a couple general observations i have on this whole scenario…
-i think addressing your prolactin might be worthwhile prior to TRT… as it is, that’s the only hormone level you had in the higher range, and might be the cause of your sexual dysfunction. might be worth it to address that now, before you’re on TRT for life…
-clomid has been shown to decrease the body’s response to GnRH. i know that some docs out there recommend it, but when compared to nolvadex (which increase the body’s response to GnRH), it is simply inferior. also, both have been studied at much lower doses (clomid at 25-50 mg and nolva at 20 mg/day)… i really doubt higher doses do anything but increase side effects. since SERMs are acting like estrogen, it’s possible that really high doses of 2 different SERMs are going to cause estrogen-like side effects…
a lot of people run PCT at 4 weeks and think this is good enough, but there is a ton of data showing that nolva is effective for up to 8 weeks in boosting “T” levels, and clomid is effective for even longer durations. unless one has a specific reason to cut PCT short, i think 6 weeks should generally be the minimum time for one who realistically expects to recover a large degree of function.
-HCG at high doses can boost testosterone levels, but since it didn’t actually increase the recovery of the HPTA, then there’s going to be a lag time after using it. that’s why one should use low, infrequent doses on cycle, and finish no later than a week prior to PCT. i think the TRT guys are figuring out the most effective way to use this now…
-i think there are a couple supplements worth adding in to PCT as well.
DAA (3000 mg/for 2 weeks) has been shown to boost test levels, and apparently does so by shuttling cholesterol into the testes as a substrate for testosterone production. however, it stops being effective after 2 weeks, possibly due to reaching a saturation dose.
ZMA and vitamin D have also been shown to be very important in optimal testosterone production and in controlling estrogen levels. while i doubt these will jack your levels sky high, i do think it’s clear if you’re deficient, they will cause issues with your own production.