question from a user
I am wanting to switch my from clinic they absolutely refuse to stop infusing my TRT with anastrozole , what do you guys usually include in a protocol? Also, what about including HCG? They gave me enclomiphene for every 3.5 days to prevent testicular shrinkage and it seems to be doing good.
AlphaMD's Answer
I'm guessing that the pharmacy that they use only sells their Testosterone Cypionate with that mixed in, or that they don't care to take things on a case by case basis.
We typically start therapeutic treatments around 140mg-160mg Testosterone weekly with AIs, unless they are indicated to be needed. A fair number of our patients do not end up needing AIs.
In regards to HCG, I would first question if you're actively trying to conceive a child. In general adding something like HCG is really only needed if you're actively doing that or planning on doing it in the next 6 months. For the additional cost it providers compared to the benefits to treatment itself, it is often not worth it to patients.
Enclomiphene can assist with that, but if you're already on TRT & that's all you're taking it for, I would again question why. This time because Enclomiphene has been proven to impact and lower IGF-1 levels, something that is one of the main reasons people hop on Testosterone to benefit from.
If you're trying to conceive a child this could make sense. If that's not the case then they might just being trying to milk you for cash (only suggesting this because of this and the forced AI from earlier). A lot of time with TRT less is more, when you start to get loaded up with meds you should probably ask why.
Ready to get answers?
Ask your own question today.
Get $30 off your first month’s order
Enter your email address now to receive $30 off your first month’s cost, other discounts, and additional information about TRT.
Legal Disclaimer
This website is a repository of publicly available information and is not intended to form a physician-patient relationship with any individual. The content of this website is for informational purposes only. The information presented on this website is not intended to take the place of your personal physician's advice and is not intended to diagnose, treat, cure, or prevent any disease. Discuss this information with your own physician or healthcare provider to determine what is right for you. All information is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific medical conditions. The information contained herein is presented in summary form only and intended to provide broad consumer understanding and knowledge. The information should not be considered complete and should not be used in place of a visit, phone or telemedicine call, consultation or advice of your physician or other healthcare provider. Only a qualified physician in your state can determine if you qualify for and should undertake treatment.