
Originally Posted by
ecdysone
Very nicely worded and informative post (from my short time here, I would say: as always!).
However, might I mention that "balance" is the absolute key in this context. I think if we begin to think of estrogen compounds as carcinogenic, then it's not much of a leap to think of them as "evil."
In fact, estrogen is critical for bone turnover in males. You want a goodly amount to always be present. Epidemiological studies have suggested that levels in the mid to upper 30's are best in this respect.
One should be cognizant that bone density is directly related to life expectancy. For the younger guys this is of passing consequence, but for guys >50-60 it becomes vital.
Secondarily, one should be equally aware that AI's have then own issues with regard to long term safety. We are using them off-label, so all bets are off with respect to tumors, hepatic, or other organ failures afters a few decades of continuous administration.
The key here is management through good lab work... keep the levels reasonable, but don't equate "low" as necessarily good. Instead, try dosing regiments that minimize the need for AI's or at least reduce the amount needed.
Estrogen is our friend, it just needs to be controlled.