36M, ~90 kg, 181 cm. Test E only, 500 mg/week, split 250 mg Monday/Thursday.
Bloods below were taken on 29 April after 9 injections, roughly 4 weeks after starting.
Baseline — 02 April
- Total testosterone: 21.2 nmol/L
- Free testosterone: 407 pmol/L
- SHBG: 41 nmol/L
- Oestradiol: 100 pmol/L
- LH: 8.0 IU/L
- FSH: 7.1 IU/L
- HDL: 1.02 mmol/L
- LDL: 3.2 mmol/L
- Creatinine: 110 µmol/L
- eGFR: 74
Latest — 29 April
- Total testosterone: >52.0 nmol/L, lab capped
- SHBG: 28 nmol/L
- Oestradiol: 402 pmol/L
- LH: <0.4 IU/L
- FSH: <0.4 IU/L
- HDL: 0.88 mmol/L
- LDL: 3.0 mmol/L
- Creatinine: 112 µmol/L
- eGFR: 73
- ALT: 22 U/L
- AST: 37 U/L
- Haemoglobin: 148 g/L
- Haematocrit: 0.44
Symptoms
- Intermittent nipple sensitivity
- No clear firm lump
- Unsure about mild puffiness
- No major mood/libido issues
- BP seems okay, but I’m going to track daily
I have Aromasin 25 mg tablets on hand, but I don’t want to crash E2 unnecessarily.
Would you hold and monitor, repeat bloods, or introduce a low-dose AI given E2 at 402 pmol/L plus intermittent nipple sensitivity?