Exemestane

A steroidal alternative for estrogen management. Description: Exemestane is an FDA approved irreversible aromatase inhibitor, meaning it permanently deactivates the aromatase enzyme rather than just blocking it. Some patients respond better to exemestane than anastrozole, and it may have a more favorable effect on lipids. Key Benefits: Irreversible aromatase inhibition — no estrogen rebound May be better tolerated than anastrozole for some patients Potentially more favorable lipid profile impact Dosed as needed based on lab results Form: Oral tablet (25mg) Supply: 30 tablets ~ 60-120 days (typically 12.5-25mg, 1-2x per week)