HCG Only Treatment for Low Test

[Stringer]

Stringer, his protocols have been reasonable. He's offering you choices. If your serum T doesn't improve on clomid it's time for TRT. Will he prescribe TRT with hCG if Clomid fails?

Yes, it seems like he prefers TRT over Clomid for effectiveness. He did give me the choice. I don't know if he was planning on using hCG with the TRT however (though it wouldn't surprise me if he was open to hCG monotherapy).

Though his protocols have been reasonable, he hasn't given me a good vibe so far. He acted as if it was cutting edge treatment to use Clomid for testosterone levels...when I told him it was fairly commonly used for that, he scoffed and said not the dosing that he is using. It's also like pulling teeth to have him check anything besides total testosterone on the bloodwork. He only agreed to check estradiol, and refused to check anything like SHBG (which I know Clomid can elevate).
Thanks

 

[Dr Justin Saya MD]

Agree Stringer, I have seen much worse protocol progressions both in-person and through the forums. However, resistance to monitoring appropriate lab parameters is a common red flag/concern.

 

[Stringer]

Agree Stringer, I have seen much worse protocol progressions both in-person and through the forums. However, resistance to monitoring appropriate lab parameters is a common red flag/concern.

Thanks for the feedback Dr. Saya. So you have had success with patients using Clomid without the use of an AI? I guess I'm a bit skeptical now after seeing so many reports of Clomid improving bloodwork numbers but not actually resolving any symptoms.

I'm actually considering just taking half of his dose (25mg) every 3 days to start with, in case I'm sensitive to the drug. Any thoughts on that also?
Thanks

 

[Dr Justin Saya MD]

Thanks for the feedback Dr. Saya. So you have had success with patients using Clomid without the use of an AI? I guess I'm a bit skeptical now after seeing so many reports of Clomid improving bloodwork numbers but not actually resolving any symptoms.

I'm actually considering just taking half of his dose (25mg) every 3 days to start with, in case I'm sensitive to the drug. Any thoughts on that also?
Thanks

Yes I have seen a fair amount of success with LD Clomid without an AI, however I also have treated a ton of patients (over a thousand with LD Clomid over the years).

DIM (100-200mg daily) and calcium D-glucarate (500-1000mg daily) are options you could try before an AI.

 

[Stringer]

Yes I have seen a fair amount of success with LD Clomid without an AI, however I also have treated a ton of patients (over a thousand with LD Clomid over the years).

DIM (100-200mg daily) and calcium D-glucarate (500-1000mg daily) are options you could try before an AI.

Thanks, I will look into that. Would 50mg every 3 days qualify as "low dose" for you?

 

[Dr Justin Saya MD]

Thanks, I will look into that. Would 50mg every 3 days qualify as "low dose" for you?

50mg E3d would average out to ~16.66mg average daily dosage, so yes that would fall into the low dose spectrum.

 

[Stringer]

50mg E3d would average out to ~16.66mg average daily dosage, so yes that would fall into the low dose spectrum.

Ok, thanks again Dr. Saya. I'll see how it goes and come back with an update soon.