Appointment with the Endourologist, but I have Concerns

Do not get pellets.

Pellets don’t work well, there are a money making scheme whereby a dr can get a big payment for a one time procedure then not have to deal with you.

Thryoid function is pretty good.

LH is lowish.

There are studies that show when an AI is administered, T levels do go up, often doubling.

Your best route is to find someone who will give you a SERM + AI.

If you are absolutely stuck, you could try an AI, but you must realize that you can crash your E2. That has bad side effects and bad long term health effects.

If you were to go with an OTC AI (which I don’t really recommend) you should start very, very small and taper up. The theory behind SERM is that the SERM blocks the E2 receptors, which triggers T production, but doesn’t affect E2 levels directly.

With an AI, you are actually reducing E2 levels from a point that they are possibly healthy into a range where they are probably not. Again, you want to start small so your body has time to produce more T which will get aromatized to E2 (or not, because of AI).

IMHO, this could be workable, but you are playing with fire.

Read the thread on how to dose very small amounts of AI.