I am a:
34yr old very active male that was diagnosed and started TRT (1000mg/4ml Nebido) in Febuary 2023. I had low t results years ago with some other health issue then resolved that (unrelated to T but did bloodwork) and decided to check again this year as I have been training weights for a year and had very little progress (I always train with a personal trainer) and have the general low t signs.
Anyway so my T was low and my estrogen was high. Urologist put me on Nebido 1 injection per month for first 2 months. Then injecting every other month after that.
He then told me in May to speak to his colleague (Endocronologist) and continue appointments with her. I did and she told me… His protocol was wrong lol…
That I should get off T and do this instead:
Clomid (50mg every other day) + Tamoxifen (10mg twice per day).
Which I was very confused about.
Then deciding to get another opinon yesterday I spoke to another endocronologist she said both those others are wrong and I should continue T and can switch to Sustanton if I want as well as take:
Clomid 50mg twice per week
Tamoxifen 20mg 1 per day for the first week after taking a T shot
When I asked why Tamoxifen and not a aromotose inhibitor she said that Tamoxifen is one and they are basically all the same… Which a quick Google will tell you is BS.
Her idea was that Clomid would increase LH and make me fertile and the Tamoxifen would lower my estrogen which from what I can Google doesn’t look like a good idea.
So now I feel stuck as no doctor agrees with eachother (and infact all of them think the other ones are idiots) and everything they say seems counter to what I read here and other places.
Basically you can see T increases, estrogen decreases but still above range then shoots up before crashing (last week), LH lowers which is to be expected they say and then T decreases to levels before T on ~6 weeks after last injection.
Realise this is long but appreciate any advice or recommendations for doctors/experts especially if they can do online consultations.
Sex hormones, TRT is a new field of medicine not taught in mainstream medical schools. This is why your doctors seem all over the place with recommendations, everyone is still trying to figure it all out.
If you were diagnosed with low-T, TRT is the treatment of choice. The clomid is going to block part of the benefits of you would get on TRT, it’s a drug, a toxin, a chemical, testosterone is a natural hormone.
Nebido is unpopular, the shorter acting esters cypionate, enanthate are preferred.
The UK and Europe are still in the stone age with regards to TRT. Many of the treatments unless imported from the US, typically produce underwhelming outcomes.
At least in the UK, you can get enanthate and cypionate esters from private clinics.
Sorry, but nope! Tamoxifen is used to treat gyno, it blocks estrogen at the breast receptors only, allowing estrogen to affect the rest of the body, therefore isn’t an aromatase inhibitor.
Thanks for your reply. I think I can actually get almost anything as I have family who are doctors just not in this field at all. Just as I am travelling sometimes the month+ injections of Nebido are useful. Although now I am thinking since my T was low on week 6 I will change the interval to the 6th week instead of 8th.
I’d go with this one and take the Sustanon and skip the Clomid and tamoxifen, assuming that she puts you on a decent dose of Sustanon, twice weekly injections. Collect the Clomid and Tamoxifen and just stash them. It’s not ideal but it’s better than the first two options. How much Sustanon does she propose you take?
She said 250 sustanton per week. Only issue for me is when travelling or whatever to countries where it may be illegal or hard to get someone to inject you once per week. Could I just swap it out back to nebido?
