Gyno may occur after running a cycle due to increase estrogen it may appear during the cycle or after complete cycle. You need to solve the problem before any other cycle.
Two methods to approach this problem.
- To use a SERM such as tamoxifen( Nolvadex) or raloxifene
- The second way is to use an inhibitor known as aromatase inhibitor (AI) such as Letrozole which will bring you estrogen level to normal level. In this method the tissue are inhibited and estrogen stop increasing and gyno reversal is easy to manage.
But the most important and efficient way to reverse gyno is to use combination of the above two mention methods. Use an Aromatase inhibitor to get estrogen under control which results in low level of estrogen and it turn around to the low end of normal. Any AI can be use for this purpose e.g. letrozole, exemestane (Aromasin) or anastrazole ( Arimidex) all of these inhibitors work efficiently and equally to control the estrogen. After that use the SERM to actually reverse gyno use of tamoxifen( Nolvadex) or raloxifene depends upon you but researchers say that raloxifene works better but it makes no difference both are equally important and all depends on your liking.
The important thing you need to accomplish by the use of AI is to control estrogen to a normal level and must bring it down so that you are no more suffering with breast tissue growth because estrogen directly affects the hip bone and breast tissues and any increase estrogen level will result in thickness of hip bone and increase in breast tissues. Now dosage depends on you condition whether you are on cycle or if you are past PCT. If you are on cycle then you need to use AI aggressively because during cycle there is an increase in your estrogen level and you need to put down more efforts to bring it down. So use an aggressive dose for a week and when you notice that now your estrogen level is ok then bring it down to normal and use the dose after two or three days with regular intervals. If you are on PCT then you can use the dose in normal way because at that moment your estrogen level is normal and aggressive use will result in contamination of the drug in blood and liver
An example for protocol if you are on week 5 of a testosterone enanthate cycle of 500mg/week:
For week 1 of gyno reversal:
Take letrozole not more than 2.5 mg/day
Tamoxifen(Nolvadex) as prescribed of 40mg /day
Reduces letrozole to 0.25mg /day
In the same reduce tamoxifen(Nolvadex) to 20mg/day
Now at this level if you notice your estrogen is crashing you may back off the letrozole earlier,and avoid its excessive use otherwise it may result in permanent estrogen imbalance which would be difficult to recover. Symptoms of low estrogen level may include lethargy, low libido, and depression, pain in joints, low blood regulations, thyroid problems and weight loss.
After your PCT and if you notice that you have gyno and if you are not aware of gyno at this stage or you didn’t take action earlier to reverse it then you can run the following:
0.5 mg of the prescribed anastrozole(Arimidex) must be used every third day
in the same way 40 mg of prescribed tamoxifen(Nolvadex) must be used every day
Use 0.5 mg of anastrozole(Arimidex) as above
And 20 mg tamoxifen(Nolvadex) must be used every day
Run Tamoxifen at 40mg/day the first week and after 20mg/day the first week. Continue running the tamoxifen for at least two weeks after it has been reversed so that its reversal will be permanent at this stage you can stop AI if you are experiencing too much problems from low estrogen. Run Raloxifene at 80mg/day the first week and 60mg/day after that.