Elevated estrogens will block thyroid receptors creating what may appear to hypothyroid symptoms. Many of these symptoms will cross over and need to work with your doctor to isolate where the problem lies. It can be come very tricky some times. I have addressed adrenal glands and peoples e2 have fallen back in balance for what ever reason, possible due to increase progesterone which in some males is opposes estrogen receptors. Each case is unique and depends on the person own biochemistry. There is no one size fits all. I agree deal with matter at hand, but delve into find out why it may be elevated in the first place. 15-20 year ago we took gear with no need more AI never having a problem. Now just about every one on TRT needs an AI. Where is the disconnnect here....Its all about stress and environmental impacts altering gene expression..