question from a user
AlphaMD's Answer
What would be the reasons that you can't take AIs?
It would probably affect the answer, as there's many reasons people don't want to take them.
In general, we don't actually give out AIs all that often. We like to start without them if the person lists no issues related to Estrogen or prior knowledge of conversion. At a therapeutic dose, it's not always needed and more Estrogen can be beneficial.
There is potential that you can still be treated with Testosterone even if you have high Estrogen since having high Estrogen isn't always indicative of a high aromatizing rate. Still, we would likely start out on a slightly lower therapeutic dose & re-test both levels before making adjustments.
If you have low natural aromatase levels, and aren't looking to take more injections, you can do essentially the opposite of what we would normally suggest for Estrogen management. You can increase ar... See Full Answer
Generally adjust their dosing frequency to be more frequent to reduce overall spikes which may cause aromatization, switch from IM to subq because it helps create a more even absorption for the same r... See Full 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 ou... See Full Answer
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