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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: 31903" data-attributes="member: 12687"><p>Younger, low SHBG guys may actually have a higher success rate with Clomid than the "typical" guy with normal or higher SHBG, as the SHBG increase can sometimes come as a benefit for these low SHBG guys (assuming the HPTA is very responsive/healthy and has a robust enough response). </p><p></p><p>Yes, monitor Total/free T, E2, LH, SHBG, check prolactin if LH/FSH suppressed for unknown reasons (elevated prolactin may be that "unknown" reason). </p><p></p><p>Starting dose can vary greatly depending on many individual factors, but as noted previously, anywhere from 25mg on down typically. I will often start a little more aggressive early (so I know right away if the HPTA is going to respond adequately), and then simply titrate down GRADUALLY over time to either:</p><p></p><p>A. Get the patient off of Clomid completely and see if levels maintain after a prolonged "kick start" so to speak (better chance of this by SLOWLY titrating down on the Clomid).</p><p></p><p>or</p><p></p><p>B. Get he patient down to the MINIMUM amount of Clomid that they need to keep their system stimulated (this is determined during the titration process via monitoring labs/symptoms). </p><p></p><p>Hope that helps!</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 31903, member: 12687"] Younger, low SHBG guys may actually have a higher success rate with Clomid than the "typical" guy with normal or higher SHBG, as the SHBG increase can sometimes come as a benefit for these low SHBG guys (assuming the HPTA is very responsive/healthy and has a robust enough response). Yes, monitor Total/free T, E2, LH, SHBG, check prolactin if LH/FSH suppressed for unknown reasons (elevated prolactin may be that "unknown" reason). Starting dose can vary greatly depending on many individual factors, but as noted previously, anywhere from 25mg on down typically. I will often start a little more aggressive early (so I know right away if the HPTA is going to respond adequately), and then simply titrate down GRADUALLY over time to either: A. Get the patient off of Clomid completely and see if levels maintain after a prolonged "kick start" so to speak (better chance of this by SLOWLY titrating down on the Clomid). or B. Get he patient down to the MINIMUM amount of Clomid that they need to keep their system stimulated (this is determined during the titration process via monitoring labs/symptoms). Hope that helps! [/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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