As somebody who is on T replacement let me tell you how you do it. Yes you should use the AI to treat symptoms… BUT you also will want to take dose weekly regularly. And of course you monitor your estrogen , test and free test levels with regular blood work. If you’re taking a decent size dose of steroids , you’ll make PLENTY of estrogen so using AI just keeps it normal , not crashed. And you WILL crash your estrogen while the trying to get your dose dialed in. It’s just gonna happen. And yes it sucks. You’ll also get too much E at some point and have symptoms ( feeling emotional , loss of erection /
Libido , sore nipples , etc ).
Blood donation isn’t supposed to be a substitute for lifestyle changes. But it’s really necessary if you’re getting higher hematocrit levels. I have to donate a few times a YEAR to keep mine down. My doctor prescribed donation 1x a month IF needed. But in practice I’ve had normal levels 2-3 months following donation. Sometimes longer. So , at least for me , levels don’t bounce back all that fast. They do probably get to “ normal “ pretty fast. It just takes them a long time to get to “ high” in fact I had to have the dr change my script cuz I was going in too often to donate and having levels lower than the number he wrote down , but still safe to donate. It was annoying to have to make an appt and then get sent home. So now I just donate anyway and unusually have normal or slightly elevated on my blood work depending on how long I go.
The fact is , your hormones are complex. Doing any long term steroids without getting labs is asking for trouble.
And i should have mentioned you should be using HCG to keep yourself fertile and to keep your testicles healthy. You’ll get atrophy long term if you don’t.
As for this being bad advice , the dr I’m seeing works at a teaching hospital and is pretty respected. It’s advice from him. Of course it’s specific to me. I don’t recommend taking male hormones without a dr involved.