u/Dr_Poopy_butt_hole

36M on TRT through a clinic in Australia. Looking for experiences from guys who’ve had similar bloods/symptom patterns, specifically if I should consider adding a low-dose oestrogen blocker, anastrozole (clinic's recommendation based on latest bloodwork).

Started TRT due to:

• low free testosterone
• joint pain
• fatigue
• brain fog
• low motivation/libido
• poor recovery

Protocol progression:

• Started around 125mg/week test e split 2x weekly
• Felt strong physically, libido improved, but developed elevated anxiety/agitation
• Reduced dose progressively
• Tried 90mg/week and felt flatter: lower libido, less gym drive, lower motivation
• Now on 105mg/week split 3x weekly (0.14mL 3x/week Primoteston)

Current bloods:

• Total T: 29.1 nmol/L
• Free T: 834 pmol/L
• SHBG: 21
• E2: 211 pmol/L
• Hematocrit: 0.48
• Lipids/glucose/liver all good

E2 timeline:

• March 2025: E2 376
• December 2025: E2 295
• Latest bloods: E2 211

Current symptoms:

• Libido good
• Motivation/drive good
• Anxiety now mostly good
• Gym performance good
• No major water retention
• No nipple sensitivity/gyno symptoms

Only things I still notice occasionally:

• Maybe taking slightly longer to recover from training sessions
• Occasional moodiness/emotional sensitivity

Clinic is suggesting introducing low-dose anastrozole because E2 is above target, but I’m hesitant because I’ve read a lot of guys feel worse crashing E2.

Interested to hear from anyone who:

• naturally runs higher E2 on TRT
• stayed without an AI long-term
• or found symptom relief from a very small AI dose without hurting libido/mood.

Not looking for medical advice, just real-world experiences from others.