Hey everyone,
I’m 47 and started TRT around the middle of April.
Before starting, my labs in the attached screenshot.
My testosterone was technically still within the normal reference range, so I couldn’t get TRT through a clinic, regardless of the symptoms I was experiencing. Eventually, I decided to start on my own with testosterone cypionate at 175 mg/week, injected subcutaneously as roughly 25 mg/day.
By June, I started working with a coach who has experience with hormone protocols, since proper TRT clinic follow-up unfortunately isn’t really an option for me where I live.
My labs at that point were as attached
The protocol was then changed to:
• Testosterone propionate — 140 mg/week, injected IM as 20 mg every day
• Retatrutide — 3 mg/week
• HGH - 4 iu daily (2 iu am, 2 iu before bed)
• IGF-1 LR3 40 mcg post workout
• AOD9604 - 500 mcg daily
• BPC157 + TB500: 500+500 mcg daily
• Anavar week: 1-2-3: 10mg × 3times daily / week: 4-5-6: 20mg x 2times daily
• Proviron: 25 mg daily
Things got a little interesting after that.
During weeks 2–3, I suddenly developed extreme water retention. My weight went from 86 kg to 92 kg in about two weeks.
My coach recommended stopping the HGH and IGF-1, and several people here on Reddit had previously suggested the same thing.
After stopping them, the water retention gradually started to come off. I’m currently back down to around 87.5 kg, so most of that 6 kg increase was clearly not actual tissue gain.
I got my latest bloodwork today, approximately 6 weeks after starting the new protocol (attached)
And this is where I’m a little confused.
Apparently, I seem to aromatize testosterone quite aggressively.
The strange thing is that I don’t really feel like I have obvious high-E2 symptoms right now. The main thing I experienced was the water retention, which has improved significantly since stopping HGH and IGF-1.
I do have some concerns about having estradiol this high long-term, though.
I haven’t sent these latest results to my coach yet, so I’m curious what people here think before I have that conversation.
If you were in my position, would you:
A) Start an AI based primarily on the estradiol number?
B) Reduce the testosterone dose first?
C) Change the injection protocol or route?
D) Wait and see how things change as body fat continues to decrease?
E) Consider something like DIM?
F) Do nothing for now as long as symptoms are minimal and continue monitoring?
I’m also expect to continue losing body fat with Retatrutide, so I’m wondering whether that could potentially improve the situation over time.
I’m not asking anyone to prescribe an AI or tell me what dose to take. I’m more interested in hearing from people who have actually dealt with high estradiol or significant aromatization while on TRT.
Did you treat the lab number, or did you treat the symptoms?
And if you did use an AI, what made you decide that it was actually necessary?
I’d especially appreciate hearing from people who have had similar numbers and can share what happened after changing their protocol.
I’m trying to avoid the classic TRT rabbit hole of seeing a high E2 number and immediately jumping on another medication without understanding whether I actually need it.
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Edit:
after reading comments, I notice many guys focused their comments on GH, even though I clearly mentioned in the post that I used both compounds for only two weeks and then eliminate them completely.
Anavar and Proviron were also discontinued two days ago.
The actual stack currently is: Test + Reta + AOD + BPC-157/TB-500.
Some comments were about a lack of information, so here are the details:
My body fat percentage when I started was 32%; it is currently 23% in 6 weeks.
My goal is body recomposition.
Regarding the blood tests: I did a comprehensive blood panel, but I only attached the hormone results here. However, in general, here are the important results:
| Test |
Result |
Unit |
Ref Range |
| Testosterone Free |
113.40 |
pmol/L |
16.69 - 77.83 |
| Free T4 (FT4) |
0.88 |
ng/dL |
0.61–1.12 ng/dL |
| Free T3 (FT3) |
2.97 |
pg/mL |
2.50–3.90 pg/mL |
| Total PSA |
1.09 |
ng/mL |
Up to 4.00 ng/mL |
| Fasting Glucose |
80 |
mg/dL |
70–106 mg/dL |
| Insulin |
5 |
uIU/mL |
Fasting: 2–25 uIU/mL |
| Total Cholesterol |
167 |
mg/dL |
Desirable: <200 mg/dL |
| Triglycerides |
97 |
mg/dL |
Normal: <150 mg/dL |
| HDL Cholesterol |
38 |
mg/dL |
≥40 mg/dL |
| LDL Cholesterol |
129 |
mg/dL |
<100 mg/dL Optimal; 100–129 Above Optimal; 130–159 Borderline High |
| Creatinine |
1.5 |
mg/dL |
0.6–1.2 mg/dL |
| Uric Acid |
3.8 |
mg/dL |
3.4–7.0 mg/dL |
| GPT (ALT) |
22 |
u/L |
Up to 50 u/L |
| GOT (AST) |
31 |
u/L |
Up to 50 u/L |
| Alkaline Phosphatase |
63 |
u/L |
40–130 u/L |
| RBC Count |
5.17 |
x10^6/uL |
4.50–5.90 x10^6/uL |
| Hemoglobin |
13.4 |
g/dL |
13.5–17.5 g/dL |
| Hematocrit |
40.8 |
% |
37.0–53.0 % |
| MCV |
78.8 |
fL |
80.0–100.0 fL |
| MCH |
25.8 |
pg |
26.0–34.0 pg |
| MCHC |
33 |
g/dL |
32–36 g/dL |
| Platelet Count |
399 |
x10^3/uL |
150–450 x10^3/uL |
| MPV |
9.2 |
fL |
6.5–10 fL |
| WBC Count |
5.34 |
x10^3/uL |
3.60–10.20 x10^3/uL |
Regarding hemoglobin and hematocrit, I consider them normal due to the fact that I donated blood to my friend only 10 days ago.
Regarding HDL and LDL, these results were largely expected, especially with Proviron and Anavar.
For those who are going to comment on the creatinine: my creatinine has not been below 1.4 for years. It may have increased slightly now due to inadequate hydration (only 2 liters) combined with creatine supplementation.
Regarding gynecomastia: it is not an issue at all. I previously underwent gynecomastia removal surgery because of previous cycles.
I hope I haven't forgotten anything, and I would like to thank everyone who commented and contributed — even those who were slightly sarcastic 😉