I didn't pick up on what you saw in the 'more information' that would lead to Tamoxifen only, being a good idea? Sure, it would be advised as you are also trying to get Estrogen to a level where it isn't affecting the breast tissue (whatever that may be for an individual) - but it does nothing to get that individual to that lower level.
I can only go off of the Labcorp range for E2 in Men:
https://www.labcorp.com/test-menu/24871/estradiol-sensitive-lc-ms
He's 15 points above that. So the doctor saw him out of range, but did nothing to bring him back in range, just protected him from possible gyno. While I consider both SERMs and AIs to be safe, long term drugs - I'd personally rather take an AI for life (especially Exemestane) than Tamoxifen. JMO.
Okay...this is ridiculous...im going to apologize now because this is now going to become a rant
You're opening statement is what illustrates the problem here....see you have no accountability on having to pick up what I was getting at. You can blindly ignore and advise whatever you please to what ever end makes you feel good at night with no accountability. You have no blow back in giving bad advise based on partial knowledge due to self study. That man's health is not in your hands, and if your advise, based on not being able to see what is pertinent history and what normal variation goes badly, the only one to blame is him for listening to a random guy online.
You sit there on a high horse thinking you have an idea on how clinical medicine is practiced, but you fail to see that treating a number is outdated and dangerous medicine. People come here and complain at all the wrong doings and ignorance of a doctor when this forum and many others are a veritable sea of ignorance and bad advice. Yet how quickly we forget that doctors are there not to help you feel like superman or add 30lbs of lean mass, but to treat the child born with cystic fibrosis, or the father with congestive heart failure suffering from pneumonia. You lose sight of what a doctor is for, because a selfish desire wasnt met. Doctors treat pathology, encourage homeostasis, and realize everyone's normal looks different. Ive seen normal fluctuations of 30 points in estrogen and it was normal. If he takes 10 different hormonal tests, he will get 10 different values, and we dont know what the normal reference range is for THAT test. So using labcorp as a reference range only works if thats the lab that did his blood work.
Self education is a valuable tool to help you make decisions when talking with a doctor, but stop this ridiculous know it all nonsense. His health, and his well being is in his hands, and when you give **** advice based on only part of the history it doesnt help at all.
And lets not pretend you didnt see that his major complaint is a breast tissue complaint(one that you readily admitted tamoxifen would be a good choice for), he is not experiencing true hormonal imbalance. Yet you want to establish a point that his estrogen should be lowered, because of what? Pride? Not wanting to look dumb? What? Because you know their are normal hormonal variations, that 15points can resolve on its own with no estrogen suppression. I bet if this was another topic on natural test boosters or some sort of natural AI you would make that point, but not here.The lifting community gets SO obsessed with estrogen that we forget it is an instrinsic part of our physiology and trying to "lower" it b/c your numbers are a little high can at times cause more damage then good.
Now if you are a physician or healthcare worker, forgive my outburst. If you are actually on the front lines treating the sick, holding the hands of the dying, and dealing with the countless cruelties that people inflict on one another, I really do apologize. Because if you are a physician, you can relate to treating the teenage kid who didnt listen to his doctor, tried the new super rocket powder and ends up in the ER, or the man forgoes his treatment because his forum buddies told him this super herb is a better alternative then the poisons of medicine and ends up in critical care. I apologize, i really do because i know it's a bit of a sore spot for me because I sit there at there bedside and the online
SSWhipe who gave that advise was comfortably at home without a care in the world while I had to watch the pain the families had to live through.
And if you are not a doctor, but someone who is honestly trying to help based on self study, just remember what you post isnt harmless and people do get hurt, and the doctors you bash are the one who will deal with it.
So I really am sorry that you had to be the one to bear the outburst of emotion, you where really trying to help. But what I said I meant, I don't think we can sit here and definitively say that his estrogen needs to be lowered, and doing so may be a mistake. The doctor prescribed a conservative treatment that addressed the main complaint. It's up to him whether he agrees or not, not us and I want him to make a good descision, that is not based on a treat the numbers approach which is bad medicine.
