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.
Related Questions
Have any of your guys who needed to be on an AI but didn’t prefer them, have any success with something like DIM or CDG?...
Yes to needing an AI & not wanting one. In those cases, we increase injection frequency, ensure they are doing subq injections, and finally look at lower dose ever so slightly as well. However the fir... See Full Answer
What percentage of your patients are on AI? And what dosing protocol do you typically recommend?...
Dosing should be based on initial levels which respect where you're starting, we tend to see men who need between 120mg-180mg weekly most often, with the most common doses usually sitting at 140mg onc... See Full Answer
What are your thoughts on clinics that refuse to prescribe an AI or take on a patient that wants to continue an AI? Earlier this year I joined a telem...
We personally take a stance that you shouldn't add an AI unless clear symptoms show up, as it's only ~25% of men who need it at our typical therapeutic doses. That said, we have no issues giving it ou... See Full Answer
Ready to get answers?
Ask your own question today.
Get $30 off your first month’s order
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
Legal Disclaimer
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.