
RealSurgerymax
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This isn't medical advice or a suggestion! It's just what I have seen in myself and observed in others I know irl and also certain fitness influencers, I have put the pieces together to explain it with simple physiology.
I've noticed many people (including me) on high dose (over 200mg) TRT and people doing moderate blast cycles (500-700mg Test, and even pairing with engineered hormones liked Anavar, Winstrol, Nandrolone, NO TREN, NO MASTERON, NO ANADROL) are aging quite well. I mean no hair loss and no accelerated visible skin aging, and even improvement.
Under these strict terms:
Personal story:
Ive been on TRT in the ranges of 200 - 450 for 2 years. About a year and a half in, I noticeabley gained hair density. Well, I temporarily went to 450mg test 6 months ago and a few weeks in I noticed some slightly puffy and sensitive nipples (still no shedding, and no bloat). So I got some Anatrazole and went by the medical guidelines of 0.5 - 1mg per day. This is what TRT doctors are prescribing. Within a few days I noticed HORRENDOUS SHEDDING. Clogging my shower drain every time I showered, even flooding the bathroom.
Of course I panicked and looked for a cause. Convention would say its obviously from the 450mg test. But I was skeptical because of the timing. I actually thought it was from partying too much which coincided with the incident. Things are never clear when its yourself, and youre in the middle a shitstorm. I consulted a dermatologist who was unhelpful (suggested Telogen Effluvium). I reduced the TRT back down to 250 to be safe, which also meant I didn't need the anastrozole anymore. Things stabilized pretty quickly and Im just now starting to see some regrowth from that major shed event.
A couple months later I was studying the OBGYN chapter for a medical licensing exam I'm taking and reviewed Postpartum Alopecia - when a woman sheds hair, sometimes devastating amounts, after giving birth because of the rapid estrogen crash. It hit me - thats definitely what happened when I took those AIs.
Now I'm on TRT350 take 0.25 anastrozole HERE AND THERE - as in once every couple weeks, if I feel nipples are getting slightly puffy. And everything's fine.......
I've noticed many people (including me) on high dose (over 200mg) TRT and people doing moderate blast cycles (500-700mg Test, and even pairing with engineered hormones liked Anavar, Winstrol, Nandrolone, NO TREN, NO MASTERON, NO ANADROL) are aging quite well. I mean no hair loss and no accelerated visible skin aging, and even improvement.
Under these strict terms:
- Test under 350mg
- with 5-Alpha-Reductase Inhibitor (Preferably Dutatseride, but finasteride may work if you have good genetics)
- 2-3x Natural Testosterone
- 4-10x less natural DHT
- 1.5 - 3x natural male estrogen levels and about 1/3 to 1/2 of natural female peak levels (female levels are naturally in phases)
Natty Guy | Responsibly Enhanced Chad | Gymcel Blasting Grams | |
Testosterone | Normal (or low) | 2-3x Natural | 5-20x Natural |
DHT | Normal | Much Lower | Elevated, even on Fin or Dut |
Estrogen | Normal | Elevated but balanced with Test | Hyper Elevated or Crashed if using AI |
Outcome | Normal aging - Usually looking old and tired and lost considerable hair by early 30s, and for many, even mid to late 20s depending on lifestyle and genetics. | Enhanced Aesthetic Aging - Reduced DHT and Elevated Estrogen nurture the hair and skin. May look the same or better at 30 than they did in early 20s (I've been noticing lots of cases like this) | Accelerated Aging on all levels. Skin: Collagen is raped. Wrinkles, sagging. Facial Muscle Activity: Forehead has deep lines, deep nasolabial folds and full neck/submental area from facial Muscle hypertrophy (Unaesthetic, meaty face) Hair: Bald or thin and unhealthy looking If not on AI (Aromatase Inhibitor): All of the above plus, bad gynecomastia from elevated estrogen. Higher cancer risk at these high E levels. If on an AI: Maybe no gyno but all the rest is compounded 3 fold because of crashed estrogen. In addition to aesthetic problems add bone porosity, tendon injuries, Cardiac and nerve dysfunction. |
- Overuse of AROMATASE INHIBITORS are one of the main contributors to aesthetic and medical consequences on steroids, and this has been historically understated. Proper doses for the "Responsibly Enhanced Chad" category is way less than current guidlines are suggesting (if anything at all - but a very small and sporadic use may be ok)
- This is referring explicitly to AESTHETIC AGING meaning visible markers for age. Actual cellular/biological aging is still happening and admittedly, probably accelerated even on moderate dose TRT.
Personal story:
Ive been on TRT in the ranges of 200 - 450 for 2 years. About a year and a half in, I noticeabley gained hair density. Well, I temporarily went to 450mg test 6 months ago and a few weeks in I noticed some slightly puffy and sensitive nipples (still no shedding, and no bloat). So I got some Anatrazole and went by the medical guidelines of 0.5 - 1mg per day. This is what TRT doctors are prescribing. Within a few days I noticed HORRENDOUS SHEDDING. Clogging my shower drain every time I showered, even flooding the bathroom.
Of course I panicked and looked for a cause. Convention would say its obviously from the 450mg test. But I was skeptical because of the timing. I actually thought it was from partying too much which coincided with the incident. Things are never clear when its yourself, and youre in the middle a shitstorm. I consulted a dermatologist who was unhelpful (suggested Telogen Effluvium). I reduced the TRT back down to 250 to be safe, which also meant I didn't need the anastrozole anymore. Things stabilized pretty quickly and Im just now starting to see some regrowth from that major shed event.
A couple months later I was studying the OBGYN chapter for a medical licensing exam I'm taking and reviewed Postpartum Alopecia - when a woman sheds hair, sometimes devastating amounts, after giving birth because of the rapid estrogen crash. It hit me - thats definitely what happened when I took those AIs.
Now I'm on TRT350 take 0.25 anastrozole HERE AND THERE - as in once every couple weeks, if I feel nipples are getting slightly puffy. And everything's fine.......
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