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Testosterone Replacement, Low T, HCG, & Beyond
Clomid for PCT, fertility or low T
Are guys that do well on low dose clomid unicorns...or do they really exist?
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 31870" data-attributes="member: 12687"><p>You should have a healthy amount of "fear" of ANY drug...as every drug carries a profile of side effects and possible adverse events. In fact, IMO too many patients begin taking new meds from their physician (BP meds, statins, antidepressants, etc) WITHOUT a healthy amount of trepidation to the point that they often aren't even cognizant of the possible adverse outcomes (in part due to lack of counseling by their prescribing doc). </p><p></p><p>Having said that, Clomid carries a side effect profile...for sure, but the side effects are often overstated and are overwhelmingly temporary (if a patient experiences them, they stop the drug and the side effects go away...unlike, say, finasteride). The visual side effects are fairly rare (at low doses) and typically occur very early in treatment (within first few weeks). If a patient is unfortunate enough to experience the ocular side effects (typically mild), they stop taking the medication and (in cases I have been involved in) the ocular symptoms go away within a few days to a week or so. Once again, fairly uncommon, mild, and temporary.</p><p></p><p>Many other "common" side effects of the Clomid that you mentioned - anxiety, depression, panic attacks, psychosis (I've never seen this one in clinical practice BTW) - are often due to higher doses of Clomid, pre-existing psychological morbidity (I'm slightly more cautious with Clomid in folks with pre-existing psychological diagnoses or symptoms), and often the estrogen issues mentioned previously (increase in endogenous E from increase in endogenous T - without management when appropriate, and also some of the E agonist affect - again more pronounced at higher doses).</p><p></p><p>Have a healthy fear/skepticism of all drugs, it will serve you well and prevent "polypharmacy", a significant cause of morbidity in our geriatric population, but don't completely write off clomid...it is a GOOD drug when used appropriately and in the right context by an experienced clinician.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 31870, member: 12687"] You should have a healthy amount of "fear" of ANY drug...as every drug carries a profile of side effects and possible adverse events. In fact, IMO too many patients begin taking new meds from their physician (BP meds, statins, antidepressants, etc) WITHOUT a healthy amount of trepidation to the point that they often aren't even cognizant of the possible adverse outcomes (in part due to lack of counseling by their prescribing doc). Having said that, Clomid carries a side effect profile...for sure, but the side effects are often overstated and are overwhelmingly temporary (if a patient experiences them, they stop the drug and the side effects go away...unlike, say, finasteride). The visual side effects are fairly rare (at low doses) and typically occur very early in treatment (within first few weeks). If a patient is unfortunate enough to experience the ocular side effects (typically mild), they stop taking the medication and (in cases I have been involved in) the ocular symptoms go away within a few days to a week or so. Once again, fairly uncommon, mild, and temporary. Many other "common" side effects of the Clomid that you mentioned - anxiety, depression, panic attacks, psychosis (I've never seen this one in clinical practice BTW) - are often due to higher doses of Clomid, pre-existing psychological morbidity (I'm slightly more cautious with Clomid in folks with pre-existing psychological diagnoses or symptoms), and often the estrogen issues mentioned previously (increase in endogenous E from increase in endogenous T - without management when appropriate, and also some of the E agonist affect - again more pronounced at higher doses). Have a healthy fear/skepticism of all drugs, it will serve you well and prevent "polypharmacy", a significant cause of morbidity in our geriatric population, but don't completely write off clomid...it is a GOOD drug when used appropriately and in the right context by an experienced clinician. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Clomid for PCT, fertility or low T
Are guys that do well on low dose clomid unicorns...or do they really exist?
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