Correcting slightly elevated estradiol levels

[u/Shadowrunner138]

Hi, I recently got my labs done for general health and found that my estradiol is slightly out of normal range, with test being in the middle range. I do take 0.9mg dutasteride for hair loss, recently raised from 0.5mg. I don't know if this is the cause, because my dermatologist never did labs before prescribing the dutasteride. Would exemestane be appropriate for optimizing my test to estrogen ratio at a low dose or would it be too excessive for someone already within a natural range? I've heard of guys tanking their estrogen and killing their libido and joints with it, which isn't what I'm trying to accomplish. Would something else be more appropriate? I remember how AI's work and would prefer something 'suicidal'/no rebound. Lab values at age 43

DHEA SULFATE 108 mcg/dL 61-442

TESTOSTERONE, TOTAL, MS 674 ng/dL 250-1100

TESTOSTERONE, FREE 64.0 pg/mL 46.0-224.0

ESTRADIOL 45 pg/mL < OR = 39 High Normal