Recently turned 57, male; been on TRT for a little over 2 years after the T test I had done came back with me at 225 ng/dL - so my doc and I started with patches (waste of time) then migrated to IM injections of Test-C. As I did more reading about TRT I began to realize that my doc and I hadn't done "due diligence" (no baseline testing for anything else) he was worried when my hemoglobin and hematocrit went up and then based on info I'd gleaned I suggested that this might be "expected"; I asked for an E2 test and the results came back at 140 pg/mL - this had him (and myself) concerned, so I suggested possibly an AI; he contacted his endocrinologist who's only response was "take him off the T" - as I'd been starting to feel the benefits of having my T level back up in the 500-800 range (for about 6 months at this point) I didn't want to go this route so I found an AI source and amazingly my E2 level dropped back down to 25 pg/mL. For myself, I eventually found that switching to SubQ injections did the trick for my E2 levels, and no more quad muscle soreness; so I left things alone. Lately I've been reading more on proper TRT protocols and I approached him about adding HCG into the mix (the bad boys went into hiding) and restarted the "what if I need an AI" discussion. My doc won't or cannot prescribe an AI (or one of the possible SERMs) if I do need one and totally refuses to talk to me about HCG. His endocrinologist keeps saying "take him off the T" - but won't even talk about trying to reverse the effects of being on T replacement (which I'm pretty certain I should worry about). So, I'm hoping to learn a lot here.