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I have seen other men use: climara or vivelle brands
I don't claim to know alot on this, I have talked to Dr. Premoli in the past and have seen others get results using patches or gel. Side effects should be minimal, I have used DES 1-mg for years, sometime intermittent and still using it...since is has outperformed my ADT3 with psa results and side effects, since these are in the estrogenic family...should be some overlapp. It will cancel side effects of Lupron, like hot flashes and sweats, it did so in me within like 10 days or so way back in 2004 era.
Example of costs in USA dollars but bought from Canada:
Climara generic version 50 mcg 8 patches= $30
Vivelle .025/24hr. 40 count= $150
Could be twice that in USA, insurance might pay for all of it anyway.