Throughout searching for information about estrogen and managing it, I'm sure my answer was in there somewhere. However, I failed to fully understand the literature. So I bring my question here.
So in general terms, I understand a SERM is used to block estrogen from binding to a receptor, but does nothing to lower the estrogen in your body.
And an AI will eliminate estrogen that hasn't attached yet, but does nothing once it's bound to a receptor.
Scenario:
Person A is on 200mg of test/week for years. Estrogen is not managed properly (infrequent or no AI use). E2 levels come back high, so Person A decides to start managing estrogen with a recommended AI.
After managing estrogen with an AI for awhile, estrogen still comes back high, even with dosing Arimidex @ 0.5mg EOD.
Could this be possible because of estrogen that's still attached to receptors?
How long does estrogen bind to receptors?
IF this scenario is somewhat accurate, would that mean that Person A would run a course of nolvadex to unbound estrogen from the receptors and then accurately manage estrogen with diet and an AI?