Lol, I was also taking tongkat, zinc, D3 when I crashed with aromasin. Funny (not).
Tongkat ali is weird - it's actually a potent AI but in a weird way. I haven't read about ER antagonism but it's possible.
Can I please ask you to go do some blood tests? I've been researching these AI crashes for over a year now and have managed to get some blood tests from other people. But not enough to find any clear pattern.
As of now, it's similar to PFS in terms of the variability between cases.
If you can, then I would check these: LH/FSH, test, E2, prolactin, DHT, progesterone, electrolytes. Thyroid and iron panel would get very helpful too. And ceruloplasmin and copper. But if this is too expensive, try to get at least LH/FSH, TT and E2, electrolytes and thyroid panel (tsh, free t4, free t3).
Good luck with your journey.
