Yes, about those three ways:
Bicalutamide, on the other hand, makes all of the androgens useless and shifts the entire equilibrium to estrogenic support.
- The blockade of receptors is in no way comparable to that of bicalutamide. It is a steroidal selective androgen receptor antagonist. It works only by reducing the concentration of testosterone so that kinetics don't mess up with its binding. That's why it works only in people with female hormone ranges.
- The testosterone levels are lowered only when it is already very low and in female ranges, because it can't mess with HPG axis. Therefore, it works only with sufficient levels of estradiol, otherwise good bye to bone density and energy.
- Yes, it binds to estrogen receptors, but has no estrogenic effects in cells other than osteoblasts and hypothalamus.
Spironolactone, can get easily replaced by androgens when used without estrogens to shift the equilibrium.
How much T does bicalutamide block? There appears to be so many different opinions on this...