question from a user
AlphaMD's Answer
For the patients that we have on Clomid, most of them require the use of an AI. The benefit of adding the AI helps reduce high E2 symptoms which include bloating/fluid retention, emotionality, and nipple/breast tissue sensitivity/growth.
We personally take a stance that you shouldn't add an AI unless clear symptoms show up, as it's only ~25% of men who need it at our typical therapeutic doses. That said, we have no issues giving it ou... See Full Answer
In general we opt for a "lowest medication needed" approach, as most things in TRT have less benefits and higher side effects the higher you go in doses. For AIs, we find that most men do not need the... See Full Answer
It's certainly more of a short term option as a stand alone, the addition of Testosterone will always be better, but trying to provide a benefit while having kids is usually worth it. Clomid & Enclomi... See Full Answer
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