question from a user
What are your thoughts on AI and are there certain situations where you recommend them?
AlphaMD's Answer
In general we opt for a "lowest medication needed" approach, as most things in TRT have less benefits and higher side effects the higher you go in doses.
For AIs, we find that most men do not need them on typical therapeutic doses on Testosterone. They do come with some side effects & they're another thing to have to do. So we will start men who do not have any history or indication of Estrogen transfer issues without them, and provide AIs if any symptoms show up.
Essentially AIs are very cheap to prescribe, so much so that we don't charge for them for treatment, but a lot of other companies tack it on as an easy up-charge to make a larger margin on something that probably wasn't indicated for.
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