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Are you sure that you need Exemestane (Aromasin)?
One colossal mistake widespread among bodybuilders and recreational enhanced lifters is that they have a predetermined dosage set for their Aromatase Inhibitor (AI).
It seems that AI usage has become so commonplace that users don’t even bother to understand the purpose of the drug in the first place prior to implementing it into their regimen.
Nowadays, AI’s are treated almost as on-cycle essentials, and are simply a necessity just like your multivitamin you pop each day is.
This couldn’t be further from the truth, and it explains why many individuals embark on their anabolic cycles with a misconception that they need an AI in there at a particular dosage to “prevent side effects.”
Typically, most men feel their best when their estrogen levels lie between 20-30 pg/ml in their blood work.
When you are utilizing a drug that aromatizes into Estrogen and an AI may become necessary, you get baseline blood work, and then when you add an AI in, you use a very conservative dose of the most mild and forgiving AI there is (depending on what/how much aromatizing hormones you’re using), and titrate up accordingly based on your blood work until you’ve reached the Estrogen sweet spot (or based on symptoms which is the “bro” method which is not recommended).
The goal you should have is to keep your Estrogen between 20-30 pg/ml for the entirety of your cycle, regardless of what dosage of AI is necessary to achieve that.
This is the target “estrogen sweet spot” you want to shoot for to feel amazing and improve your quality of life substantially.
If you start to get too far above this level, you can start to experience symptoms of high Estrogen.
If you start to get too far below this level, you can start to experience symptoms of low Estrogen.
Both scenarios are very unpleasant to say the least.
So, the key to staying in the sweet spot is getting your blood work done, and adjusting your AI dose accordingly based upon your current Aromatase Inhibitor needs.
If your Estrogen is too high, then you need to slightly increase your AI dose, or switch to a stronger one and start the titration process over again.
If your Estrogen is too low, then you need to slightly lower your AI dose, or switch to a weaker one and start the titration process over again.
Which Aromatase Inhibitor you should choose and the dosage you use should be based on your own individual propensity to aromatization, what your blood work indicates, the dosage of the aromatizing drugs you are using, etc.
Which Aromatase Inhibitor Is Weakest And Which Is The Strongest
- Arimistane (greatest margin of error, weakest aromatase inhibitor)
- Exemestane (Aromasin) (high margin of error, fairly strong aromatase inhibitor)
- Anastrozole (Arimidex) (low margin of error, fairly easy to crash Estrogen unless on a high dose of aromatizing compounds, very strong aromatase inhibitor)
- Letrozole (minimal margin of error, VERY easy to crash Estrogen by accident, even on tons of aromatizing compounds, the strongest aromatase inhibitor)
Overview of Exemestane (Aromasin)
Exemestane belongs to a category and class of drugs known as aromatase inhibitors (AIs). Aromatase inhibitors belong to an even broader class of drugs known as anti-estrogens. The other subcategory of drug under the anti-estrogens classification is the selective estrogen receptor modulators (SERMs), such as Tamoxifen (Nolvadex) and Clomifene (Clomid). AIs and SERMs make up anti-estrogens. Aromatase inhibitors differ greatly from SERMs in their action and how they deal with the issues of estrogen control.
There exists a gross misunderstanding that has perpetuated the anabolic steroid using and bodybuilding community for years, but the clarification has become much better lately within the last 10 – 15 years. It is the myth and misunderstanding that that SERMs, such as Tamoxifen (Nolvadex) and Clomifene (Clomid), act to lower estrogen levels. This myth most likely stems from the fact that SERMs too are referred to as ‘Estrogen blockers’, and so various individuals may have misunderstood ‘blocking Estrongen’ to mean ‘Estrogen elimination’, which could not be further from the truth. SERMs instead only block the activity of Estrogen in select tissues in the body by way of blocking the action of Estrogen at the receptor sites in breast tissue by occupying the receptor sites in place of Estrogen so that Estrogen itself cannot exert its effects there through receptor site binding. SERMs will also act as Estrogens at receptor sites at other cells in other areas of the body (the liver, for example in Tamoxifen’s case). This is where the “selective” part of ‘selective Estrogen receptor modulator’ comes into play. However, SERMs do no reduce circulating levels of Estrogen in blood plasma. Aromatase inhibitors are the compounds that instead serve to do this by eliminating the production of Estrogen through binding to and disabling the aromatase enzyme, which is the enzyme responsible for the conversion (or aromatization) of androgens into Estrogen.
Exemestane is a very strong and very potent steroidal aromatase inhibitor of the suicidal type, and information within the packaging in prescription Aromasin describes the ability for Exemestane to reduce Estrogen levels by 85%, as evidenced by studies on breast cancer patients. Suicidal aromatase inhibitors such as Aromasin (Exemestane) serve to permanently inhibit and disable the aromatase enzyme to which it is bound to. This renders the enzyme inactive forever. The body will eventually manufacture more aromatase enzymes, but the currently bound enzymes are bound indefinitely, eliminating any risk for Estrogen rebound. This is unseen with the other two major aromatase inhibitors (Anastrozole and Letrozole ), which are non-suicidal aromatase inhibitors that are only bound to the aromatase enzyme for limited time periods before the aromatase inhibitors unbind and become metabolized. If a non-suicidal aromatase inhibitor is halted too abruptly, the circulating inhibited aromatase enzymes that have not been metabolized out of the body will then become free again, and begin aromatizing androgens into Estrogens at an often rapid rate. This is not the case with Exemestane.
It makes natural sense to realize that the properties and effects of Exemestane would then become a benefit for the anabolic steroid using athlete for the purpose of Estrogen control. The use among anabolic steroid using athletes is for the control of almost all Estrogen-related side effects: the manifestation of gynecomastia, water retention and bloating, rising blood pressure (as a result of water retention increases from Estrogen). This is in contrast with SERMs such as Tamoxifen, which only serve to block gynecomastia. As with many aromatase inhibitors, Exemestane has also demonstrated to increase levels of endogenous Testosterone production in men.
Although Exemestane is regarded by many anabolic steroid users and bodybuilders as being far more effective and far more useful (due to the suicidal inhibition) than Anastrozole , Anastrozole still today remains far more popular among the anabolic steroid using community. This is simply because Anastrozole was developed and released before Exemestane , and therefore anabolic steroid using bodybuilders and athletes took notice of it sooner. Aromasin (Exemestane) to a degree was, in a way, overlooked and missed by many.
Today this is beginning to change, where many individuals are now noticing the superiority and advantages of Exemestane over Anastrozole.
Some of these advantages that are not seen in any other aromatase inhibitors include: suicide inhibition, stimulating increases in IGF-1 (Insulin Like Growth Factor 1), displays little incompatibility with other compounds (something not seen with other aromatase inhibitors), as well as offering less of a negative impact on cholesterol values (again, something unseen with other aromatase inhibitors).
Exemestane Properties and Actions:
The fact that Exemestane is a steroidal aromatase inhibitor is the prime reason as to why it is a suicidal aromatase inhibitor that remains permanently bound to the aromatase enzyme. As the aromatase enzyme is highly attracted to the steroidal structure of the androgens (Testosterone) it aromatizes into Estrogen, Exemestane’s chemical structure essentially ‘fools’ the aromatase enzyme into binding with it, only to become inhibited/deactivated. Because the binding strength is so great, this inhibition becomes permanent for the aromatase enzyme that Exemestane has become bound to.
This is why there is absolutely no risk of Estrogen rebound when Exemestane administration is abruptly halted.
The other two major aromatase inhibitors (Anastrozole and Letrozole) are non-steroidal and therefore non-suicidal aromatase inhibitors that are associated with the risks of Estrogen rebound following discontinuation. This is because unlike Exemestane, they are not structurally similar to the aromatase enzyme’s target hormones.
Exemestane is extremely effective at 25mg daily for the reduction of serum circulating Estrogen levels in the body, as demonstrated earlier with its ability to reduce Estrogen by 85%
Athletes, bodybuilders, and individuals engaging in the use of anabolic steroids will favor the use of aromatase inhibitors such as Exemestane for their usefulness in reducing, mitigating, and avoiding Estrogenic side effects. These side effects are result of the aromatazation (or conversion) of aromatizable androgens (such as Testosterone) into Estrogen, which often results in far greater than normal physiological levels of Estrogen in the body. This is where the use of Aromasin (Exemestane) is very beneficial and highly favored among anabolic steroid using individuals, as Aromasin eliminates the issue of rising Estrogen levels at the root cause: By binding to and inhibiting/disabling the aromatase enzyme, supraphysiological levels of aromatizable androgens (such as Testosterone, Dianabol, Boldenone, etc.) cannot convert into Estrogen, thereby eliminating any possible risk of Estrogen-related side effects.
Exemestane Side Effects:
Exemestane is known for being fairly tolerable throughout the majority of users. However, it is not without its potential side effects, and there are some of concern. They are usually as a result of a reduction in Estrogen levels that is too much, or too fast, or Estrogen suppression for too long.
Common symptoms of high estrogen include:
- Acne, oily skin
- Erectile dysfunction
- Low libido
- Lethargy
- Gynecomastia (man boobs)
- Aggression and bitchiness
- Depression
- Water retention
- High blood pressure
- Enlarged prostate
- Shrunken testicles
- Sugar cravings
Common symptoms of low estrogen include:
- Dull weak orgasms
- Dry skin and lips
- Dehydration
- Low libido
- Irritability
- Mood swings
- Loss of appetite
- Fatigue
- Lethargy
The goal you should have is to keep your Estrogen between 20-30 pg/ml for the entirety of your cycle, regardless of what dosage of AI is necessary to achieve that.
The first Exemestane side effect that individuals tend to encounter is that of joint and/or bone pain. This is because Estrogen plays a significant and important role in maintaining proper mineralization and bone density within bone tissue. Although this is a characteristic of all aromatase inhibitors, Exemestane has been shown in studies to actually strengthen bone tissue (to a point), while AIs like Arimidex (Anastrozole) and Letrozole (Femara) have shown severe reductions in the same.
Lethargy and fatigue is a frequently reported side effect of Exemestane, and all other AIs. Estrogen plays a key role in the Central Nervous System (CNS), and dropping Estrogen levels too low for any reason with any compound can often result in daily chronic fatigue. A return of Estrogen levels to normal physiological levels should mitigate this side effect.
Negative cholesterol changes are another significant risk with any AI use, and Exemestane is no exception. Being that Estrogen plays a critical role in the maintenance and management of proper cholesterol health, the severe reduction of it can result in negative impacts to LDL and HDL values. However, Exemestane has proven in studies to have a lesser negative impact here than other aromatase inhibitors. However, the risks still do exist and regular checkups and bloodwork should be done.
The only Exemestane side effects that could be said to be unique to Exemestane is the possibility of androgenic side effects. This is possibly due to Exemestane’s structural properties as an androgenic steroid in and of itself. Androgenic side effects can and do include things like increased oily skin (and acne as a result), increased facial and body hair growth, and the trigger of MPB (Male Pattern Baldness) provided the genetics are there for it. It is also possible that a noticeable boost in aggression and drive can result from Exemestane use, though perhaps not as significant as more potent androgens, such as Masteron (Drostanolone).
Exemestane For Gynecomastia and Estrogen Control On-Cycle:
In order to treat gynecomastia and ongoing control of Estrogen during a cycle of anabolic steroids, an average dosage tends to be 12.5 – 25mg per day. Some users have even opted for a 12.5 every other day protocol, but this is highly dependent on what aromatizable anabolic steroids are being used, and how much (dosage wise) is used as well. Other individuals will keep Exemestane available on-hand, but elect to not use it unless or until an Estrogen-related side effect or issue comes up. In that event, the individual might opt to take a full 25mg dosage until side effects subside, and then drop the dosage down to 12.5mg per day, and eventually perhaps 12.5mg every other day, or even less frequently.
Exemestane For Post Cycle Therapy (PCT):
It has been shown in studies that Exemestane can and does indeed increase endogenous natural Testosterone levels in men by 60%, which is considerably significantm especially after only a 10-day period. 25mg per day for no greater than 2 weeks is the ideal Exemestane dosage for this purpose.
Exemestane possesses a half-life of approximately 27 hours. It can be administered at any time of day, but studies and prescription instructions suggest that there may be better absorption by the body if Exemestane is consumed with food. It’s also imperative to understand that Exemestane requires a full 7 days to allow the body to achieve peak blood plasma levels of the compound.
It is also very important to understand that with any compound like Exemestane where Estrogen levels are being reduced, the concept and idea here should be control of Estrogen levels, and not elimination of them. Elimination of Estrogen levels can result in very dire consequences, especially in the long run. Estrogen should merely be controlled to proper levels (if needs be), and then the aromatase inhibitor (in this case, Exemestane, for example) should be halted, discontinued, or have the dosage dropped significantly. Severe reductions of Estrogen levels not only result in an increase of negative side effects, but it will also affect muscle gains in a negative manner over the long term.
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