I would keep the Arimidex handy. I am one of this unlucky ones that had rampant gyno as a preteen and teenager. I also had stupid high T as a 18 to 24 year old.
On TRT for 8 years. My body reacts to varying T levels with bilateral itching sensation, pain (not tenderness, like a knife blade) with palpation or compression of the nipple area.
Increases in my stress levels increase the side effect symptoms significantly.
I have had 'node' removal twice. Both were horrible experiences. I should have had more research into aide effect surgery, but I didn't advocate for total capsular removal, but I eventually will have all the hormonally responsive tissue removed.
