[alex]

sounds a bit chaotic..
try to simplify, structure and standardize your training, nutrition, recovery and peds (in that order) – so you can objectively quantify your progress and adjust when necessary and where it is necessary.

[alex]

does anybody know a multivitamin which is completely 3rd party tested?

[alex]

its only 0.1ml.. dont think, just inject the juice and get huuuge buddyyy

srsly even if you would try, you probably dont hit the same spot twice.

[alex]

I just check igf-1 and hba1c to check if its real growth..
To see how good it is, you probably have to send it to janoshik 🙂

[alex]

at „low“ doses test, mast is very potent in controlling estrogen imo.

if I use 500 test only, I need 0.5ari e3d.
I can replace the ari with 200mast with the same good feeling.

if you run 600 test with 1ari/week you can probably even keep the test higher.. maybe 400test, 200drost, or even 450test, 150drost.. see how you feel

[alex]

if I use hcg on cycle, I defo need an ai..

[alex]

~0.1ml

300 = 1ml
200 = 0.67ml

/ 7 = ~0.1ml

[alex]

?

[alex]

If test only (300mg?) try to inject e2d (or ed if he likes needles) and check e2 after 4-6 weeks.
if he has estrogenic side effects and dont want to add a dht, if e2 is like double over range, add 0.5ari e3d, if e2 sideeffects still there, take 0.5ari e2d..
if its just slighty above range but still feeling e2 sideeffects, start with 0.25ari e3d or e2d..
but.. thats very person dependent. you can have e2 high above range and dont feel sideeffects, then dont add ai.
too low e2: joint hurt, bad mood, no libido, numb nipples.
too high e2: water face, high blood pressure, no libido, bad mood, puffy/ichy nipples.
at the end its trial and error haha

Thanks and AI lowers SHBG same efeectively as mast?[/quote]
exemestan more than arimidex I think but not as much as dhts

[alex]

If test only (300mg?) try to inject e2d (or ed if he likes needles) and check e2 after 4-6 weeks.
if he has estrogenic side effects and dont want to add a dht, if e2 is like double over range, add 0.5ari e3d, if e2 sideeffects still there, take 0.5ari e2d..
if its just slighty above range but still feeling e2 sideeffects, start with 0.25ari e3d or e2d..
but.. thats very person dependent. you can have e2 high above range and dont feel sideeffects, then dont add ai.
too low e2: joint hurt, bad mood, no libido, numb nipples.
too high e2: water face, high blood pressure, no libido, bad mood, puffy/ichy nipples.
at the end its trial and error haha

[alex]

more like lower test a bit and add mast or primo to same total amount of gear.

dont compare 300test + ai vs 300test + 100mast.
compare 300test + ai vs (for example) 250test + 50mast or 200test + 100primo.

but still, some individuals have better bloods with ai instead of dhts for e2 control..

[alex]

Is your doctor a general practitioner (sorry dont know if this is the right term for „normal doctor“) or a psychiatrist who is specialized for treatment of depression, anxiety etc.?

If its a GP, switch to a psych. and talk with him about the specific symptoms.
There are so many options for treatment in this area..

Had the same problem years ago.
Went to a psych back then, he put me first on escitalopram.
Depression gone, anxiety gone. But also zero libido, insomnia and crazy night sweats.
Also lack of motivation for things I usually enjoyed.
He gave me mirtazapine and said its synergistic with the ssri.. I was skeptical, did a lot of research. Read about the mentioned 5HT receptor subtypes and their functions.. Very interesting topic 😂 haha

So motivation came back, no sweat, good sleep. Libido better but still not as good without medication..
But felt really good and „normal“!

The massive appetite was a problem.. felt kinda like hypoglycemic 24/7 with sugar cravings.
But adding metformin before sleep made it far better.

Anyway.. you have to try. There are so many options and drug combinations and there is no reason accepting to not feel normal.

[alex]

First of all: its very individual how you react and even ssris are all slightly different in their affinities regarding the 5HT (serotonin) receptor-subtypes.

Most ssris(and snris) can cause a reduction of dopamine and noradrenaline in the prefrontal cortex due to some kind of interaction with the 5HT-2-receptors. This can (not must!) lead to emotional numbness and maybe even anhedonia.

If you have problems with anxieties, ssris are still first choice treatment, but to increase motivation and anhedonia-symptoms, 5HT-2-Antagonists can help:
You could add Mirtazapine or Agomelatine.

The augmentation with mirtazapine is quite common and works well. It even reduces ssris side effects like sweating, sexual dysfunction and insomnia. But leads to new side effects like sleepyness during the day (first 1-2weeks) and strongly increased appetite (weight gain..).
Agomelatine is quite new, there is not much data for augmentation with ssris. But I think side effects would be like zero and due to its 5HT-2-antagonism it could be effective too.. maybe its worth a shot. If it doesnt work try it with mirtazapine, if that doesnt work try something else..
Sadly its common that it take a long time to find the right medication.

So for example ssri(or snri) in the morning, mirtazapine/agomelatine before sleeping.

But of course, please consult your doctor with this topic.
I hope this doctor is specialized in this area because most dont know anything about subtypes of 5HT receptor and how they regulate gaba, dopamin, noradrenaline in different areas of the brain.

[alex]

I would drop the test to 300mg and add 100mg masteron or 200 primo or 25mg proviron (ed) instead using AIs and tamox..

[alex]

Tren does this as it leads to your body over producting histamine that leads to excess stomach acid indigestion etc

Lower dose

Add anti histamines

Exactly this.

You may also try DAO supplements