50mg EOD may be too much, LH levels can be excessive and then one can get high T–>E2 inside the testes and serum E2 gets high. SERMs generally increase E2. High E2 is probably the “crash”.
A few guys feel horrible with clomid, others are fine. Do not take 50mg as a first dose! For those affected Nolvadex works well and does not have those mood side effects.
pre-TRT labs should be:
TT
FT or FT calculated in UK
E2
LH/FSH - must be done prior to any form or TRT
prolactin
CBC
TSH
You need LH/FSH to determine is the problem is in your testes or pituitary output. If pituitary, elevated prolactin from a pituitary adinoma, not rare, can be a cause that is correctable/managed with 0.5mg/week Dostinex/cabergoline.
Most docs do not do proper diagnostics and these are critical for young men when low-T must be regarded as a symptom and not the disease.
Many guys who come here have thyroid problems, see the last paragraph in this post. Making things worse is that the lab ranges are very insane which means that your doctors will not see anything wrong.
Many in UK have low iodine levels because iodized salt is generally not on the shelf in the shops. And if you do not consume a lot of dairy food, you are in trouble because that is where the government expects you to get iodine, even though iodine in dairy foods has dropped a lot.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.