question from a user
How do people know they need an AI with TRT? My pcp didnt prescribe one, I guess that is ok??
AlphaMD's Answer
Like any medicine, ideally you should be able to take TRT without any side effects. However, some men have a higher amount of aromatase than others, and may need an AI even on more conservative TRT doses. We at AlphaMD advocate for starting only one medicine at a time, and dialing in the dose based on your individual response. Starting both TRT and an AI at the same time puts you at risk of having side effects and not knowing which medicine is to blame for them.
If you start to develop symptoms of high estrogen, then discussing an AI with your doctor at that time would make sense.
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