A buddy asked about this--enclomiphene citrate. Had never heard of it before. Did a search here and it is mentioned in another TRT thread.
Anyone else tried it or know anyone who's used it? Basically, did it work very well?
Here's a link to an interesting study--
To determine the pharmacodynamic profile of serum total testosterone and luteinizing hormone (LH) levels in men with secondary hypogonadism after initial and chronic daily oral doses of enclomiphene citrate vs transdermal testosterone. To determine ...
www.ncbi.nlm.nih.gov
My insurance wouldn't cover enclomiphene w/o addtional headache AND no one in my region compounds it. I am currently on clomid 25mg/day and 25mg of exemestane EOD my total T is 807 and free is 417. I will be likely switching to either anastozole or letrozole for a better terminal half-life, therefore more stable long term blood plasma levels. For a quick cost comparison I think I'm paying about $30/month for my combo vs the $130 or so depending on the online vendor.
Several studies show that AI's reduce SHBG so I suspect that is why free/bio test is going up. I also came across one yesterday in a Letrozole study that had the following results:
Total testosterone rose from 5.9+/-0.5 to 19.6+/-1.4 nmol/l (P<0.001), and free testosterone from 163+/-13 to 604+/-50 pmol/l (P<0.001). Total testosterone rose to within the normal range in all subjects, whereas free testosterone rose to supraphysiological levels in 7 out of 12 men. The testosterone and E(2) levels were stable throughout the week and during the 6-month treatment period.
It appears that the potential for some to have a positive response that could mimic teenage/early 20's free/bio available potential is there. Admittedly, my research revolves around studies and their results on LH, FSH, SHBG and bio/free test. Total T doesn't mean squat if your SHBG is chewing up its bioavailibility.
I'd love to see someone here on injectable HRT/TRT add an AI for 2 months just to see what happens to free/bio T, before and after. In theory it should rise but I cannot find any studies yet that have been conducted as such and/or only abbrevated abstracts are available on pubmed/NCBI.