Thanks for the input DrJMW. As a matter of fact, the type of estrogen she is on is a bi-est in a PLO gel. Also, sublingual progesterone and test in a PLO gel (4/mg/day). None of the synthetic estrogens or progestins. She is also taking 3 IU/day of hgh to give her an IGF-1 of about 400. She had her fasting insulin checked and it was 4.5 (range 6-27) with a glucose of about 90 so there is no insulin resistance. Using a glucometer, her glucose response to carbs is fast. It doesn't go up very high and come back to normal fast.
This regimen looks pretty good; only way to know its effectiveness is blood tests, visual inspection, and communication with the patient.
She goes in next week to get her estrogens, progesterone, testosterone, and IGF-1 tested again.
Excellent follow-up.
Currently, she is taking 25 mg/day of DHEA and fairly good doses of prohormones. We are considering Oxandrin at 5 mg/day to see her response and take it from there. Any idea as to how long a cycle should be? 8 weeks? 12 weeks? more?
I have started beginners at 10mg daily for eight weeks; if there are problems, then I drop to 5mg. 10mg is very well tolerated.
To get the lowest estrogen, what is the criteria? Breakthough? Hot flashes?
I look for subjective symptoms from the patient to help me with medication modification.
On the positive side, she determines when she wants to have a period, not her body. And no more kids. So test supplementation is a possibility. Do you determine the test level by the sides? Also, from reading the posts here, Propionate seems to be a good idea for the first time test user because if sides do occur, dosage response is quick.
Again, you have two choices. I have used Androgel 2.5G--one daily application or 100mg IM Test Cyp weekly. I adjust downward as necessary. 100mg Test is well tolerated.