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Trying to dial in trt

I started 200mg/wk test a few months ago and everything has been going good except I’ve developed more acne on my body than I anticipated for a trt dose and I’m also having issues with erections. In terms of the acne I’m making sure I’m showering after workouts and not staying in dirty sweaty clothes. In terms of having issues getting and keeping erections I do liss cardio every morning for 30 minutes, 20 minutes HIIT cardio 3 times per week. I haven’t gotten bloods yet but I’m trying to figure out what to do to fix these two issues. I feel like I’m doing the best I can but the hormones are going do what they’re doing to do. My thoughts are to drop the test to 100mg/wk and add nandrolone at 100mg/wk to maintain size but shift the levels of estrogen and progesterone around. Is that something that can help? I’ve never done nandrolone but Ik people do it for trt sometimes. I’m 32 and plan on not doing much more than trt anymore so I’d like to find a sweet spot of size, sex life, and not looking like a teenager with acne. I’m assuming the obvious answer is to drop the dose. Any suggestions are appreciated.
 
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mshbmx

Member
I wouldnt start adding in other hormones if just test alone is giving you problems. I understand what you’re trying to do by adding Nan but you need to get your estrogen in check before you do that. If you have high e2 and raise that prolactin by adding Nan talk about dick issues. Acne and erection issues are a dead giveaway that your estrogen is too high. Lower the test to 150 first, and most importantly go get bloods to see where you’re at.
 
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LightningLeg

Active member
I wouldn’t do adding nandrolone until you figure this out. I agree with the above, this sounds dead on like high e2… how often are you injecting? Maybe try adding 12.5mgs aromasin on injection days for a week or two and I bet your problems clear up pretty quick. But definitely get bloodwork. And then start playing with e2 and when you feel good, get bloods again. That way you know what a good ratio is for you… also wouldn’t be a bad idea to write everything down that way you have for reference.
 
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@mshbmx for whatever reason I assumed high estrogen wouldn’t be something to worry about at 200mg. It’s all relative to the dose through. Thanks for pointing this out.
 
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MikeAlstott

Active member
Definitely high estrogen. Lower the dose to 100-150, pop an aromasin, wait a few weeks see if things normalize. Or you can try adding in Primo at a 1:1 ratio and seeing if that helps with no AI, but you will need to wait and reevaluate after 4 weeks.
 
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mshbmx

Member
@allnatural

That is mostly true speaking for myself as my trt regime is 200mg/wk and puts my E2 at 41. But what 200mg/wk for one person isn’t the same for someone else. I read somewhere on another forum once that this guy was on 80mg/wk cause anything else higher than that would give him estrogen sides oily skin/acne/sensitive nips. So what works for someone else could be completely different for how your body handles it.
 
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@mshbmx I wasn’t going to get bloods for a few months bc I was more concerned to see my cholesterol after a few months than my estrogen but now I’m curious to how high it is on this dose now. I didn’t take and ai on 500mg test last year. My estrogen was high but my test was over 4,000 so the ratio was still favorable. I don’t recall these sides then.
 
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processbuild

New member
Get prolactin tested, too. Estrogen and prolactin are linked and the latter is often ignored unless you’re on a 19-nor. Deca would only make this worse.
 
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mshbmx

Member
@allnatural
Really, do you know what your E2 reading was on 500?
That definitely raises an eyebrow for me.
How is your diet right now?
 
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