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Home > Health Conditions > Breast Cancer > Femara.

Femara (letrozole) - 1/01

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For Aromatization (in males):

  • Letrozole once a week normalizes serum testosterone in obesity-related male hypogonadism - Eur J Endocrinol. 2008 May;158(5):741-7 - "Isolated hypogonadotropic hypogonadism (IHH) is frequently observed in severely obese men, probably as a result of increased estradiol (E(2)) production and E(2)-mediated negative feedback on pituitary LH secretion. Aromatase inhibitors can reverse this process ... treated with 2.5 mg letrozole once a week for 6 months ... Six weeks of treatment reduced total E(2) from 123+/-11 to 58+/-7 pmol/l (P<0.001, mean+/-s.e.m.), and increased serum LH from 4.4+/-0.6 to 11.1+/-1.5 U/l (P<0.001). Total testosterone rose from 5.9+/-0.5 to 19.6+/-1.4 nmol/l (P<0.001), and free testosterone from 163+/-13 to 604+/-50 pmol/l (P<0.001). Total testosterone rose to within the normal range in all subjects, whereas free testosterone rose to supraphysiological levels in 7 out of 12 men ... Letrozole 2.5 mg once a week produced a sustained normalization of serum total testosterone in obese men with IHH. However, free testosterone frequently rose to supraphysiological levels. Therefore, a starting dose <2.5 mg once a week is recommended" - See Femara (letrozole) at OffshoreRX.  I've been taking a quarter table a day but it sounds like that's way to much an a quarter tablet every other day might be best which comes to 2.5 mg every 8 days.  People complain about the hassle to get doctors to prescribe testosterone.  It sounds like letrozole will give you the same or better numbers without the hassle.  Plus testosterone replacement increases estrogen but letrozole has the advantage of decreasing it.  See my aromatization page.
  • Letrozole suppresses plasma estradiol and estrone sulphate more completely than anastrozole in postmenopausal women with breast cancer - J Clin Oncol. 2008 Apr 1;26(10):1671-6 - "Letrozole reduces plasma E2 and E1S levels to a significantly greater extent than anastrozole" - See Femara (letrozole) at OffshoreRX.
  • Comparative assessment in young and elderly men of the gonadotropin response to aromatase inhibition - J Clin Endocrinol Metab. 2005 Oct;90(10):5717-22 - "As assessed after 28 d of treatment, letrozole lowered E2 by 46% in the young men (P = 0.002) and 62% in the elderly men (P < 0.001). In both age groups, letrozole, but not placebo, significantly increased LH levels (339 and 323% in the young and the elderly, respectively) and T (146 and 99%, respectively) (P value of young vs. elderly was not significant). Under letrozole, peak LH response to GnRH was 152 and 52% increase from baseline in young and older men, respectively"
  • Letrozole normalizes serum testosterone in severely obese men with hypogonadotropic hypogonadism - Diabetes Obes Metab. 2005 May;7(3):211-5 - "Six weeks of treatment decreased serum estradiol from 120 +/- 20 to 70 +/- 9 pmol/l (p = 0.006). None of the subjects developed an estradiol level of less than 40 pmol/l. LH increased from 4.5 +/- 0.8 to 14.8 +/- 2.3 U/l (p < 0.001). Total testosterone rose from 7.5 +/- 1.0 to 23.8 +/- 3.0 nmol/l (p < 0.001) without a concomitant change in sex hormone-binding globulin level. Those treated with Letrozole 17.5 mg per week had an excessive LH response" - Note:  A half tablet per day would be 8.75 mg/week.  I believe 40 pmol/l of estradiol is 11.54 pg/mL and the normal value for men is 10 to 52 pg/mL (Quest says 10 to 50).  The way I read that, testosterone tripled.  I take a quarter tablet a day of Femara (letrozole).  See Femara at International Anti-aging Systems or Letrozole 2.5mg (Generic Equivalent of Femara 2.5mg ), at OffshoreRx.com.
  • Open dose-finding study of a new potent and selective nonsteroidal aromatase inhibitor, CGS 20 267, in healthy male subjects = J Clin Endocrinol Metab. 1993 Aug;77(2):319-23 - "A reduction in estradiol levels by about 30% from baseline was observed at the lowest dose (0.02 mg)" - CGS 20 267 is Letrozole.
  • Letrozole for Men -Google Groups - "The answer is to reduce aromatase expression for both the middle aged and over age 65 elderly. For the last 7 years, I have used a tiny dose of letrozole, 10 mcg daily. One tablet (2500 mcg = 2.5 mg) lasts for 250 days. Powder the tablet and mix into a cup of powdered sugar - 1 cc scoop of the mix has 10 mcg letrozole"
  • Letrozole-Femara - isteroids.com - "Letrozole is probably the most powerful Aromatase Inhibitor used by athletes today"
  • Femara (Letrozole) clinical pharmacology - RxList.com - "Letrozole's terminal elimination half-life is about 2 days and steady-state plasma concentration after daily 2.5 mg dosing is reached in 2-6 weeks"

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