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I dropped my TRT/cruise to 175 and do not need an AI, when I was at 250 I'd take about 5-7mg of stane once a week, that's all I needed, but everyone is different. Labs are the best way to go. I don't mind my e2 running on the higher side, I hold more water, but generally feel better, so I tend to run the minimum amount of AI to keep me in range. I'll start low and bump it up a hair at the first sign of gyno sides, then verify next time I run labs
I would definitely have an AI on hand, no question. I prefer aromasin, fwit. Also a good idea to keep a serm like nolva on hand in case you mess up on the AI.
The basic hormone blood panel will get you dialed in on test dosage and AI, and will also give you your RBC and crit, both important to monitor regularly, but once a year or so you should spend a little money and check lipids and PSA if your Dr isn't already doing it. They can creep up and cause problems.
I would definitely have an AI on hand, no question. I prefer aromasin, fwit. Also a good idea to keep a serm like nolva on hand in case you mess up on the AI.
The basic hormone blood panel will get you dialed in on test dosage and AI, and will also give you your RBC and crit, both important to monitor regularly, but once a year or so you should spend a little money and check lipids and PSA if your Dr isn't already doing it. They can creep up and cause problems.