Puffy + flare up means you're on the verge of some come back estradiol levels. Serm.......? Clomid ..... Letro is for if you end up getting gyno during a cycle. You should be using a serm to control estrogen levels In pct.
EDIT- sorry I can't read hahahah I've heard and read letro helps with the puffiness and flare up and something else to go with it I just forgot what it's called.... Inhibit P possibly ?