question from a user
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 telemed clinic and I was shocked to hear how passionate they are against AI’s and they don’t seem to be the only one. I feel like I’m suffering from high e2 symptoms but don’t know what to do with my current clinic.
AlphaMD's Answer
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 out if it's the right answer. I'd look at your symptoms & get your Estrogen checked. If you have symptoms & your E level is remotely close to 50 or higher, then you should have your Estrogen managed. This can be by dose adjustment, frequency change, route change, and by adding an AI.
It is weird that a clinic would not want to give one if you meet the described criteria, it's a fair "cheap" medication to add on. We don't even charge for it if needed, it's just included.
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