1. You should NOT need an ai on trt, the whole idea to to mimick your natural test levels. Your natural test naturally converts to estrogen. Your body has a management system for that.
2. 12.5mgs 2x per week is way too much for the amount of test your taking.
3. Stop taking the aromasin for 5 weeks and re-do bloods.
4. You need SOME estrogen.
Whoa bro first of all, this is an absolute crock of shit.
If you're making this reference, in regards to natural levels that's one thing but even at that people have developed gyno with their own natural levels even during puberty, and sometimes when people were young adults, and even when people have been slightly heavy.
Secondly, and this is most importantly and I hope you listen to this -
When taking a exogenous testosterone, synthetic, we are attempting to try to duplicate and simulate what our natural levels once used to be, simply getting back within that range so our bodies can try to the best of its ability to find balance and homeostasis with all the systems checks and balances.
That does not mean our body is going to respond and react as if we are back to where we once were naturally if we take test and it brings us within the standard textbook numbers of the norm. It is equivalent to a prosthetic limb. The hormone is synthetic, we can almost call it a prosthetic hormone, it is simply an extension, the closest expression that we can get that will ever attempt to closely resemble or duplicate natural testosterone and hopes to behave like it, which it never will..
The problem lies here within, our natural testosterone has specific characteristics about it unlike synthetic testosterone..
One, because it's ours, it belongs to us and it's natural. It's our very own, not something that is synthesized from soybean.
Look at synthetic testosterone like a glove, the fingers, it will move like a hand and function like a hand, but it's not a hand or fingers. It may behave like a hand but it's not one.
Our original testosterone is a real hand and what's even more unique about that, is our fingertips all have specific and unique fingerprints. These fingerprints makes our body respond and react much differently compared to synthetic hormones that are like gloves that do not have fingerprints, distinctive characteristics.
This is why trt protocols and therapies are not a one-size-fits-all, because people will not ever, or always fit into the same little box with a cookie cutter protocol.
As much as we would like, our bodies actually do not and will not ever respond to synthetic exogenous hormones the way that our bodies have responded once upon a time to natural hormones..
It is factual that some people on low to moderate dosages of trt will in fact need an AI, because there's an entire different cellular chit chat, there's functions and pathways that are no longer open, and there is other pathways that are now initiated, awakened and responding entirely differently, new enzymes are present, others are activated that have been dormant and there's a slew of effects with different types of conversions that are taking place, across a vast spectrum that has not taken place before. And to touch on that more let's talk about the recruitment of histamines that get deployed to the injection site.. the list goes on and on. How about the Cleaving process, how about the two main types of enzymes that act in the cleaving process of different type of esters, in which activate the hormones, these enzymes esterase and hydrolysate.
They're simply too big of a complex interplay between activation and inactivation mechanisms that serve to regulate the specificity and the amplitude of the hormonal response and this will vary greatly.
Factual, everyone possesses different Gene expressions, with different enzymes, protein bombs and so on, some enzymes we have are known to catalyze more than 5,000 biochemical types, and her body's possess inhibitors and activator molecules that can greatly affect the activity by increasing or decreasing the hormonal activities.
GENETICS, GENETICS ARE HUGE FACTOR OF WHAT PEOPLE POSSESS COMPARED TO WHAT OTHER PEOPLE DO NOT POSSESS.
It's not a plug and play for everyone..
Unless you're an endocrinologist, or a neuroendocrinologist, no one here is qualified to tell anybody what they should do.
Suggestions are one thing, but the amount of anti-estrogen that he's taking twice a week is actually on the low end with some protocols.
Telling people that they do not need an anti estrogen on trt is absolutely terrible advice. It's not often required but it's not out of the ordinary or unusual for it to be a staple item for some people.
Not a single human being is going to respond or feel the same way they did on synthetic testosterone as they did on their own natural levels when they were healthy.
Why do you think it's always a cat chase tail game, with attempting to treat this symptom or that symptom for the rest of our lives while running trt, and at times when guys are on trt their sex drive tanks out. Why? Because there's initiation and activation of other cellular groups, different neuro secretions and most of all the behavior with the pituitary is no longer operating normally. As it once was.
Facts!
Not being a wise guy or looking to create any issues but prove me wrong..
Just saying... Don't tell people they don't need an anti-estrogen with trt, unless you are truly sitting down with them reading their blood work and you know them historically, and see them as frequently as their doctor, or as often as a doctor should.
People need to remember that hormones are chemical Messengers that relay messages to cells that display specific receptors for each hormone and respond to specific signaling, now depending on the ester and the individual's metabolization ratio the hormone can and may make changes directly to a cell by changing the Gene and the ones that are activated, or by way of making changes indirectly to a cell by stimulating other signals pathways inside of specific cell groups that is affected and affect other processes, therefore this can initiate an intracellular Cascade of events.
For this specific reason, this is why the same similar hormone ester, especially with trt will affect people differently, because there's numerous ways a hormone can yield different effects, so depending on the transcription factors that are present and different genes will be transcribed in response, this is a good reason why some individuals will bloat or have estrogen effects at trt levels and others won't,
So if we're going to talk about biosynthesis and what people need and do not need, let's be real and truly peel back the layers.
TRT is not mimicking or natural levels consequence free. Our biological response it's going to have a lot of questions regarding this unnatural actor.