question from a user
AlphaMD's Answer
Use of raloxifene or tamoxifen for gynecomastia. It works in every case I have seen, but to varying degrees. Obviously, the more pronounced the gyno, the longer it will take, and the less likely it will resolve completely. In my clinical experience, mild cases of gyno resolve within 6 months of use. Moderate cases within 12 months. And severe cases never resolve completely even with prolonged use.
In patients that have excess aromatization, on a typical TRT protocol, most do well with arimidex 0.5mg week though our average patient does well with 0.25mg/wk or less (none).
We have had some men require 1 mg/wk, though that is a very aggressive protocol and very rarely needed except in the most extreme cases. But you did ask for “most intensive”. I have never seen a man need more than 1mg/wk.
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