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question from a user

Is breast sensitivity a pretty good sign you should add AI or should you always wait and check blood work and only add if you are too high? (Asking since I have AI on hand and I’m not getting blood work for another week)

AlphaMD's Answer

If your current TRT provider has suggested to wait until reviewing bloodwork, we would follow their directions.

For any patient of ours who had nipple sensitivity, that's one of the main signs of needing something to adjust Estrogen, and we would ask that they take a mild dose at that time & during future weeks.

Many men end up not needing AIs, whereas some have nipple sensitivity every single injection if they don't. We tend to start patients who need it on 0.5mg once weekly, then adjust from there, always shooting for the lowest needed dose to not over suppress Estrogen.

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