OK Conciliator, let me have it. As some of you know I have determined that I have a problem that may result in an account at Victoria Secret if not addressed. My recent lab work indicates that I have an Estradiol level of 114. Yes, that is on a scale that maxes out around 60. I am attempting to mitigate with Nolvadex for the first time. I have never concerned myself with testing that number before as I did not have any evidence for cause. I have absolutely no indication of gyno, etc. But lately, I have been suspicious that I am not getting all that I can out of my testosterone supplementation for this reason, and now bloodwork has confirmed this high number. It seems easy enough to talk about these drugs in theory, but like anything else, once you become personally involved the waters become clouded. My question would be, how do you know what results you are getting from a SERM. Nolvadex is only going to prevent the effect of the estrogen on my body (chest, etc) by means of preventing the estrogen from affecting the area by blocking those receptors. Correct or not? If so, then how do you measure. What would blood work look like with Nolva in the mix. If Novla is just blocking the estrogens from "biting" on the desired areas (protection from gyno, etc), Does the level of E2 not still remain high in the blood stream? Probably so if you still render the good effects on cholesterol levels, etc. So how do you measure the effectiveness other than physical response? Even so, are we sure that the body does not signal back through a means such as the nervous system and tell the Hypothalmus that Estrogen is now not reaching those area, and thus signal for even more? I humbly request the help of all those who can shed some light here. I am reaching a crossroad that mandates some estrogen control and I am not sure the best way to proceed. I have a feeling I will wind up with a combination of a SERM and an AI. I only have Nolva and Clomid for now, so while on cycle I am choosing to go with the Nolva. What is the relationship between the nervous system and hormones. I can not help but think there must be a direct feedback involved via the nervous system as well. This aspect of hormone modulation does not seem to be very well addressed. Everyone always seems to focus on the direct impact of homones in the bloodstream ingnoring how the central nervouse system may relate. Also please do not forget the other question, as to while dosed on Nolva, how should my estrogens in my bloodwork read?