ANDROXAL - Latest Update

Still got a ways to go before FDA approval, but it looks like injections and gels will eventually become phased out with a TRT agent exhibiting a significantly lesser side effect profile that actually enhances HPTA, and most importantly, induces ENDOGENOUS production of both total and free T in those with secondary hypogonadism via stimulation of both LH and FSH:
http://www.zacks.com/stock/news/158927/repros-gains-on-positive-updates-on-the-status-of-androxal
http://reprosrx.com/androxal.php

Other research re Androxal:
http://www.ncbi.nlm.nih.gov/pubmed/19204885
http://www.ncbi.nlm.nih.gov/pubmed/23530575
http://www.tunedsports.com/steroid-...e-future-of-testosterone-replacement-therapy/
http://www.fertstert.org/article/S0015-0282(04)01521-3/abstract
http://www.livescience.com/47094-clomid-treat-low-testosterone.html

I would suspect, but am not certain, that since enclomipheme citrate (Androxal) is an estrogen receptor antagonist, and excess estrogen (specifically E2) is amongst the primary facilitators of thrombotic (blood clots) and other untoward cardiovascular events that have been reported in a small percentage of both men and women using the current exogenous TRT agents (i.e. injections, gels, pellets), those of us with a history of either familial (genetic) or idiopathic (unknown origin) thrombophilia may finally have us an agent free of risk as long as we stick to physiologic replacement levels.
 
Still got a ways to go before FDA approval, but it looks like injections and gels will eventually become phased out with a TRT agent exhibiting a significantly lesser side effect profile that actually enhances HPTA, and most importantly, induces ENDOGENOUS production of both total and free T in those with secondary hypogonadism via stimulation of both LH and FSH:
http://www.zacks.com/stock/news/158927/repros-gains-on-positive-updates-on-the-status-of-androxal
http://reprosrx.com/androxal.php

Other research re Androxal:
http://www.ncbi.nlm.nih.gov/pubmed/19204885
http://www.ncbi.nlm.nih.gov/pubmed/23530575
http://www.tunedsports.com/steroid-...e-future-of-testosterone-replacement-therapy/
http://www.fertstert.org/article/S0015-0282(04)01521-3/abstract
http://www.livescience.com/47094-clomid-treat-low-testosterone.html

I would suspect, but am not certain, that since enclomipheme citrate (Androxal) is an estrogen receptor antagonist, and excess estrogen (specifically E2) is amongst the primary facilitators of thrombotic (blood clots) and other untoward cardiovascular events that have been reported in a small percentage of both men and women using the current exogenous TRT agents (i.e. injections, gels, pellets), those of us with a history of either familial (genetic) or idiopathic (unknown origin) thrombophilia may finally have us an agent free of risk as long as we stick to physiologic replacement levels.




I hope gels etc are not phased out. Those of us with ess would be screwed.
 
I hope gels etc are not phased out. Those of us with ess would be screwed.

I have a partially empty sella which was diagnosed as an incidental finding on an MRI test some years back. However, as it turns out, my pituitary is still functional as I still respond to secretagogues like sermorelin. Unless you have documented ESS and/or are truly hypopituitary, I would not think this would be a problem.
 
Looks like Androxal is in trouble:

Repros Therapeutics Announces Cancellation of FDA Advisory Committee Meeting to Review Enclomiphene for the Treatment of Secondary Hypogonadism

THE WOODLANDS, Texas, Oct. 29, 2015 (GLOBE NEWSWIRE) -- Repros Therapeutics Inc.® (Nasdaq:RPRX) today announced that the Division of Bone, Reproductive and Urologic Products of the U.S. Food and Drug Administration (FDA) has cancelled the scheduled November 3, 2015 advisory committee to review the Company's New Drug Application (NDA) for its enclomiphene product candidate, formerly known as Androxal®, due to questions that arose late in the review regarding the bioanalytical method validation that could affect interpretability of certain pivotal study data.
The FDA has expressed its willingness to work with Repros to address these questions. The FDA accepted the NDA for review on April 1, 2015 and later assigned a Prescription Drug User Fee Act (PDUFA) goal date of November 30, 2015.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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