once you have estrogen issues, in particular developed breast and/or ductal tissue, those issues tend to become easily exacerbated and generally self sustaining.
generally reccomend AI, usually letro to start-- {if pronounced female fat pattern... significant "soft fat"...then letro may be neccessary throughout...} --followed by exemestane.
if significant ductal development or puffyness of nipple then pramipexole or cabergoline (cabaser or dostinex tabs only.. dont even reccomend generic american tabs).
calorie deficit is generally a good idea during treatment... in cases where there is significant fatty tissue it is likely to be essential..