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Tamoxifen can turn things around if introduced early. Defy certainly could help with this if you choose to treat it medically, there's little they've not seen. The issue is the time it may take to see one of the medical staff once you're in the system. It would be worth calling them, explaining your situation and seeing what they suggest. At the very least, it would line you up for full-on treatment.

As as far as the e2 test, you may well be at a different level than that test reports. Typically it is higher, unless it's not. Not trying to be snide, just pointing out that it's unreliable for men.