MichaelWitcoff said:I didn't start on the Arimidex until a couple weeks of TRT produced absolutely zero effect on my testosterone levels. In fact it went down in that time period, and that's why the PA suggested the Arimidex - because it looked like the testosterone was converting completely into estrogen. My Estradiol is right in the middle of the normal range on this program, or at least it was last time my labs were done.
My point, generally, is that your PA might have no clue what they're talking about, and that the incentives of your TRT clinic are not aligned with the incentives of your health.
1) You're probably not getting the right kind of estrogen test.
2) Being "middle of the road" on such a test isn't indicative of anything in particular, because you'd need to look at the ratio between androgens (free test and DHT) and estrogen.
3) Again, once a week injections are a big red flag. This sort of injection pattern produce wild side effects because of the sudden, rapid rise in testosterone levels, followed by a crash to 50% of peak levels prior to next injection.
4) Studies indicate that any amount of aromatase inhibitor makes testosterone toxic to your brain and blood vessels. They should be avoided like the plague.
Generally speaking, if you are not committed to doing tons and tons of research on your own about TRT, I don't know that I would recommend it.
Here is a good book to start with, in addition to the excellent "More Plates More Dates" YouTube channnel: