At 50mg EOD, your basically putting in four pins for every 7day period…in other words, you’re doing 200mg per week. I agree with @charlie12 that this is still a tad high.
I remember that you were having some issues trying to determine dosing option because of your docs scripting protocol, but I’m curious as to how you landed on 50mg EOD? Was that just for convenience in splitting up that script?
If you decide you’re going to STAY on that dose (hopefully making that determination on labs and feeling very good?) then I think I would try to take the smallest amount of AI possible and see if those symptoms subsided. I would approach it carefully, as in, take the quarter pill and wait a week to see if anything is different. May be worth a try, but ONLY if you’re going to stay at that high of a dose.
The better option is probably going to be to lower your test dose considerably, but you have to decide that for yourself. If you are going to stay on EOD injections, and you are going to lower your dose, then try walking it down. Something like…
You have been at 50mg EOD, so walk down to 40mg for a bit and see what the symptoms look like after a couple weeks. If they are still there walk down to 30mg EOD for the next few weeks and reassess how you feel, etc etc. You want to make changes slowly whether you are going up or down and try to stabilize. Wild fluctuations are not good.