Yes, I tried a while without it, and did several blood works. They E2 levels were in the 60-80 range. Which was much higher (about double) than what I had before I even started TRT.
A lot has been learned over the past 18 months regarding E2 and the health/libido benefits. Arimadex is also known to have a negative impact on lipids.
Iām at 175, so it might be worth going down to 150 or 125, and then reduce the AI down?
I remember taking 3/4th of a pill a week (a pain to cut it like that, took 1/4th at a time, 3 times a week), and my E2 levels were in the 65 range. Which is why I increased it to a full pill (split, twice a week).
I would defer to some others on here with more experience of dialing in a person backwards. I am more of a start on T only at a moderate dose and adjust from there. I guess the question isā¦ how do you feel right now? Mood, energy, libido? If all good, maybe you donāt want to mess with it. If you do want to mess with it, I would drop the AI see how you feel in 8 weeks. Re-up labs, then start down adjusting T dose. Keep in mind you MAY not feel perfect while the adjustments take place but by the 8 week mark your body should have found its new normal.
My energy is better than before TRT, no more constant brain fogs. My mood is overall fine (affected correctly by things around me). And my libido is a bit high, but nothing I canāt manage.
So I guess Iām fine. Iām just concerned that if I maintain these levels for too long (years?) then I will have eventual adverse effects.
I honestly can not tell the difference with regard to libido when e2 was high vs now when it is lower. I mainly started it because it was āhighā and I wanted to avoid issues before they come (such as gyno).
Iām in the process of reading the articles on the downside of AI. My concern is that the symptom of high e2 (gyno) would be noticed after itās too late to fix