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There's nothing wrong with using the AI if you have to.  I too aromatize more than most, so managing E2 was really tricky with me. I had to eventually use the AI when my E2 levels reach 60 at about 6 months into my therapy.  I was hoping my body would eventually level out and adjust on it's own but not for me. Ankles were swollen, I had the puffy face, acne was becoming uncontrollable.  Defy presribed me .5mg arimidex/DIM capsules, twice a week.  It definitely worked, almost immediately, the swelling and puffiness went away.  My E2 has leveled out at between 29 and 31 now, which is perfect for me.