UPDATE: So this update is a little bigger as there's a few things to saying.
General Reta/Fat loss progress:
The Reta is still working well at 3 mg every 3 days (≈6 mg/week). I do notice a bit of increased appetite on injection days, but it’s not an issue—if anything, it helps me fit in a few extra calories, giving my body a short break from being in such a caloric deficit. Importantly, the food noise and urges I had before starting Reta haven’t returned in any meaningful way.
Looking back, I probably escalated to 6 mg/week a little too quickly. I was aiming for maximal glucagon effect, but I’ve since realised that chasing that isn’t as beneficial as I thought—it would just accelerate desensitisation and push me into higher doses sooner, and into an eventual point where taking a 1-2 month break to re-sensitize makes sense. My new approach is to adjust the dose only if appetite or food noise creeps back to the point where it interferes with progress, or if I’m no longer in a sufficient deficit.
Since I began July 16th (6 weeks ago) I have an average of 3.6 lbs loss on the scales per week (-21.8 lbs total). No need for update pics yet—I’m still carrying a lot of fat—but I’ll probably share some once I hit around 300 lbs (≈90 lbs down from my start weight).
Feeling unusually cold:
I’ve noticed I’m more sensitive to cool or cold temps lately. At first I suspected a thyroid issue, though I’m already on T4 (Hypothyroidism). It could still be a T4→T3 conversion problem, which I’ll be able to confirm with my blood results around September 20th. That said, it seems rapid fat loss can also cause this increased sensitivity. Not a major issue for me right now, just something I’ve picked up on, and if I my September bloods indicate that I need to adjust something, then we'll cross that bridge then.
TRT, AI & E2:
I’ve been reading more into TRT, estradiol (E2), and the anastrozole my clinic prescribed. I’m not a fan of being on extra meds long-term—though I’ll take them if I have to. That brings me to the anastrozole.
About a month ago, my E2 came back at 52 pmol/L, which is the low end of normal. At that time I was dosing 0.25 mg every 3 days. I decided to stop it for about 1.5 weeks to let my levels rise closer to the mid-to-upper range. I then restarted the AI at 0.25 mg once weekly, mainly because I’m about a month out from bloodwork and wanted to be on a steady, consistent dose long enough to ensure accurate results. NOTE: Around the mid point of that 1.5-week break, I developed an almost insatiable libido (Borat voice: “High five! Very nice!”), however, that’s calmed down again—perhaps because of the hormonal fluctuations, or the carbs I had a few days prior. I'll bring in a few carbs again in a few weeks - so will report back on whether I notice a period of higher libido in the week following it.
I’ve also shifted to injecting testosterone cypionate every other day (EOD) instead of every 3 days. Smaller, more frequent doses should help keep hormone levels—and E2—more stable. My long-term aim is to need anastrozole only occasionally, and ideally not at all. But given my current body fat and the aromatisation that comes with it, I accept it may take some time before I can phase it out completely.
At the moment, my protocol is 98 mg of Test Cyp per week (200 mg/mL, 14 IU EOD using a 1 mL syringe). For now, I’m focused on finding a reasonable balance: enough testosterone to get the benefits without overshooting and driving up estrogen unnecessarily. Once I’ve dropped more fat and reduced aromatisation, I’ll look at adjusting upwards with the goal of full optimisation.
Miscellaneous:
Not a lot to report here, but will give it an honourable mention as it's something that I will update on later - I have ordered some Pregnenolone to try. I've been reading that there is a reasonable possibility that I might be deficient here since I have multiple other hormone issues. Going to try 50mg/day to see if I notice any cognitive or quality of life improvements.
I have been really trying to improve my sleep too as I've had chronically bad sleep for a while now and it's quite harmful. Of course losing weight has helped a little (breathing) and I am waiting on a sleep apnoea referral, so will continue to pull on that thread to see where I get. Yesterday I began a plan of regular melatonin use to improve sleep - apparently there's other benefits to it too, but my main aim is improving sleep.
I'm a few weeks into Tesamorelin/Ipamorelin - Stacked together at 10:30pm before bed (Tesa 2mg/Ipa 300mcg) and then Ipa again in the morning (300mcg). My natural IGF-1 levels are low, so the aim here generally is to increase my natural GH pulses which I am hoping will improve my sleep, but also hoping to speed up this bad shoulder I have. I sleep on my side, mainly on my left, and as a result my left shoulder is wrecked! Been sore over a year but is pretty bad now. I struggle to lift my arm up high, never mind trying to lift weights!
I have 25 more days of Tesa, so will make a decision closer to the time, but if my shoulder is still wrecked then I am strongly considering GH, TB500 and BPC 157 - not decided yet, but when the time comes I will have advanced blood work to inform my decision.
I think that's it for now. Feel free to comment with any constructive thought's/suggestions/questions.