Do you disagree with Ray on big pharma's AI? I'm pretty sure he disliked them very much.
I think the steroidal ones like exemestane are less harmful if used properly. Considering the studies on even 5mg having 60% suppression of estrone sulfate (E1S) then they can probably provide a lot of benefit at that low dose combined with low risk. I have not heard reports on joint pain. mood disturbance or fatigue on low-dose exemestane. Once the estrogen is under control and say fat loss occurs then they can probably be stopped and there should not be much rebound since fat loss changes hormonal balance in favor of androgens.