Markc2008 wrote:Yeah I agree I should have probably reinstated the viibryd but I also don’t know if it is worth doing a year and a half later? My free T best I remember was 6. The ssri was used for premature ejaculation off label and anxiety. Yeah don’t know that helps now but that was the case. My protocol was 200mg/ml .24ml 3x a week and 350iu hcg three times a week with .125 anastrazole twice a week but I recently changed due to hair thinning and eliminated the hcg and anastrazole and lowered test dose to .20ml three times a week. I had some very slight libido improvement when starting that faded but I would say it seems to have improved erection quality some. Although since I’ve been on it a year now I have talked to the dr about coming off and seeing where I’m at naturally again. He wanted to simplify protocol first for a couple months and see how I felt and reacted. If this doesn’t help with everything I will be coming off and doing clomid for several weeks to restart natural production. But regardless before and on trt I’ve pretty much had the same issues from ssri. Still not in a good spot with function or desire.
I am also not sure what would happen if the AD was taken again at this time, but worth discussing with your doctor as something to try.
It is good that your doctor has suggested simplifying your TRT protocol. I do not like aromatase inhibitors. They are extremely difficult to control. If your E2 levels get too low they can take time to return and low E2 can make you feel like you are too.
Your T level may have been too high given the amount you were injecting per week, plus the T the HCG was creating. Your body will then convert too much into E2. Hence why the doctor then threw in an aromatase inhibitor.
Much better to lower the T dose which you have done.
I also think it would be a good idea to try and do a restart at your age. Two things about this that I know: They need to be run for a reasonable period (several weeks not being long enough) with a very slow taper off, the slow reduction is very important, otherwise the new level of T may not hold. Do not get concerned about the possible lack or worsening of sexual function whilst on Clomid as some men do not function well whilst on this drug.
This is due to the Zuclomiphene part of the medication. It can cause undesirable side effects. The Enclomiphene part of the drug is the one helping to give the pituitary a push to produce more gonadotropins. Clomid was designed for women not men.
The drug Androxal was designed for men, but did not get approval by the FDA due to political reasons. A massive shame.
It can also be a good idea to use HCG for a few weeks before the Clomid (without any exogenous T) to ensure the testes have returned to almost normal size and function, as they can be the slowest to respond once shut down for a period of time, when compared to the pituitary. HCG is quite effective at giving the testes a push back into action.
