@steelhealthandhor: Estrogen is something to be managed on TRT. When deciding how we manipulate estrogen we first need to ask - is the patient having estrogenic side effects? We then corroborate that with bloodwork. Managing estrogens can be done in several different ways. 1. Changing dosing frequency of T. 2. Changing the amount of T. 3. Supplements like DIM and calcium d glucarate. 4. A Rx AI like Anastrazole. #trt #hrt #menshealth