When I get flareups and need to nuke it yes
Usually 60mg raloxifene then I’ll throw in 2.5 letro when needed. Mine won’t reverse I’m just doing that to prevent it from growing so I don’t do the letro Ed like I would if the gyno was still reversible.
Maybe give it a try with Ed dosing for a week, see if you’re making improvements, if not then just discontinue it. Estrogen should come back within a week or two depending on how fast you aromatise. Low estrogen sucks, so just expect that, but it’s temporary and easily fixable and doesn’t last too long
I'm currently taking 0.25mg arimidex every 3 days as I started to get some slight elevated e2 symptoms on my current cycle (test 400mg, primo 200mg, and deca 150mg just for joint support). I also bumped the primo to 400 yesterday but that'll take a few weeks to have any effect, so I started the arimidex this weekend to get in front of the e2 and hoping to back off of it as the primo picks up if bloods show the primo is able to keep me in the zone. I have bloodwork next Friday to see where things are and get numbers. Just to put in perspective how much I aromatize, I generally hover around 55-60 e2 on my 150mg/week trt test dose lol. Good news is my e2 will bounce back quick if I do crash it though.
Given that, would you still add letrozole, or just run the ralox at 60mg ED for a couple weeks to see if it's going to have any effect on my old gyno? I'm not holding my breath, given this is 30yr+ old gyno, so the chances of reversing it are probably slim to none, but I have some ralox inbound so figured I may as well try?