question from a user
A lot of people on here say taking AI is bad and you may crash your E2, can you speak to that?
AlphaMD's Answer
Yes, this is common, and it's due to poor TRT clinic practices.
Lots of companies want to give every man the same package, and *ensure* he feels the benefits of his spent money, side effects be damned. So they start everyone at 200mg a week. At that dose most men will need an AI, as it is a bit more than many men need. So they just give it to everyone to not have to worry about it because it's a cheap medication. Then the men who don't need to have their Estrogen crashed and feel like shit.
In therapeutic ranges, 3 out of 4 men will not need an AI. It is dumb to give 3 men a medication they don't need so that you can cover the 4th. It is better to start without it and wait until any symptoms show to find the 4th man and give him the medication he needs. Are you have Estrogen side effects? Then you need an AI or to change your routine in such a way that you don't have Estrogen side effects. Do you feel your AI dose is too high by lack of libido and emotional issues? Then lower your dose so you can take it consistently until that isn't the outcome.
Essentially, if you're lucky, you don't need an AI and taking one will bottom you out. If you're the 4th guy & you have symptoms, taking an AI shouldn't bottom you out, the goal is to put you at normal. You sound like you need from what we read here, which should be fine.
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