Clomid causes the Pituitary to release LH (HCG is an LH analog) to produce T.
In this regard, it seems better to try clomid first, because HCG would suppress your natural LH.
Thanks for the info!
I have varicocele-induced hypogonadism (as far as I know). I'm scheduled for v repair surgery tomorrow, and will try clomid to restart as soon as I'm healed. If that fails, I'm probably stuck with test & HCG shots for life.
Is HCG always better than clomid (considering effectiveness and sides)? Does clomid produce as much aromatization as HCG?
As far as "effectiveness", maybe this is helpful:
Under a doctor's care (well known here) I did the "clomid protocol" for several weeks and my total test went from my baseline of mid- 300's to 535.
Afterward I was put on the HCG protocol (500iu EOD) which I have been doing for the last 2 months and my total test (last week BW) was 680.
I'm not sure if my total test # would have continued to rise had I continued with the clomid but as soon as my doc saw my body was "receptive" I stopped the clomid and went on the HCG.
He only uses clomid as a "test" and doesn't use it longterm (though I really don't know why).
As far as aromatization, my E only tested between 15-22 on both.
Gator, will you now be on hCG for the rest of your life (or at least until something better comes along) or is it something that hopes to be a cure of sorts?
Just be gratefull that you have a choice.
Our fathers and grandfathers were stuck.
Rick,
Not to detour from LeanGuys thread here, but I'll be happy to answer that. I'm 51. My combination of low total test and high SHBG combined for a free test of about 45 per my docs chart - horrible by any measure and I felt it - for years. Since I started the protocol my free T is now about 130, still not perfect (doc wants to see around 250) but 3x higher and getting better. Most importantly I feel SO much better. Libido, energy, everything. It really was a life changer for me. I just wish I started sooner! I can't wait to see how good I'll feel if I can come close to the 250! But to answer your question -yeah this will be a lifelong endeavor and someday I may have to add some depo T to the mix but, as my doc says, "you can stop anytime and go back to feeling the way you did before". No thanks!! A little prick on the side of my stomach EOD is a small sacrifice for feeling so good.
I have increased my T dose slightly since that test.
Jeez, high enough don't you think??
Anything over 1000 and I'd be ecstatic!!
Do you have a doctor's request for Quest? I was reading on their site and it seems like you can't just walk in and order tests yourself?
Here is a study on clomid being useful. Invalid Link Removed
What about Nolvadex ? I hear it is better than Clomid ....
Nolvadex has fewer side effects, but that does not mean that one should feel free to use long term.
What is long term ? And what happens when you stop taking it ?
I will not take it more than 8-12 weeks. The hope is that the HPTA will keep going on its own when your done. I hear you can have an estrogen rebound when stopping, might need to finish it off with an AI like arimidex. It's basically the same as trying to recover from a roid cycle, except I've never used roids. I believe my test levels dropped due to stress. At one point I had two businesses plus a full time job. Made a lot of money... lost a lot of sleep... lost a lot of health... taking it back!!
Looks like adrenals first.
Adrenals are low... I've supplemented DHEA up to high-normal, and take adaptogenics. Thyroid is decent.
Can low adrenals contribute to low testosterone?
define: adaptogenics
post your FreeT3
adaptogenics: ashwaghanda, rhodiola, licorice root
TSH=1.7 [0.3-5.6]
Free T3=3.4 [2.0-4.2]
Free T4=1.1 [0.87-1.56]
Besides low T, my main problem is persistent insomnia. This may even be the cause of my low T. I always feel tired, but rarely feel sleepy. Been to several doctors, they can't figure it out and just suggest anti-depressants... nope.
What is the rest of the link Jan ? I would like to check it out as well ....
Thanks