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Its really up to how you feel and what the labs are telling you. Some men will aromatize more than others, particularly obese men. AI's should be used if there are overtly high E2 symptoms in conjunction with grossly elevated E2 numbers. Elevated estrogen is harmful to men and women, but the problem is many  men are so afraid of high E2 effects on the body they will go overzealous with the Adex. If your sensitive E2 comes back 80-90 but you feel great, I wouldn't mess with your protocol, maybe add some DIM. If you don't feel good, try 0.25mg of Adex and assess how you feel. I haven't listened to the TOT guys but I'm assuming they aren't talking about men with extremely high E2's?