Spyplane
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So I piggy-backed on the other clomid thread and got some good replies. I will start a new thread with the replies quoted so I don't pollute the other thread any more.
My original post:
So I had bloodwork done and just got a Rx for clomid. Here's my numbers:
Protein, Total, Serum. 6.6 (6-8.5) * he said this was low and doesn't know why yet
Albumin, Serum.........4.9 (3.5-5.5)
A/G Ratio..................2.9 (1.1-2.5) * clearly high
Immunoglubulin G.......587 (700-1600)
Immunoglobulin M.......7 (40-230) * yep, 7
Test, Serum...................387 (348-1197)
Test, Free......................10.7 (8.7-25.1)
Estradiol, Sensitive..........13 (3-70)
Triiodothyronine, Free......3.0 (2.0-4.4)
T4, Free.........................1 .37 (0.82-1.77)
Dihydrotestosterone.........17
LH............................ .....2.9 (1.7-8.6) * he was concerned about this
FSH........................... ....3.0 (1.5-12.4)
Reverse T3......................19.7 (9.2-24.1)
Vitamin D........................31.4 (30-100)
My Rx was for Clomiphene (clomid) 50mg x 2 a day for 7 days
Blood test on 8th day and then 25mg each day for 4 weeks
Is this a typical Rx for trying to get the body to produce T before trying full TRT?
First reply:
My original post:
So I had bloodwork done and just got a Rx for clomid. Here's my numbers:
Protein, Total, Serum. 6.6 (6-8.5) * he said this was low and doesn't know why yet
Albumin, Serum.........4.9 (3.5-5.5)
A/G Ratio..................2.9 (1.1-2.5) * clearly high
Immunoglubulin G.......587 (700-1600)
Immunoglobulin M.......7 (40-230) * yep, 7
Test, Serum...................387 (348-1197)
Test, Free......................10.7 (8.7-25.1)
Estradiol, Sensitive..........13 (3-70)
Triiodothyronine, Free......3.0 (2.0-4.4)
T4, Free.........................1 .37 (0.82-1.77)
Dihydrotestosterone.........17
LH............................ .....2.9 (1.7-8.6) * he was concerned about this
FSH........................... ....3.0 (1.5-12.4)
Reverse T3......................19.7 (9.2-24.1)
Vitamin D........................31.4 (30-100)
My Rx was for Clomiphene (clomid) 50mg x 2 a day for 7 days
Blood test on 8th day and then 25mg each day for 4 weeks
Is this a typical Rx for trying to get the body to produce T before trying full TRT?
First reply:
Second reply:Your GI tract is majorily compromised. I would not even focus on TRT till you get that straight.
You are most likely very toxic.
Dosage is why to high. I was on this amount wanted to commit suicide !!
There is no history which is crucial to dealing with these cases. New thread would be suggested.
Third reply:Yes as matrix says, that is a mega dose, from all threads i've seen the doses like that may get you high TT, LH, FSH numbers but the side effects will cancel out all benefit. Here is a post from Dr John Crisler, one of the leading TRT specialists, he posted this yestrday on this forum as his approach to clomid dosing. Less really is more when it comes to clomid.
Here's how you do it:
Start at 12.5mgs Clomid per day. After 3 weeks, run these labs (which you ran before you started, BTW):
TT
LH
FSH
SHBG
E2 (sensitive only)
If you feel much better--the goal of therapy--you are all set. Even if your T levels don't look great; that would mean you happened to catch your new production level at a trough.
If you don't feel much better, have your LH and FSH levels risen substantially? If not, increase the dose to 25mgs. A couple weeks later, the same labs again. You can go to 37.5mgs, then 50mg per day if necessary. Notice we are employing 1/4 tab increases, for convenience.
If LH/FSH rose substantially, and T did not, and you still don't feel well, look to testicular failure as your issue.
Of note, some have gotten great results on only 12.5mgs every other day.
If your T rose nicely, but SHBG also shot up, this counteracts the benefit. The estrogen half of the SERM-class drug did that. Try some Danazol, 50mg per day, oral, to try to lower SHBG.
If E shot up, add anastrazole, starting at 0.25mg every other day, and increase as necessary. Remember, it takes several weeks for E and SHBG to restabilize (SHBG may lower with the E).
Using this protocol can help you avoid going on frank TRT. That would be a good thing.
This is not a major issue, but, your Vitamin D is way too low.
Take 1000 IUs per 35lbs of body weight, per day, just to maintain proper levels.
To get your D up to 80ish range, take 2000 IUs per 35lbs, for two months, then cut back to the 1000IU / 35lbs rate for a month
AND BLOOD TEST YOUR D again.