Estrogen is important to consider when looking at Testosterone Replacement Therapy (TRT). Testosterone can be converted to Estrogen in a process called aromatization. This process occurs primarily in fat tissue and increases as we age. The ratio between Estrogen and Testosterone is very important. Too much Estrogen can:
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- diminish male sexuality
- increase risk factors for heart disease and prostate issues
- block action of Testosterone even if it is replaced to optimum levels
Arimidex (Anastrozole)
This is the most common way we reduce Estrogen levels for men at True Balance. Arimidex prevents aromatization (blocks conversion of Testosterone to Estrogen) and normalizes the Testosterone to Estrogen ratio. It is generally taken once per week, although doses can vary according to each individual’s need.
Other Considerations
There are other natural methods that can be used to reduce estrogen levels. Although, not as effective as arimidex they are still helpful in shifting the ratio and should still be considered especially in patients unable to tolerate Arimidex.
Even More Suggestions
To improve the Estrogen: Testosterone balance the following will help:
Take :
- Vitamin K2 (Approximately 10mg of MK-4 and 2mg of MK-7 per day)
- Resveratrol (250mg/day)
- Niacin (500mg/day)
- Cruciferous vegetables
- Shellfish
Try to avoid the following when POSSIBLE as they worsen the Estrogen/Testosterone imbalance.
Avoid :
- Soy products
- High dose Vitamin E
- General dietary deficiencies/malnutrition
- Grapefruit
- Abusive substances (ex. Alcohol, narcotics, marijuana)
- Pesticides
- Pain & Anti-inflammatory drugs (NSAIDS, acetaminophen, aspirin), Antibiotics, Antifungal medications, Cholesterol lowering drugs, Antidepressants, Antipsychotic medicines, Heart and blood pressure medicine, Calcium channel blockers, Spironolactone, Diuretics
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- Myomin (2 to 4 capsules per day) Blend of chinese herbs that inhibits levels of aromatase. We have found this to be the best option for those that can not tolerate the Arimidex.