[Lotus]

Thanks lotus, i did wonder, my prolactin has been around 700 miu/l the last two blood tests, despite taking 8mg of estradiol each day my estradiol blood tests are coming back really low, 73 pg/ml at last test, the decapeptyl shots have my testosterone nicely suppressed, last test was 0.5 nmol/l which is low female range so im not sure i need the finasteride, only thing is now im no longer taking any anti androgens relying just on the decapeptyl, estradiol and finasteride im getting an oily forehead again, not sure if this means im androgen sensitive or whether estrogen can also cause this?

I think your experiencing the surge (testosterone) effect on GnRH therapy, that'll spike acne and oily skin. An omega 3 (not fish oil) should calm this down, it's inflammation the causes the bacteria to flourish under the skin that allows acne to escalate. A good anti-inflammatory should be a first line of defense, only not fish oil cause that only fuels it (via increase of free T through lutenizng hormone (LH).

I like GnRH therapy, but I think it misses an opportunity to use FSH (follicle stimulating hormone) to synthesize E2 signaling from the pituitary. Bobie, ask your endo about adding Coconut oil, I believe it helps synthesize the process of E2. Btw avoid raw carrots before treatment, it prevents the binding of E2 in the intestinal tract.