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  1. #1
    Renholder is offline Associate Member
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    Short article/reference to convince my doctor to prescribe an AI?

    Hello all,

    I`ve got a follow up appointment with my doctor tomorrow to evaluate new blood work.

    If my E2 is still elevated like on the previous bloodwork, which is the reason I suspect I still don`t feel good, I want to try adding an AI to my current treatment protocol (Nebido + HCG ).

    The problem is that here in Norway, arimidex is officially known only as a way to treat breast cancer in women and I`m quite sure my doctor have never prescribed it to men. My doctor is fairly liberal, but I do think I may need some literature to reassure him.

    I tried googling and searching on PUBMED, but I just could not find anything that seemed suitable to put on the table.

    I would appreciate it if anyone got good advice.

    Thanks in advance,

    Renholder

  2. #2
    Times Roman's Avatar
    Times Roman is offline Anabolic Member
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    Good luck mate!
    My experience is that most general practioners don't usually like to be educated by their patients. Maybe yours will be more receptive!

  3. #3
    Renholder is offline Associate Member
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    Quote Originally Posted by Times Roman View Post
    Good luck mate!
    My experience is that most general practioners don't usually like to be educated by their patients. Maybe yours will be more receptive!
    I can be a clever manipulator and I always try to leave the office with him believing it was his idea.

    I do however feel I need a valid reference, such that I don`t take it out of thin air. HCG was my idea as well and even the product literature stated it could be used for men. The product literature on arimidex only states it`s use for women.

  4. #4
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Try this. Very easy read for her and just plain common sense. BTW, sign up with them, it's free and you get a decent monthly magazine.

    http://www.lef.org/magazine/mag2012/...ey=june%202012

  5. #5
    Renholder is offline Associate Member
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    Quote Originally Posted by kelkel View Post
    Try this. Very easy read for her and just plain common sense. BTW, sign up with them, it's free and you get a decent monthly magazine.

    http://www.lef.org/magazine/mag2012/...ey=june%202012
    Great! Thank you very much, kelkel!

    Do you think anastrolzole is the way to go?

    Regards,

    Renholder

  6. #6
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Without question if your E is elevated you need to get it into range for the reasons your Doc should easily comprehend in such a mainstream article. Start very low if prescribed as doc's can tend to over-do it initially from lack of experience. Check back when/if written.

  7. #7
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    HRTstudent is offline HRT Specialist ~ Knowledgeable Member
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    If they go by what's in the literature, they will probably dose it way way too high. We're talking 1mg per day because in many published studies on boys that is the dose they use. It's been studied a little bit for pubertal gyno treatment in boys as well as there are one or 2 studies using it in obese men with low testosterone .

    Whether or not "anastrozole is the way to go" is a very tough question to answer. It's definitely not the most ideal drug out there, but it's one of the very effective ones at lowering estradiol. I believe eventually it will be replaced in the not too distant future, but with what... I don't know. It's very easy to bring your estradiol into unhealthy low levels and can require months of fine-tuning.

    If your estradiol conversion is not super severe, you can experiment with herbal (OTC) remedies including chrysin with piperine/bioperine, grapeseed extract, and DIM. There is limited published research on these combined with some positive anecdotal reports. That's about as good as evidence you will get, unfortunately, for non-patentable supplements because there is no money to be made researching them.

  8. #8
    Renholder is offline Associate Member
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    Quote Originally Posted by kelkel View Post
    Without question if your E is elevated you need to get it into range for the reasons your Doc should easily comprehend in such a mainstream article. Start very low if prescribed as doc's can tend to over-do it initially from lack of experience. Check back when/if written.
    Thanks. I just want to get the prescription so that I have it at hand.

    0,5 mg X 2 is the dose I intend to start using if needed.

    The problem for me here in Norway is that the E2 test is not very accurate. I know that I was above the range on HCG monotherapy, but at lower levels the test is not very precise.

    Quote Originally Posted by HRTstudent View Post
    If they go by what's in the literature, they will probably dose it way way too high. We're talking 1mg per day because in many published studies on boys that is the dose they use. It's been studied a little bit for pubertal gyno treatment in boys as well as there are one or 2 studies using it in obese men with low testosterone .

    Whether or not "anastrozole is the way to go" is a very tough question to answer. It's definitely not the most ideal drug out there, but it's one of the very effective ones at lowering estradiol. I believe eventually it will be replaced in the not too distant future, but with what... I don't know. It's very easy to bring your estradiol into unhealthy low levels and can require months of fine-tuning.

    If your estradiol conversion is not super severe, you can experiment with herbal (OTC) remedies including chrysin with piperine/bioperine, grapeseed extract, and DIM. There is limited published research on these combined with some positive anecdotal reports. That's about as good as evidence you will get, unfortunately, for non-patentable supplements because there is no money to be made researching them.
    Appreciate your input.

    I will evaluate the blood work and see what I do. I read a report on chrysin that was not very promising. I think DIM was mentioned as well. It may be worth giving a shot though.

    Regarding how severe my conversion is, one of the problems as mentioned above is that I don`t know if I can get a really precise value for my actual E2.

  9. #9
    yannick35 is offline Anabolic Member
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    I have shown my medical doctor articles about TRT, that i should not even have been on in the first place, last year my T was at 700, and its now around 640, but he decided to give me TRT anyways at 200mg per week no AI.

    Medical doctors have there ego and sometimes there head so far up there A$$ES that they won't listen, hell after developing the worst side effects i went the pharmacy where they gave me the delatestryl and asked them for an AI they said no at 200mg you don't need it at all.

    Your best bet is to change doctors. After i saw him for the last time, he gave me my blood work results (he gave me testosterone based on a hunch_ he said well you are way above normal but you will continue taking testosterone at 100mg per week instead..........

    I made a complain to the Bord of medical comity about him, we have spoken since then twice, and he is under serious investigation

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