Thanks for the reply. So I got an email back from the doctor:
" There is some truth to the role of intratesticular T/E, but his root problem is STILL the longtime finasteride use that has his DHT levels in the range 9-18. I’ve discussed discontinuing this several times with him in favor of a transdermal treatment. Also, I have seen on many occasions anastrozole adequately control E2 levels even in the presence of elevated LH/FSH.
Also, the note of HCG + Clomid is inaccurate (as HCG mimics LH but suppresses endogenous LH at the same time) and TRT + Clomid (as the suppressive effect of TRT is too much for Clomid to overcome).
I am certainly okay with reducing the Clomid to 12.5mg daily until next f/u, but again I believe his path to feeling better starts with stopping the finasteride (as we discussed in consult). "
Any thoughts on the above? Since you both agree with 12.5mg/day, I have reduced my clomid to that while continuing 0.25mg 2x/week of arimidex. When do you think I should get my next bloodtest? 4 or 6 weeks? Thanks!