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AROMASIN vs. ARIMIDEX: THE CONCISE ESTROGEN MANAGEMENT GUIDE
Good day everyone,I'm often asked about estrogen control strategies, and Arimidex and Aromasin remain the two most trusted pharmaceutical options. But choosing between them—or combining them with other compounds—requires nuanced understanding.
WHY ESTROGEN BALANCE IS NON-NEGOTIABLE
Estrogen is essential for:✔ Joint health & injury prevention
✔ Cognitive function & neuroprotection
✔ Libido & sexual performance
✔ Cardiovascular protection
But excess estrogen causes:



THE TWO TITANS COMPARED
AROMASIN (EXEMESTANE)
- Type: Steroidal suicidal aromatase inhibitor
- Best for: Long-term control (TRT/moderate cycles)
- Pros:
• Gentler on joints & lipids
• Sustained suppression (dose every 2-3 days) - Cons:
• Slower full suppression (48-72 hours)
ARIMIDEX (ANASTROZOLE)
- Type: Non-steroidal competitive inhibitor
- Best for: Aggressive short-term suppression
- Pros:
• Faster action (24h peak effect)
• Stronger suppression per mg - Cons:
• Harsher on cholesterol & joints
• Requires more frequent dosing
EMERGENCY PROTOCOLS (GYNO/ESTROGEN FLARE)
For Early-Stage Issues:- Immediate Intervention Stack:
• Arimidex 0.5mg ED + Nolvadex 20mg ED
• Vitamin E 400IU + P5P 100mg ED - If No Improvement in 5 Days:
• Add Letrozole 1.25mg EOD (max 2 weeks)
• Increase Nolvadex to 40mg first 3 days - Bloodwork Mandatory:
• Estradiol (sensitive assay)
• Prolactin
• Lipid panel
• Letrozole is a last resort—never exceed 2.5mg/day
• Nolvadex must continue 2 weeks post-AI cessation
• Permanent gyno requires surgical removal
MEDICAL VALIDATION (BREAST CANCER RESEARCH)
Both drugs were developed for ER+ breast cancer, proving:


Remember:
"Bloodwork or blindness"—never adjust AIs without labs.
What's your experience? Which protocol worked best for you?
