question from a user
Any chance there will be AI's in dosages for TRT? All the AI dosages are made for women and men just need a fraction of that. Would be pretty nice if there would be something like 0.1 mg anastrozole and 5 mg exemestane.
AlphaMD's Answer
Yes. With us, we often lean on trying to avoid AI use via other Estrogen control methods first. If you do need an AI we tend to start pretty conservatively at 1/4th tablet (0.25mg) once or twice weekly, or even 1/2 tablet (0.5mg) once weekly.
They do actually make smaller dosed tablets for Anastrozole, even 0.1mg, at certain compounding pharmacies. However we do not do this often, as it can be more costly for a patient. Generally, because AIs are cheap to make, the cost comes from manufacture rather than dosing. This means a 1mg tablet & a 0.25mg tablet will cost us the same to order. We'd sooner order a 1mg tablet & tell you take 1/2. However there are some men who have asked for 0.25mg tablets & the like & are happy to pay the difference for 4x the amount of tablets needing to be ordered.
With Exemestane, it's not as popular, so demand is lower & there isn't much reason for compounding pharmacies to offer as much variations.
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