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Physician-written perspectives on the latest research and the questions patients ask most. Start with the newest article below, or explore a topic.
Should You Block Estrogen on TRT? What the Research Shows
Crashing your estradiol on TRT isn't optimization. The landmark trial that separated testosterone's effects from estrogen's found low estradiol drives fat gain, bone loss, and sexual dysfunction.
Oral Estradiol and Breast Cancer Risk: What the Evidence Actually Says
Two physicians told her oral estrogen was too risky and offered nothing in its place. Neither had looked closely at which estrogen the research actually studied. Here's what the evidence shows, and why the fear doesn't hold up.
Anastrozole in Men on TRT: What It Does, When It Helps, and When It Doesn’t
Many men on testosterone therapy are prescribed anastrozole as a matter of routine. But blanket estrogen suppression often creates the very problems it’s meant to fix—including, paradoxically, the gynecomastia it was supposed to prevent.
Visceral Fat Is a Hormone Problem — Not a Willpower Problem
If you're doing everything right and still carrying stubborn abdominal fat, the problem may not be discipline — it may be your hormones. Learn why visceral fat is a metabolic and hormonal problem, and how we assess and treat it at Precision Hormone Consulting.

