MeNT does not "aromatise heavily." It is the same rate as nandrolone, but the type of estrogen produced is a rare and stronger form of estrogen. That is important to note for someone using an A.I. The percentage of actual aromatization is low.
This whole thing is problematic because there isn't a standard test for 7-methylestrogen. Furthermore, no one knows exactly what those levels should be. That would make it hard for any scientist to "dial in" the A.I. dose. You never get accurate feedback in these regards.
One strategy would be to simply use a low dose of MeNT; you could simply supplement any stack with 10mg/d, then you wont have to worry as much.
Otherwise, you could start with the Exemestane. Your usual dose of Aromasin may actually cover it, but you should consider splitting it up everyday if you can.
Taking MeNT with other Aromatizable steroids is what really complicates the matter. This is because you'll have two different forms of estrogen to worry about. MeNT really shines as a stand-alone treatment. If you really want to stack-hard, there are better forms of nandrolone. But then you'd have to find some "Dr" who could actually synthesize a better form of nandrolone. Until, then MeNT is a powerful-enough substance, and you'll have the smallest balls that you've ever had.
And Prami, man, Prami is a psychotropic drug, and you may want to just deal with the prolactin sides. It can make you feel like you are "tripping," and it will disturb your sleep, including sleep apnea. It may send you into a manic-like episode. Although, you might like it so much that you don't care when you wake up gasping for air at night. Anyways people start out at 0.1-0.2mg at bedtime.
-NIghty