Unless you have certain cancers, you really don't need an AI. For those that have difficulty reducing or stopping AI, it's probably because the way you are dosing your T is causing hormone spikes that are causing you to not feel well. The AI may mask the spikes, but it isn't actually helping you. I was formerly in the AI camp and even though my e2 crashed over and over again, I couldn't find a way to get off of them. It wasn't until I smoothed out my hormones enough by going to 2x daily compounded cream that I was finally able to discontinue the AI. Others may succeed simply by injecting at least EOD. My e2 sits around 80 now, but I feel the best I've ever felt on TRT. My body gets pissed if I even try zinc or calcium d-glucarate to lower e2. My e2 is where it should be at the higher level.
Do you apply the cream to your scrotum? Don’t forget that DHT basically minimizes high E2 symptoms. So a person with an E2 of 80 while applying cream to their scrotum is not the same thing as a person with an E2 of 80 with normal DHT levels. And I’m not attacking you or anything, I’m a cream user myself and apply a good amount to my scrotum. Just saying it’s not apples to apples.