Thanks fo the replies. Here is a little background on the situation. If you have any recommendations or advice, please let me know.
I agree that one should not use an Aromatase inhibitor (AI) if you do not have to, but I think that in my situation I might have to and it would probably help me. My current t level is 241 and estrogen is 43. Corstisol am is about 14, which is up from a level of 6. I am currently taking cortef about 10 mg a day. I cannot take too much cortef because I feel worse on a higher dose. I am trying to wean off the cortef and or take it at lower dosages.
I have tried the past few months using clomid, hcg, androgel to raise T, but it has not alleviated any of my symptoms. On the hcg and androgel, I will sweat alot of times at night, which is a sign to me that my E2 is probably too high. I am going to be switching to a 10% lipoderm t gel next week and hopes this will raise T and help improve my health.
My questions to you guys would be should I take anything else besides arimidex to lower estrogen? In my case, I cannot just boost the cortef real high because it makes me feel worse and I am trying to wean off, I also have life flo preg cream that I have tried in the past, but it does not seem to be helping in this area.
I am big guy about 300 pounds. I do have some extra fat, so any type of T replacement for me is probaby going to cause some aromatization. I am trying to reduce the aromatization and raise my T, and I think the best way to do that for my case would be to take arimidex and possibly other supplements/lifestyle changes. I don't know of too many other ways to lower estrogen/reduce aromatization other than arimidex. I would be open to any suggestions someone has that have helped them in this area in the past. Maybe arimidex is just the best choice by itself, and I should just take that only, but I wanted to check with the members on here first. I just have feeling that I could benefit from other possible AI's/estro blockers as well.
I am not sure what is causing the spike in e2 for me. Normally it was about 25-30 for awhile and my t was always about 200-250. But in the last 6+ months my fsh jumped from middle of the range to top of range and I was taking hcg monotherapy for a few months. Not sure what caused it. I noticed my balls shrinking a little and my sexual stamina is much weaker during this time period as well.
I also had terrible pain in my upper right quadrant for the last 9-10 months and finally had gallbladder surgery last week. Alot of the previous pain I had before is gone now, and I am currently going through the recovery process. Not sure how this is going to affect lab results going forward. Could be good or bad. Probably will help things though. I appreciate any help. Thank you.