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Letrozole --A good read

highspeed2112

New member
Letrozole (Femara) is a type II (non-steroidal) third generation aromatase inhibitor. Clinically it is used to treat postmenopausal women with either estrogen receptor positive or estrogen receptor unknown breast cancer.

In women, tumors that contain estrogen receptors are classified as estrogen receptor-positive (ER+) tumors. For Letrozole to be prescribed, a given tumor must have been diagnosed as estrogen receptor positive or estrogen receptor unknown.

In the world of bodybuilding it is used to reduce or eliminate excess estrogen caused by the use of aromatizing steroids.

Background

Letrozole was originally sold under the brand name Femara, and produced by the pharmaceutical house Novartis. It was patented on July 25th, 1997.

Action

Letrozole is known as a type II aromatase inhibitor, meaning, in simplest terms that it attaches to the aromatase enzyme and prevents it from converting androgens to estrogen. In slightly more complex terms, estrogens are produced by the conversion of androgens through the activity of the aromatase enzyme, and letrozole actually inhibits the production of estrogens in by competitive, (reversible) binding to the heme of the relevant cytochrome P450 unit.

Technical Data

Letrozole is currently the most powerful aromatase inhibitor available. In women with breast cancer, it has been shown to reduce estrogen levels by 98% or more (1). However, it’s use and benefits are not limited to eliminating estrogen in women.

In one male test subject Letrozole was able to reduce estrogen levels to undetectable levels (2), and in another clinical study done on both young and elderly men, intravenous administration of Letrozole lowered Estrogen by 46% in the young men tested, and 62% in the elderly subjects. Because estrogen is part of the negative feedback loop of the hpta - hypothalamic-pituitary-testicular axis - , Letrozole (and other anti-estrogens) are able to raise testosterone in male subjects. Letrozole was studied in men, and found to significantly increase lh - leutenizing hormone - levels to a 339 and 323% in the young and the elderly, respectively and Testosterone by 146 and 99%, respectively. (3) Letrozole was also able to produce a peak LH response to Gonadatropin Releasing Hormone equal to a 152 and 52% increase from baseline in either young or older men, respectively (3). In a similar study 0.02 mg of Letrozole increased testosterone by 45% after 2 days. (4) That same twenty micrograms of Letrozole was also enough, in one study done on men, to reduce estrogen levels by roughly a third. (4)

Letrozole has a 2-4 day half-life, and it needs to be taken for up to 60 days to get a steady blood plasma level (5).

Letrozole was used in a rodent study to effectively destroy (benign) breast tissue tumors (6), which may potentially indicate its use in males attempting to remove gynecomastia (aka gynecomastia).

As estrogen is also a factor in stopping linear bone growth, Letrozole is currently being examined for potential use in delay of growth seen in children.

User Notes

In the world of bodybuilding where more is often thought to be better, Letrozole stands almost alone as an exception to that rule. Estrogen is necessary for healthy immune function, healthy cholesterol levels, joint health, cognitive function, and even aids in muscle growth. In my own experience as well as the experience of many bodybuilders and athletes I’ve worked with, Letrozole simply causes estrogen to be reduced to levels too low to function properly. Personally, I suffered a near career-ending knee injury while using 2.5mgs a day of this stuff, and had one of the worst (and longest) bout with the flu I’ve ever had. In my own particular case, I had been using it to eliminate gynecomastia (which it did). I started at a dose of 2.5mgs/day and reduced it by .25mgs every week until the gynecomastia showed no signs of coming back. Unfortunately, this compromised my immune system and joint integrity.

For most recreational steroid users, Letrozole is going to be too harsh, and cause too many problems. Still, people can use it effectively if they don’t use the manufacturer’s clinical dose (2.5mgs) and instead keep their dose to .25-1mg. There are, however, better choices for an anti-estrogen. I should mention that using Letrozole at such a low dose does happen to make it a very good economic choice compared with other aromatase inhibitors.

For pre-contest bodybuilders, Letrozole is almost a necessity to eliminate water retention and achieve the ripped look necessary to compete in today’s bodybuilding world. However, in my experience, it is only necessary to be used for the last 4-6 weeks, to eliminate excess estrogen and water retention. After using Letrozole I recommend staying away from any estrogen suppression for at least a month to try to normalize the body.

Letrozole is the chemical name of active ingredient in Femara. Femara is a registered trademark of Novartis Pharmaceuticals Corporation in the United States and/or other countries.

Letrozole Resources
 
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Part 2:

The goal of a smart first cycle would be:

To use the least amounts of drugs in order to experience the least amounts of side effects
To maximize the anabolic actions while not compromising your future growth
There was no satisfactory solution to this until Trunet' study was published (1). In that study, he provided a single dose of Letrozole (a.k.a Femara, an aromatase inhibitor) to normal men and measured the responses of their testosterone and of their female hormone secretions. Of course, estrogen levels went down but this is not what caught my attention. The interesting response concerned the testosterone levels. Twenty one days after a single mega dose of 30 mg of Letrozole, serum testosterone level was still increased by 77% above normal. I am not suggesting you use that much! (the recommended daily dose of Femara is 2.5 mg).

But lower doses produced, not so impressive, but still remarkable effects. For example, a single intake of 0.02 mg which represents only 8% of the recommended daily dose increased testosterone level by 45% within 2 days. After a week, testosterone level was still high. Three weeks after this single intake, testosterone level was almost back to basal, almost because it is still somewhat elevated.

The main advantages of Letrozole are:

It is not a steroid, it is an aromatase inhibitor.
No injection is required.
Most importantly, Letrozole elevates your OWN testosterone.
So, the natural pattern of testosterone release is respected.
There is no temporary overdose of androgens unless you wish it.
As expected with an aromatase inhibitor, estrogen levels go down, not up as with most anabolic steroids.
If you decide to go off Letrozole, the levels of the hormones triggering the release of your testosterone, namely LH and FSH go up while they usually hit rock bottom with anabolic steroids.
I think this scenario better suits the needs of a first time user than straight anabolic steroids.

How to best use Letrozole?

On the down side, Letrozole is more expensive that steroids. But as suggested above, you do not need to use the full dosage and you do not need to take it every single day. If you use 0.5 mg every other day, a box of 30 can last almost a year. Of course, the more you are going to use, the more your testosterone level will increase. This will translate into more muscle mass gains. But Letrozole allows you to really fine tune your degree of testosterone elevation. This fine tuning is not that easy with steroids, especially injections. According to Trunet:

0.02 mg of Letrozole increased testosterone by 45% after 2 days
0.1 mg of Letrozole increased testosterone by 49% after 2 days
0.5 mg of Letrozole increased testosterone by 48% after 2 days
1 mg of Letrozole increased testosterone by 41% after 2 days
2.5 mg of Letrozole increased testosterone by 74% after 3 days
10 mg of Letrozole increased testosterone by 97% after 2 days
30 mg of Letrozole increased testosterone by 113% after 3 days
It is a good idea to start very low for a couple of days and see what happens. A rapid reduction of estrogen levels may not be well tolerated by some people. This is why you want to progress slowly and carefully. I would crush one pill and try my best to use 1/10 of that powder a day or every other day to see what happens. If everything goes well, build up your dosage.

Ideally, Letrozole is to be used along with a 5-alpha reductase inhibitor such as Proscar in order to prevent the excessive transformation of testosterone in DHT. If used with moderation, you do not have to go off Letrozole/Proscar. After of few months of this combination, you have created a very good endocrine background to start steroids.

To conclude, I am not saying Letrozole will provide more growth than steroids but its efficiency ratio is much better than anabolics for a first timer. If you are in a hurry, Letrozole is probably not for you. But neither is bodybuilding as you will end up going nowhere if you are not patient in that sport.

Bibliography:

Trunet PF, Mueller P, Bhatnagar AS, Dickes I, Monnet G, White G. 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.
 
highspeed2112 said:
Part 2:
The main advantages of Letrozole are:

It is not a steroid, it is an aromatase inhibitor.
No injection is required.
Most importantly, Letrozole elevates your OWN testosterone.
So, the natural pattern of testosterone release is respected.
There is no temporary overdose of androgens unless you wish it.
As expected with an aromatase inhibitor, estrogen levels go down, not up as with most anabolic steroids.
If you decide to go off Letrozole, the levels of the hormones triggering the release of your testosterone, namely lh - leutenizing hormone - - leutenizing hormone - and FSH - follicle stimulating hormone - - follicle stimulating hormone - go up while they usually hit rock bottom with anabolic steroids.
I think this scenario better suits the needs of a first time user than straight anabolic steroids.

I did not know this...

Excellent post highspeed. Are you the one making the user notes?
 
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