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.
