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My advice is stop guessing and have your doctor order blood work including estradiol sensitive. Only after that you will know if you need to add an AI. In my opinion your testosterone is too high for the average Joe so you will probably need to reduce that (a start dosage of 100-140mg a week is more common). Given the symptoms you mentioned and you testosterone dosage it is very possible that you are having issues with high estradiol. But keep in mind that testosterone by itself can make you hold water.

So if I were you i would get TT FT and E2 tested and adjust your testosterone dosage and if even after that your estradiol is high and you are having symptoms talk to your doctor about addin an AI.


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