Again with the aggressive manner. Your logic doesn’t add up as there are people with high estrogen.
I will answer your questions:
First off. Gynecomastia is a range of disorders ranging from whether adipose tissue is formed or breast tissue is -pseudo is primarily adipose tissue. It may improve upon resolving the hormonal issue:
Treating the underlying cause of the gynecomastia may lead to improvement in the condition. Patients should talk with their doctor about revising any medications, such as risperdal, that are found to be causing gynecomastia. Often, an alternative medication can be found that avoids gynecomastia side-effects while still treating the primary condition (e.g., in place of taking spironolactone the alternative eplerenone can be used). Selective estrogen receptor modulator medications, such as tamoxifen and clomiphene, or androgens (typically testosterone) or aromatase inhibitors such as Letrozole are medical treatment options, although they are not universally approved for the treatment of gynecomastia. Endocrinological attention may help during the first 2–3 years. After that window, however, the breast tissue tends to remain and harden, leaving surgery (either liposuction, gland excision, skin sculpture, reduction mammoplasty, or a combination of these surgical techniques) as the only treatment option.
Secondly show me evidence that estrogen isn’t working or is low in individuals. My estrogen was in normal values. Why do you think it is so important? What you are saying is that if androgens are not functioning estrogen would dominate completely and cause a cascade of symptoms. However, you do not see this happening. What are you implying? Estrogen resistance as well? Then why the response to estrogenic substances? It doesn’t add up. Keep in mind we still have normal androgen levels and a varying degree of function of the AR and what happens after it.
This guys estrogen was raised and you yourself told him so.
Check out: viewtopic.php?f=4&t=4827
Also: viewtopic.php?f=4&t=4406
I don’t know why you’ve come up with this idea. Show me evidence it is the case and then maybe I’ll believe you. But at the moment all you tell me is I’m categorically wrong which is not only unconstructive but is unprofessional.