question from a user
What do you recommend for estrogen control? I am in this dilemma where I don’t get adequate symptom relief at under 150mg/week, but no matter what dose I take I always have estrogen problems. I take AI .25 arimidex twice a week but then if you do that every week consistently it can eventually lead to crashing, but then if you stop cold turkey it leads to rebound. So how do you find the sweet spot? Do you just take the AI as needed, to deal with estrogen as it comes instead of taking it consistently twice a week?
AlphaMD's Answer
In this case we might opt for coming at the issue from another angle. If you're injecting twice weekly we would try three times weekly. If you're doing three times weekly we would try daily subq. This does tend to help men by reducing the peaks they get from injections and in turn reducing the bodies reaction to those peaks by conversion. Subq will also help slow the absorption assisting in the same manner.
This can sometimes be better than just adding more medication to the mix if it's hard to dial in like that.
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