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Thanks so much for your feedback Vince. I'm new too all of this so would you mind elaborating on what you mean by ineffective Estrogen management?

A bit more context regarding being on AI and E2 levels...I’ve been on an AI since last month. I take half a mg per week which I had read was not a heavy dose. My concern and the reason I started the AI  was not only the nipple sensitivity but the E2 levels I exhibited. Nipple sensitivity started in August. I started trt in May and E2 level was 24. So I had been on TRT for 4 months before the nipple sensitivity began. I tested for E2 again in September and the level was 26, so not much of a change. I was fine to not do anything about the nipple sensitivity, knowing that it is common and was willing to ride it out until things settled. But in November I tested it again and it had shot up to 77. I started with half a mg of Arimidex per week after that result (since November), E2 is back down to 36.