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Exemestane is a steroid suicide aromatase inhibitor/irreversible aromatase inactivator that reduces estrogen production by blocking aromatase. The medical use of exemestane, like most aromatase inhibitors, is to treat estrogen-dependent breast cancer. It is usually used only when treatment with less aggressive compounds does not produce the desired effect, such as selective estrogen receptor modulators.

For strength athletes and bodybuilders, exemestane has several beneficial characteristics. First, it is reported that exemestane can reduce estrogen by an average of 85%. Of course, doing so helps prevent estrogen-related side effects caused by aromatic steroids. The drug also increases testosterone levels in users, which may be beneficial if used in post-cycle treatment. In addition, there is some evidence that exemestane may increase the level of insulin growth factor (IGF).

Like other aromatase inhibitors, information and Research on the effects of exemestane on lipid/cholesterol in users are conflicting. Some studies have shown that the compound has little effect, while others consider it rather harsh.

Exemestane Dosage

The peak plasma concentration of exemestane was reached within 2 hours after oral administration of 25 mg. The effective life of the drug ranges from 24 to 30 hours. This is important because it is much shorter than non-steroidal inhibitors. A single oral dose of 25 mg of exemestane resulted in a relatively long-term decrease in estrogen levels in plasma and urine. The maximum inhibition occurred about 2 to 3 days after administration and lasted for about 4 to 5 days.

Studies have shown that 25 mg of exemestane is almost as effective as 50 mg in inhibiting estrogen, increasing testosterone and insulin-like growth factor levels. Therefore, the daily dose should not exceed 25 mg. Because of the activity of the compound exemestane, it is administered approximately every 24 hours.

The only negative aspect of the compound seems to be that it takes about seven days to reach a stable plasma level in terms of drug delivery plans. However, this is not the main obstacle to its use. It simply requires users to start using exemestane a week before they expect the compound to be fully effective.

Risk of using exemestane

There was no significant toxicity of exemestane at a daily dose of 600 mg. Most users are well tolerated, and the maximum tolerable dose toxicity has not yet been determined. Negative side effects associated with the use of this compound are usually mild and may include transient gastrointestinal reactions, hot flashes, nausea and/or fatigue. As mentioned earlier, due to conflicting studies, the effect of exemestane on lipid/cholesterol is not yet clear, so monitoring should be carried out when using the compound. Sexual dysfunction is also possible due to lower estrogen levels. However, there are relatively few reports on this aspect.

Because of the minor side effects associated with this compound and its effectiveness in reducing estrogen-related side effects in aromatic steroid synthesis, exemestane seems to be a relatively safe choice in the search for aromatase inhibitors.