Every medical professional that I have ever seen concerning steroid use has recommended the regular use of an AI even at a replacement dose of testosterone.
This is my thought process…
Human physiology is just what it is and if we are injecting testosterone above normal levels we are increasing estrogen above normal levels as well. Making the need to use an AI assumed.
I can all but guarantee taking .5mg two times per week of arimidex in NOT going to crash a males estrogen levels if they are taking above a replacement dose of testosterone.
Let me pull a few statistics out of my ass but I believe that they are pretty accurate… more than 3/4 of steroid users do NOT get regular blood work done and very few actually know the signs of elevated estrogen until it becomes a ‘panic’ issue.
Knowing what I think I know about elevated levels of estrogen associated to steroid use and the introduction of an AI to mitigate that process it makes perfect sense in my mind to take a proactive approach and use a typical protocol of arimidex at the onset of the cycle or shortly thereafter. Not taking an AI until physical signs appear is crisis management vs. preventive maintenance.
Here are some statics from physicians based on current literature;
- Normal male estrogen levels are 20-55pg/dL
- A balanced estrogen level (quintile) in men is 21.8-30.11pg/dL
- Mortality rate is increased by 130% in men with estrogen levels above 37.5
- Mortality rate increases by over 300% in men with estrogen levels below 12.5
I am just offering this for information and it is not meant to scare anyone because unless you have a unseen health condition or predisposed to one temporary increased or decreased estrogen levels are not going to cause any real harm. Sure the sides suck in both directions but your body will reach its new normal after exogenous testosterone cessation.
The most reasonable approach to any of this in my mind is to be proactive instead of reactive and a moderate dose of an AI is not going to harm you but at the same time it can mitigate the negative impact that elevated estrogen has on your cycle and on your body.
Concerning gyno- In my experience most of the individuals that experience signs of gyno are new users and are not monitoring their blood levels. Once they know they are prone to gyno they generally become more cognitive and proactive in their approach to steroid use.