No trt. The endo admits this is very new and we are to approach it systematically. He understand that we can be facing androgen insensitivity and that dexamethasone will suppress the adrenals by 30-40% thus allowing the body to become slowly acquainted with androgens again, but he also admits that the body is not going to do anything when it is being shutdown by excess e2 ( I was 84 on a scale of 15-47), thus the arimidex. Since we reviewed studies during the blood monitoring, he was fascinated with the study showing that DHT will stimulate 5AR. He spent some time going over it with his colleagues and we are starting with the following:
- Arimidex 0.5 twice a week. Proviron 75mg once a week. Do this for 8 weeks. So far I’m feeling much better and feel the best right after taking the Proviron. I have been doing this for 5 weeks.
After testing blood again here in about 2 weeks we will review, like he said, he wants to be systematic and not just through a bunch of substances into my system. If estrogen is good and DHT is higher, but I still do not feel semi normal, then we are to introduce low dose dexamethasone 0.5 once a day for four weeks, the slowly narrow the dosage. This is to actually suppress my adrenals to lower my testosterone. Lowering the testosterone slowly, then keeping it lowered for an extended amount of time should resensitize my system to androgens, then we can slowly pull off the dexamethosone and the system should be able to respond normally to androgens, and with doing proviron all this time along with dexamethosone, 5ar1&2 should be stimulated, and since we lowered the amount of test, DHT should be dominate in the pituitary and prostate, thus making fsh and lh normal again sine the pituitary will not be bombarded with excess test. This is the plan and so far it,s working, but it’s very young.