Generally you will notice burning and soreness far before any actual tissue formation. It's also a good idea to feel and inspect the area and know exactly what is there from time to time.
I only advocate using AI's and other ancillaries as needed and not from the get go.
But yes when symptoms arise you can use either an AI or a SERM or both. Keep in mind it isn't always estrogen that causes gyno but the sensitivity of certain receptors to the estrogen.
3 Ways to combat GYNO imo, Lower estrogen, block estrogen receptors, or increase androgens.
So how is it that people let it get out of control and get lumps other than not having an AI on hand? Seems like the warning signs happen way before and one would have adequate time to correct it.
All I will have on hand is an AI and was hoping that would be sufficient, adex to be exact.