I agree w this, but how do we attack this issue? I’m on trt.. I’ve had high and low e2. When high I would take peat like ais and sometimes pharm ais. So if my e2 and total estrogen serumn are low on blood test, it’s probably still high in my body overall. Do AIs like anastrazole etc lower whole system estrogen? I’ve even taken ais when my blood estrogen is low bc I believe it’s not actually low. But then I feel like ***t. So id say you believe that’s not bc estrogen is too low, my body just independently doesn’t like AI.Serum estradiol is not a good measure of systemic estrogen status in men. The estrogens are paracrine hormones, meaning they're produced and used in their tissue of origin without ever entering serum. Accordingly, serum estradiol - especially in a man not on exogenous hormones - tells you absolutely nothing about the level in the tissue; if you have low testosterone, the odds you have elevated tissue estrogen are extrodindarly high.
Tissue-bound estrogen in aging
Serum estradiol is primarily a reflection of intratesticular aromatization, which will be low if testosterone production is low. Again, that isn't a reflection of that in the tissue, nor the systemic estrogen load.
Can we measure or actually know if we have low or high estrogen in the body so we know how to attack it?