I'll start out by saying that this is my friend, and actually my friend. Normally I would be able to give him advice, but this one stumped me.
Apparently, about a week ago he started lactating with swollen nips. He's on 500mg test/wk+60mg tbol/day and had just changed from letrozole to exemestane because he ran out of letro. Idk why he was using letro on cycle to control estrogen, but he was.
As far as I know, high estrogen levels could cause the gyno from letro rebound, but not the lactation. Lactation is usually due to prolactin, right?
Also, the whole time on cycle he's had mild E.D. and trouble keeping it up. This again makes me think prolactin. He is mildly educated in AAS use, but I have no idea what to tell him here.
Could he just have high prolactin levels on a genetic level? Apparently he's had low-grade E.D. his entire life, but it's been worse on cycle.
Any suggestions besides the obvious "get bloodwork"? And I suggested that he get his ass on here and post his question himself, but he's hesitant due to lack of computer privacy
I told him he should probably get back on letrozole and use tamox ASAP to reverse the gyno, but I needed to check in with you guys. Don't want to give him half-assed info.
Maybe try prami @ .25-.5mg E.D. to see what happens?