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Testosterone Replacement, Low T, HCG, & Beyond
Clomid for PCT, fertility or low T
Restart Update: Low Dose Clomid
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 35558" data-attributes="member: 12687"><p>GA8314- </p><p></p><p>Also of significance is that he was placed on TRT by a physician initially without KNOWING if it was his only (or best) option for treatment...i.e. relatively young, no discussion/diagnosis of primary vs secondary, no attempt at stimulation/endogenous enhancement...add that all up with the subpar results he was having on his previous TRT regimen and it is easy for one to see how he might question/regret being on a lifelong treatment (TRT) for the next 40+ years when his INITIAL work-up, diagnosis, and treatment was suspect...consider also the fact that both he and his wife preferred to "start over" and you will understand his position. The anti-Clomid bias that permeates (all of) the forums makes it even tougher for these guys to give it a fair shake. Especially considering successful LD Clomid treatment is even MORE complex than successful TRT treatment (which about 50% or more of the guys that come to the forums are complaining of poor results on a poor TRT regimen). There have been a few days of negative symptoms in a treatment of only 30 days duration at this point...let's not rally the wagons to abandon ship just yet. Some regimen adjustments are clearly in the near future.</p><p></p><p>Think of it this way, Clomid therapy gets such a negative rap because of poor regimens (and poor results), but ALSO because there is a strong underlying bias that TRT is the "next step up" or a superior treatment. Thus, the MINUTE something goes wrong on a clomid regimen, it's easy to say --> jump on TRT. Now what if there was a "magic bullet" treatment that was presumed to be superior to TRT. What would one say to the 50-75% of guys that come to the forums having poor results on subpar TRT regimens (androgel, no E2 monitoring/management, q2week T cyp injections, etc)?.?.? Naturally one would say "abandon TRT...I've seen hundreds of reports of guys doing so much better on the "magic bullet" treatment", "why waste your time with the TRT when so many guys do so poorly", etc. However, since there is no "magic bullet" treatment assumed to be superior to TRT, the correct advice is given to those guys...to find a more competent physician, monitor E2 levels, change testosterone delivery methods, etc. </p><p></p><p>We achieve good results with a decent percentage of LD Clomid patients, but it takes a little more time than TRT and often a few more adjustments (as I stated, it's more complex than TRT). Unfortunately, we lose many of the LD Clomid guys before appropriate adjustments can be made as they succumb to the "perception" that the Clomid will never work for them and they need to progress (prematurely) to TRT...which BTW is no short-term guarantee either as many adjustments are also necessary for most guys in the TRT realm.</p><p></p><p>Patience is key with ANY treatment, unfortunately it is often not afforded to Clomid regimens as most guys come in the door with the pre-conceived notion that it will be a failure...and that there is a superior, fail-proof alternative.</p><p></p><p>We'll make adjustments and either the Clomid will or won't turn out to be the best option in his case...either way we will get him feeling better and whatever treatment he ends up on longterm it will be a little "easier to swallow" for both he and his wife knowing that the appropriate steps were taken.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 35558, member: 12687"] GA8314- Also of significance is that he was placed on TRT by a physician initially without KNOWING if it was his only (or best) option for treatment...i.e. relatively young, no discussion/diagnosis of primary vs secondary, no attempt at stimulation/endogenous enhancement...add that all up with the subpar results he was having on his previous TRT regimen and it is easy for one to see how he might question/regret being on a lifelong treatment (TRT) for the next 40+ years when his INITIAL work-up, diagnosis, and treatment was suspect...consider also the fact that both he and his wife preferred to "start over" and you will understand his position. The anti-Clomid bias that permeates (all of) the forums makes it even tougher for these guys to give it a fair shake. Especially considering successful LD Clomid treatment is even MORE complex than successful TRT treatment (which about 50% or more of the guys that come to the forums are complaining of poor results on a poor TRT regimen). There have been a few days of negative symptoms in a treatment of only 30 days duration at this point...let's not rally the wagons to abandon ship just yet. Some regimen adjustments are clearly in the near future. Think of it this way, Clomid therapy gets such a negative rap because of poor regimens (and poor results), but ALSO because there is a strong underlying bias that TRT is the "next step up" or a superior treatment. Thus, the MINUTE something goes wrong on a clomid regimen, it's easy to say --> jump on TRT. Now what if there was a "magic bullet" treatment that was presumed to be superior to TRT. What would one say to the 50-75% of guys that come to the forums having poor results on subpar TRT regimens (androgel, no E2 monitoring/management, q2week T cyp injections, etc)?.?.? Naturally one would say "abandon TRT...I've seen hundreds of reports of guys doing so much better on the "magic bullet" treatment", "why waste your time with the TRT when so many guys do so poorly", etc. However, since there is no "magic bullet" treatment assumed to be superior to TRT, the correct advice is given to those guys...to find a more competent physician, monitor E2 levels, change testosterone delivery methods, etc. We achieve good results with a decent percentage of LD Clomid patients, but it takes a little more time than TRT and often a few more adjustments (as I stated, it's more complex than TRT). Unfortunately, we lose many of the LD Clomid guys before appropriate adjustments can be made as they succumb to the "perception" that the Clomid will never work for them and they need to progress (prematurely) to TRT...which BTW is no short-term guarantee either as many adjustments are also necessary for most guys in the TRT realm. Patience is key with ANY treatment, unfortunately it is often not afforded to Clomid regimens as most guys come in the door with the pre-conceived notion that it will be a failure...and that there is a superior, fail-proof alternative. We'll make adjustments and either the Clomid will or won't turn out to be the best option in his case...either way we will get him feeling better and whatever treatment he ends up on longterm it will be a little "easier to swallow" for both he and his wife knowing that the appropriate steps were taken. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Clomid for PCT, fertility or low T
Restart Update: Low Dose Clomid
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