question from a user
Any merit to adding testosterone cream to existing testosterone injections and is this something you guys do for increasing DHT/libido? Also do you have any thoughts on Maximus Tribe new Oral TRT+ (native testosterone plus enclomiphene).
AlphaMD's Answer
We do have a couple patients who we have experimented with adding a testosterone cream on top of injections for the benefit of higher DHT conversion and improved libido, though most often they switch over entirely to topical formulations for ease of use.
Regarding Maximus, in general, we are not fans of making guinea pigs out of our patients. We find it interesting that they are adding enclomiphene to basically all their products, when there are no long term studies on it's use (longest was 12 months, which did not examine the effects of symptomatic improvement or quality of life using validated metrics).
We have had numerous patients leave Maximus and come to us for this very reason, as they did not feel that it was warranted to have medications that they did not want or need mixed in. In general, less is more. The fewer medications, the less chance of developing side effects. In looking at their treatment options, you cannot just choose to take the oral testosterone undecanoate by itself.
Oral undecanoate otherwise appears safe, and studies on its use (there are no studies on its use along with enclomiphene) show good results.
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