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I had glandular excision and liposuction of the chest. I don't know the medical need or the science behind it but plastic surgeons generally leave some glandular tissue behind. The receptors in that tissue really enjoy E2, so I'm thinking Tamoxifen may be better if you're prone to gyne. But then you'd loose the other benefits of Adex, if you had high E2 symptoms and labs to back it up. Maybe a small 1/8th mg dose of each would be ideal. I take between 1/8 and 1/4 mg AI, with injection, depending on how I feel. Never used Tamoxifen. I understand it's not for everyone, I'm just thinking it may be for guys who have had gyno.

[QUOTE="James, post: 43624, member: 565"] I had glandular excision and liposuction of the chest. I don't know the medical need or the science behind it but plastic surgeons generally leave some glandular tissue behind. The receptors in that tissue really enjoy E2, so I'm thinking Tamoxifen may be better if you're prone to gyne. But then you'd loose the other benefits of Adex, if you had high E2 symptoms and labs to back it up. Maybe a small 1/8th mg dose of each would be ideal. I take between 1/8 and 1/4 mg AI, with injection, depending on how I feel. Never used Tamoxifen. I understand it's not for everyone, I'm just thinking it may be for guys who have had gyno. [/QUOTE]

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TRT Hormone Predictor Widget

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038