Here’s an old thread from the guys in the Pharma / TRT section:
I have some Tamoxifen on-hand in case I need it, but I’ve gone back to 0.125mg of anastrozole once per week for now. It is controlling nipple sensitivity just fine thus far. I deal with mild-to-moderate gyno anyway from puberty, so I’m way more conditioned to having it for decades than someone getting it for the first time in their 30s or 40s.
I am considering surgery some time later this year or early next. I’m getting as lean as I can first and then I’ll decide if I actually want to deal with the recovery and cost. It’s right on the cusp of being obnoxious enough to get cut out - sightly more than puffy nipples basically. If it was as bad as I see it in some guys I would have had it cut out a long time ago.