try exemestane + pramipexole + diet (including calorie restriction and moderation of insulin spikes (complex fibrous carbs, no HCFS, limited saturated fat, limited sucrose and fructose (fructose in fruits OK, but still limited), moderate meal size, NO TRANSFATS.
you can run letro at beginning for 2-3 weeks (at full dose-- if you can tolerate it- lower dose will fully suppress estrone- so you get the sex and joint sides, but not the high level peripheral suppression which can make a difference), then switch to exemestane.
So you are saying you can run 2.5mg of Letro for the 1st two weeks if you can tolerate it? Then what? Taper down to how much for how long? There is a thread that says even after the gyno is gone to stay at 2.5mg for another 4-7 days to make sure then taper down to prevent estro rebound. What do you think?