Published on:
Updated on:
Yes. With us, we often lean on trying to avoid AI use via other Estrogen control methods first. If you do need an AI we tend to start pretty conservatively at 1/4th tablet (0.25mg) once or twice weekl... See Full Answer
Related: Some pharmacies do offer alternative doses of Anastrozole, one of ours is pretty good about it. However they typically price per tablet rather than medication amount, so we are also guilty of... See Full Answer
Exemestane (aromasin) is much stronger than anastrozole in that it completely eradicates aromatase. In studies, a single dose of 25mg of exemestane lowered estradiol by 98%. Following that logic, a 12... See Full Answer
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
If you’re running 500mg of testosterone per week, the question of how much Arimidex to take is probably already on your mind. Estrogen management isn’t optional at that dosage—it’s critical. Elevated estrogen can cause water retention, mood swings, and even gynecomastia if you’re prone to it. But the fix isn’t as simple as blasting Arimidex and calling it a day. Too much and you crash estrogen, which can wreck your joints, tank your mood, and actually hurt your results.
When we’re talking about testosterone use—whether it’s a prescribed medical protocol or someone exploring performance enhancement—it always comes back to balance. In a medical setting, Testosterone Replacement Therapy is dosed and monitored with labs to keep you in an optimized range. At 500mg per week, though, you’re outside therapeutic dosing and into supraphysiological levels. That means your aromatization rate (testosterone converting to estrogen) will be much higher than what most TRT patients experience.
There’s no universal “one-size-fits-all” answer. Your genetics, body fat percentage, and even diet impact how much testosterone converts to estrogen. That said, a common starting point for guys running 500mg of testosterone is around 0.25mg to 0.5mg of Arimidex every other day. Some need more, some less. The only way to know what’s right for you is by running bloodwork—not guessing.
Remember, Arimidex is powerful. More isn’t better. Crushing estrogen feels just as bad as having too much. The sweet spot is usually keeping estradiol in the mid-20s to 30s (pg/mL). That’s when most men feel strong, stable, and clear-headed.
How much Arimidex should I take if I’m on 500mg testosterone weekly?
Most start around 0.25–0.5mg every other day, but actual needs vary. Bloodwork is the only reliable way to dial it in.
Can I just take a full 1mg of Arimidex daily to be safe?
That’s usually too much. Daily 1mg dosing almost always crashes estrogen, which can feel worse than high estrogen.
What happens if I don’t use Arimidex at all on 500mg testosterone?
Some men tolerate it fine, but most will see estrogen-related side effects. The risk increases with body fat and the length of the cycle.
Is Arimidex safe long term?
Long-term use at improper doses can harm cholesterol levels and bone health. That’s why monitoring matters.
If you’re serious about optimizing hormones—whether you’re on therapeutic TRT or considering higher doses—the right guidance and monitoring make all the difference. At AlphaMD, our focus is helping men take control of their health with expert protocols, regular labs, and evidence-based support.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
Yes. With us, we often lean on trying to avoid AI use via other Estrogen control methods first. If you do need an AI we tend to start pretty conservatively at 1/4th tablet (0.25mg) once or twice weekl... See Full Answer
Related: Some pharmacies do offer alternative doses of Anastrozole, one of ours is pretty good about it. However they typically price per tablet rather than medication amount, so we are also guilty of... See Full Answer
Exemestane (aromasin) is much stronger than anastrozole in that it completely eradicates aromatase. In studies, a single dose of 25mg of exemestane lowered estradiol by 98%. Following that logic, a 12... See Full Answer
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.