Why do you say exemastane? Just wondering.
CG
He is on a test cycle so that will stop the aromatization (test to estrogen). Exemestane is probably the most lipid friendly of all the AI's. That will lower overall estrogen levels so should help with his mood swings (definitely a result of high estrogen imo).
Tamoxifen is an antagonist of the estrogen receptor in the brain and breast. Meaning it is ideal for gyno but not for lowering overall estrogen levels. It does have some effect though but for other parts of the body it has the opposite effect. It actually acts as an estrogen agonist in most body parts. I have used tamox during some cycle sin the past for it's cholesterol benefits (estrogen related) but it's not really the best thing to be used long term. Even with AI's I recommend the smallest effective dose.
Tamoxifen raises overall test levels (I have seen a study showing an 158% increase). However that rise is cancelled out as it can also increase SHGB which will decrease free test levels. I have seen other studies showing more test increases but also massive estrogen increases. To me tamoxifen should only be used for gyno on cycle and for pct.
If you want to lower overall estrogen levels then an AI is your best bet. I am going through the same now. I noticed me becoming more emotional/moody and I had some gyno (on 40mg test p per day

) and exemestane is sorting me out fast.