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I discovered there is now an OTC SERM, or at least a product entitled "Rebirth" that has SERM like properties. Someone logged themselves using it on another forum and there Total test went from 62 to in the 400 range after 2 months. Their estradiol increased a little. they were also using another OTC product though, so I'm not sure how well Rebirth is on it's own and how it'll effect Free Test in addition to total. Some guys might be against using OTC products, but I like to have a backup option. I'm not saying I won't go see a TRT doctor, but there is only one that isn't over 50 miles away and I don't own a car and thus need to get rides. The anti-aging doctor that is the only specialist close charges $300 for test injections and offers $650 pellets. I can still see him for a free consultation, but it's not very promising from the sounds of it.