agreed to give me full refund etc.. eventually I agreed to have a nurse practioner call me back and go over bloods and give them another shot.. So a nurse practinioner called me back and she was amazing.. she said the lady I spoke to deffinitely crossed boundaries with the medicAL advice she gave me.. She assured me I would only ever talk to her and not one of the "dr brown trained experts".. Well that lasted one time.. lol.. not once was I ever able to talk to the NP like that again.. I wass told "we don't do that here.. we use Dr Browns trained coashes etc".. One time I actually asked to speak to Dr BRown and I was told "oh no one acctually talks to dr brown".. I tried to argue that and insisted I talk to them becauser the coach couldn't answer my questions.. I was then told the coach would talk to Dr Brown and then get back to me, but I was reminded that no one actually talked to Dr Brown lol..

Did you realize that everytime you speak with them on the phone, you get a followed up call and that person will ask you stuff like "are you satsifyied with the medcial advice and plan we have made for you moving forward?"... That phone call is how they get away with this sshit.. That follow up phone call is from their 1 nurse practinioner to bascially get you to verbally agree that you are good with what the person on the first phone call told you. So on paper they are saying that advice, plan and scripts were gone over with and cleaered by tyhe nurse practinioner... This clears them to allow some random person with no real medcial training to talk to you about blood work..

It's such a scam..

Thosse 2 doctors are bascially able to have hundreds of ppl paying 450$ to all get the same 100mg test, 1mg arimedex etc without actually seeing the patients., yet they collect money from the AB government just like every other dr seeing a patient.. Then they toss a tiny portion to the people thye get off the street that they have trained to make those calls.


Freshional said:
The only really egregious problem I've had was when they refused to provide me extra blood testing reqs as they said they were getting in trouble for requesting too many. Which seems like an odd complaint given how much healthcare we pay for and provide.
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is that not a red flag? lol... sounds like they have been questioned before about things and are trying to fly under the radar a bit..


mark my word, these clinics that are run like true balance are going to end up in the news.
 
Lol.. just look at their staff.. fuck me.. the place is 1/3 spa, 1/3 hormones and 1/3 hair and nails..

Look at his "medical staff"... not sure about you, but I've never gone into an actual dr's office or real dr clinic and seen such a ratio of women to men staff (dr brown is the ONLY male)... and look at how attractive those women he hires are.. fuck me the whole place screams like it's right off of "better call saul"...

25 women and if I was single I'd willingly bang 22 of them.. and the other 3 would get done after a couple drinks..

FYI only 3 are nurse practinioners.. and I'm telling you all they do is do follow up calls to get you to agree to what you agreed with already with their "specialists" so the NP can put it on her paper work to make it all legal

 
animal-inside said:
Lol.. just look at their staff.. fuck me.. the place is 1/3 spa, 1/3 hormones and 1/3 hair and nails..

Look at his "medical staff"... not sure about you, but I've never gone into an actual dr's office or real dr clinic and seen such a ratio of women to men staff (dr brown is the ONLY male)... and look at how attractive those women he hires are.. fuck me the whole place screams like it's right off of "better call saul"...

25 women and if I was single I'd willingly bang 22 of them.. and the other 3 would get done after a couple drinks..

FYI only 3 are nurse practinioners.. and I'm telling you all they do is do follow up calls to get you to agree to what you agreed with already with their "specialists" so the NP can put it on her paper work to make it all legal

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run lol. we all know what we’re doing here really, but even then it’s dangerous to have some fuck off the street giving you medical advice. personal knowledge is great, a REAL doctor or specialist giving you a green flag is much more important than have the script written.
 
Freshional said:
Hey gents,

I've been on TRT for 2ish years now and I finally got my shit together late last year and lost around 50lbs to date. Dropped BF from 35.5 to 27.4, 12% to go.

I just got bloods done on Thursday because I have been feeling more and more shitty the last two weeks. Turns out my estradiol crashed to 54 pmol/l from 98 pmol/l. I felt really great all year last year now I am living a daily nightmare of crushing anxiety, joint pain and tons of brain fog.

Anyways. My question is should I drop the anastrozole for my weekly injection and keep the test cyp at 100mg? I obviously don't want to slam my estradiol to the atmosphere. Do I drop the test to 75mg or something? I tried using @gondar1 equation in the steroid forum and it drops my dose to 0.07 which is obviously zero. Just nervous I guess and my clinic didn't get back to me on Friday because my free test number isn't in yet.

Any advice appreciated.
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Update. Free test came back at 662 pmol/l on Tuesday. Clinic called me today. She let me know I am within range for estradiol at 54 pmol/l so they wont be altering my plan. I told her I dropped the anastrozole and I already feel my symptoms improving and I wanted to check my levels in four weeks to see where I stabilize at. She refused to provide a req for bw because I am normal. I tried citing the info from @Taureau about levels for age groups but she said its in a normal range so no testing.

I said ok fine I will get a req from another source. Pretty shitty interaction but I at least have the prescriptions still. A good day.

Thanks again for all the support guys. Appreciate it.
 
Freshional said:
Yeah I pinned the 100mg last night no ai. Looking forward to all this resolving.

Yeah they prescribe it. I was in the 130s without it when I started so I needed it.

I am holding out for a unicorn doc who can just help me with whatever I ask and tell me when I am being stupid, not likely though. My regular doctor doesn't want me to ask for anything ever and the nurse practioners knowledge is limited. Even asking my regular doc for a requisition for the bodyscans that I have to pay for draws an eyeroll from her. Its been hard to navigate the medical community as they all tell me I shouldn't be on it( reg docs, cardiologists etc) but then I have the two blood tests I took to confirm the hypogondal state I was in. Then I have all the results like improved mood, clarity, etc. So it's almost like they're trying to convince me feeling ok is going to kill me. Even when I clear all tests with great results like ekg, full bloods etc. Its wild.
Click to expand...
I've told doctors they are violating the oath they take by refusing to address certain issues. The best that usually gets me is a referral to an endocrinologist who constantly tries to get me to do blood work and then because I say I'm fine they reaffirm in their head that they are right despite my blood work showing my test levels at the same as when I was first prescribed TRT. It's a joke.

I've had conversations with another specialist and I hate to say it but where they grew up makes a big difference. Also their background. More medical doctors than ever are children of doctors and they absolutely do not understand struggle. They all say ohhh yes I do and talk about their education and how I don't understand how hard it is but I have dated a few doctors and yes their education is hard but when dad pays for a $8000 a month apartment, a private chef, a dog walker, a cleaner and a driver then studying really isn't that hard. I'm thinking about talking to Merrick health that company that does trt in Canada owned by moreplatesmoredates. I don't expect to get what I want but I expect them to keep me at the high end of the range and offer HCG.
 
Devson said:
I've told doctors they are violating the oath they take by refusing to address certain issues. The best that usually gets me is a referral to an endocrinologist who constantly tries to get me to do blood work and then because I say I'm fine they reaffirm in their head that they are right despite my blood work showing my test levels at the same as when I was first prescribed TRT. It's a joke.

I've had conversations with another specialist and I hate to say it but where they grew up makes a big difference. Also their background. More medical doctors than ever are children of doctors and they absolutely do not understand struggle. They all say ohhh yes I do and talk about their education and how I don't understand how hard it is but I have dated a few doctors and yes their education is hard but when dad pays for a $8000 a month apartment, a private chef, a dog walker, a cleaner and a driver then studying really isn't that hard. I'm thinking about talking to Merrick health that company that does trt in Canada owned by moreplatesmoredates. I don't expect to get what I want but I expect them to keep me at the high end of the range and offer HCG.
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Brutal.

I am currently researching trt options in edmonton and I hope to contact a few with my issues and see if they are willing to work with me on the treatment a little more. If not I am certain I can find a solution. Fire me a DM if you find a solution through Merrick or another provider.
 
Freshional said:
Update. Free test came back at 662 pmol/l on Tuesday. Clinic called me today. She let me know I am within range for estradiol at 54 pmol/l so they wont be altering my plan. I told her I dropped the anastrozole and I already feel my symptoms improving and I wanted to check my levels in four weeks to see where I stabilize at. She refused to provide a req for bw because I am normal. I tried citing the info from @Taureau about levels for age groups but she said its in a normal range so no testing.

I said ok fine I will get a req from another source. Pretty shitty interaction but I at least have the prescriptions still. A good day.

Thanks again for all the support guys. Appreciate it.
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I have the exact same experience with truebalance they are terrible. They have no clue what they are doing and hand out cookie cutter protocols. They messed me up pretty good by crashing my E2 several times. I didn't know any better as I was just learning about TRT.

Ditch the AI and never take it again before you end up like me with long lasting effects from crashing e2 several times. If you get high e2 sides manipulate your injection frequency to fix the sides or lower your dose. It's not worth taking an AI
 
Younganddumb said:
I have the exact same experience with truebalance they are terrible. They have no clue what they are doing and hand out cookie cutter protocols. They messed me up pretty good by crashing my E2 several times. I didn't know any better as I was just learning about TRT.

Ditch the AI and never take it again before you end up like me with long lasting effects from crashing e2 several times. If you get high e2 sides manipulate your injection frequency to fix the sides or lower your dose. It's not worth taking an AI
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What doses of a.i. did you use and what long term effects did you get?
 
Freshional said:
Brutal.

I am currently researching trt options in edmonton and I hope to contact a few with my issues and see if they are willing to work with me on the treatment a little more. If not I am certain I can find a solution. Fire me a DM if you find a solution through Merrick or another provider.
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Did u drop the a.i entirely how you feeling now?
 
Bigbear said:
What doses of a.i. did you use and what long term effects did you get?
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.5 arimidex with my shot of 40mg 2x a week,
Way to much AI. Left with a slew of long term sides

Facial bloat/flushing
Weight gain
No pumps in the gym
Frequent urination
Joint pain/popping
Literally 0 glycogen in my muscles. They are flat as hell all the time.
Diffuse hairloss
Increased body hair
Dry skin
Dry eyes
 
Younganddumb said:
.5 arimidex with my shot of 40mg 2x a week,
Way to much AI. Left with a slew of long term sides

Facial bloat/flushing
Weight gain
No pumps in the gym
Frequent urination
Joint pain/popping
Literally 0 glycogen in my muscles. They are flat as hell all the time.
Diffuse hairloss
Increased body hair
Dry skin
Dry eyes
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Did they just tell you to take it no matter what or did they decide based on blood work? 80mg is so low I wouldn't expect much conversion with that
 
Younganddumb said:
.5 arimidex with my shot of 40mg 2x a week,
Way to much AI. Left with a slew of long term sides

Facial bloat/flushing
Weight gain
No pumps in the gym
Frequent urination
Joint pain/popping
Literally 0 glycogen in my muscles. They are flat as hell all the time.
Diffuse hairloss
Increased body hair
Dry skin
Dry eyes
Click to expand...
How long did you run 1mg/wk of Adex, and how long has it been that you’ve stopped taking that dose?
 
Bigbear said:
Did they just tell you to take it no matter what or did they decide based on blood work? 80mg is so low I wouldn't expect much conversion with that
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I respond weirdly well to test in small doses. 80mg brought my free T to 700+ pmol/l on bloodwork during trough. They started me right off the bat on adex because I was having issues with my GP prescribed TRT and they saw my e2 was at 120pmol which still isn't high but I was having "high" e2 symptoms. I took the adex they prescribed on and off for like a year. I was living with 40pmol/l e2 for a while which according to them is perfect levels.I wouldn't doubt it got lower at times as well.

After cussing truebalance out and doing more research myself I quit the AI permanently. Unfortunately the symptoms from crashing my e2 countless times never went away.
 
Younganddumb said:
I respond weirdly well to test in small doses. 80mg brought my free T to 700+ pmol/l on bloodwork during trough. They started me right off the bat on adex because I was having issues with my GP prescribed TRT and they saw my e2 was at 120pmol which still isn't high but I was having "high" e2 symptoms. I took the adex they prescribed on and off for like a year. I was living with 40pmol/l e2 for a while which according to them is perfect levels.I wouldn't doubt it got lower at times as well.

After cussing truebalance out and doing more research myself I quit the AI permanently. Unfortunately the symptoms from crashing my e2 countless times never went away.
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It kinda sounds like they might have their units of measure mixed up 120pmol/L (32 pg/ml) is pretty much perfect. If that's the case it would be an outrageous mistake. 40pmol/L (11pg/ml) is seriously low when it goes below 20pg/ml All Cause Mortality rates associated with that level take a huge leap upwards.

I'd be interested to hear your answers to @RigPig 's time questions.
 
Younganddumb said:
I respond weirdly well to test in small doses. 80mg brought my free T to 700+ pmol/l on bloodwork during trough. They started me right off the bat on adex because I was having issues with my GP prescribed TRT and they saw my e2 was at 120pmol which still isn't high but I was having "high" e2 symptoms. I took the adex they prescribed on and off for like a year. I was living with 40pmol/l e2 for a while which according to them is perfect levels.I wouldn't doubt it got lower at times as well.

After cussing truebalance out and doing more research myself I quit the AI permanently. Unfortunately the symptoms from crashing my e2 countless times never went away.
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Hyper responder
 
Younganddumb said:
I respond weirdly well to test in small doses. 80mg brought my free T to 700+ pmol/l on bloodwork during trough. They started me right off the bat on adex because I was having issues with my GP prescribed TRT and they saw my e2 was at 120pmol which still isn't high but I was having "high" e2 symptoms. I took the adex they prescribed on and off for like a year. I was living with 40pmol/l e2 for a while which according to them is perfect levels.I wouldn't doubt it got lower at times as well.

After cussing truebalance out and doing more research myself I quit the AI permanently. Unfortunately the symptoms from crashing my e2 countless times never went away.
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What symptoms of high e2 were you having that they decided to give you arimidex?
 
gondar1 said:
It kinda sounds like they might have their units of measure mixed up 120pmol/L (32 pg/ml) is pretty much perfect. If that's the case it would be an outrageous mistake. 40pmol/L (11pg/ml) is seriously low when it goes below 20pg/ml All Cause Mortality rates associated with that level take a huge leap upwards.

I'd be interested to hear your answers to @RigPig 's time questions.
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Oops forgot to say this was in June 2020 when I went to truebalance. Haven't touched an AI since. So like 3 and a half years now I've been stuck with these symptoms. I've tried everything even taking exogenous e2 still no improvements lol, I wish I could experience "high" e2 again atleast I could get a dam pump in the gym.
 
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