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I am a MedOnc specializing in prostate cancer x 35 years and also am very comfortable in discussing (acetyl L-carnitine (ALC) having been the principal investigator for ALC as far back as 1984. I know of no correlation between ALC and PSA, be it rise or drop.

In a patient with gynecomastia I would first check baseline serum prolactin and estradiol (E2), and then consider the use of prescription tamoxifen at 50 mg/d, and/or additional use of a prolactin inhibitor like cabergoline in an attenuated dose like 0.25 mg two to three times a week. This...

Anastrozole DOES lower estradiol (E2) Arimidex (anastrozole) and exemestane (Aromasin®) are aromatase inhibitors and prevent the metabolism of T → E2. If you have baseline levels of E2 (serum levels easily available via all major labs) that are elevated then you can try either of the two...