I agree about pharm grade. But for me it was an easy switch. I tried to do the insurance mail order since they offered to double scripts for same price. They were already paying for Adex. But their game is it all goes through their pharmacist. They have the authority to deny scripts despite not being doctors and clueless about all of a meds uses (again they were paying for it previously). She also told doc he couldnt write an AI for me.... So I lost my script for adex anyways, was going to ask him to switch to stane but that got ruined too by what pharmacist said. Either way I had to go another route.
Honestly, the good thing about being gyno prone is I know very quickly if an AI is working or not. I have some adex on hand just on case plus keep two diffent brand stanes on hand. Brand I'm using and a backup. You do hear about people getting bunk AI's but it always seems to be same places. Then there are the Bs ones trying to take away business.
I really wish there were some long term studies for us to make really informed decisions. But even when I went looking at studies on women's side of AI's some of studies are so baised it's and convoluted it really making sorting through them hard without looking at all the details really closely. Then it seems like every few years they flip flip on some findings. I think if you know waht the worst case scenarios are, get complete labs on a regular basis, take actions to mitigate any effects it's about all one can do. The doses were discussing aren't even close to what were being used on the studies of females taking em for cancer.