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Questions about SERMORELIN

Find answers to commonly asked questions about SERMORELIN, administration, and benefits.

A patient asked

How about stacking TRT with peptide therapy. Are Sermorelin, Tesamorelin, or CJC w/ Ipamorelin actually safe to use with TRT? What are the real benef...

AlphaMD's answer

These are perfectly reasonable options. Currently we and other TRT providers can dispense Sermorelin, though not long ago it was permissible to work t...

A patient asked

Is there an alternative to HCG in respect to keeping the testes from shrinking? Ive also read anecdotal reports from some that HCG has helped them ke...

AlphaMD's answer

There are not good alternative for teste size, or at least none as good as HCG with as few negatives as it has other than price.

A patient asked

What are most common symptoms of high estrogen for men? Does everyone need an aromatase inhibitor? Would a SERM help with symptoms vs and AI? Thanks i...

AlphaMD's answer

High E2 symptoms: tender/swollen nipples, fluid retention/edema, emotionality, pimples, loss of libido

A patient asked

What are your thoughts on enclomiphene without TRT and do you see it gaining FDA approval anytime soon?

AlphaMD's answer

This is very similar to another question so I will copy/paste that answer.

A patient asked

I have two questions. I’m on 160mg a week test C. The also gave my enclomiphene. I really don’t care about fertility since I’ve had a vasectomy. Would...

AlphaMD's answer

You can search here on Reddit about many men who were placed on a similar protocol as you using a SERM along with TRT. As you will discover, many men ...

A patient asked

Is there anything you can take to remove/reduce gyno or is surgery the only option? Have gyno from steriods when younger and now on TRT

AlphaMD's answer

Tamoxifen can been used to reduce or resolve gynecomastia. How effective it is depends on the severity and the duration (it is most effective on mild-...

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A patient asked

Do you believe Tamoxifen is necessary? I see people always saying there's not point taking 2 SERMs at once, but even well informed people like Vigorou...

AlphaMD's answer

This has been studied, and there is no benefit in being on two SERMs at the same time. SERMs are partial antagonists that have differing estrogenic an...

A patient asked

Do you offer peptides and if so can you talk a little bit about which ones you offer and the possible benefits?

AlphaMD's answer

We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...

A patient asked

I didn’t like HCG so my dr switched me to enclomiphene, which I tolerate better. I recently purchased some clomiphene citrate, is that ok to take for ...

AlphaMD's answer

Are you on TRT as well or are you doing SERM mono therapy?

A patient asked

I still want to have kids and want to avoid anything that could possibly shut me down all together. Which treatment is best for me ?

AlphaMD's answer

It depends on when you want to have children. If your intent is to conceive in the next 12 months, you should choose hCG alone or a SERM like enclomip...

A patient asked

Scenario 1: i am on TRT and raise my TT level to 1,000 Scenario 2: i take enclomiphene and raise my TT to 1,000 What's the difference?

AlphaMD's answer

Its late and we have answered this question a few times today, so forgive me for copying and pasting this answer from another question:

A patient asked

I recently had my first blood test for Testosterone after seeing my GP about low mood, energy and Libido.(30 rs old, fit, well muscled, but suffer fro...

AlphaMD's answer

We can't say for sure what your doctor will recommend for you, but try not to freak out. There are options other than injections (creams, pellets, etc...

A patient asked

The longer you are on TRT, the harder it is to bounce back from, should you decide to go off, correct?

AlphaMD's answer

Yes and no. If you were to only take it for a few months, then recovery would be expected to be rapid, typically within a few months. The longest it h...

A patient asked

Hearing more about demesterol levels and enclomiphene as being a long term cardiovascular risk factor. Have u looked into that at all?

AlphaMD's answer

Desmesterol is the pre-cursor to cholesterol. Enclomiphene blocks the conversion of desmesterol into cholesterol by inhibiting the enzyme 24-dehydroch...

A patient asked

How are you guys feeling with using Enclomiphine as a means to preserve testicular function vs HCG while on testosterone? Have you tried combining the...

AlphaMD's answer

So, we are a bit more conservative in that we don't feel like the science has proven any benefit for use of a SERM and TRT concurrently.

A patient asked

Can 25 mg Clomid twice a week, be enough to help prevent shrinkage with 0.5 mL of 200 mg Delatestryl once a week?

AlphaMD's answer
A patient asked

Can you pair low-dose enclomiphene with testosterone for hypogonadism treatment? Would it overall help increase testosterone levels? I recently switc...

AlphaMD's answer

This may not be the answer you like, but it may be best not to combine them.

A patient asked

Is there any point in taking hcg and clomid at the same time? Would hcg cancel clomid's effect out? Like clomid trying to kick pituitary to function w...

AlphaMD's answer

There are no studies on this practice of using both at the same time, but logically speaking, using them together doesn’t really make sense. HCG attac...

A patient asked

If on bloodwork, clomiphene citrate works for an individual to raise your total T to similar amounts, what is the argument for or against it, compared...

AlphaMD's answer

The arguments against long term use of Clomid:

A patient asked

Would you say that TRT with hCG is a much better option for someone that wants to maintain fertility as opposed to Enclomiphene mono therapy? I was co...

AlphaMD's answer

We would say that, yes. In general although Enclomiphene appears to have less side effects than Clomid, it has not been around as long as these other ...

A patient asked

Are there any viable alternatives to hCG when trying to maintain fertility on testosterone? If not, are there any being studied or developed? I've be...

AlphaMD's answer

There are some, like Enclomiphene or Clomid, but they are not as safe & effective as hCG is for the same purpose. That said, for many men like yoursel...

A patient asked

I was just prescribed HcG from my endocrinologist. I’ve been on Clomid for a year and it has made me feel awful. I’m a different person on it. What ca...

AlphaMD's answer

In general there are a lot of side effects with Clomid compared to HCG, especially if we're talking monotherapy without additional Testosterone. Assum...

A patient asked

Many people are talking about using hcg instead of clomid, but hgc is simply an analogue of LH. when it comes to fertility explicitly you need both go...

AlphaMD's answer

You are right in that Clomid provides better fertility than hCG because it also increases FSH, which we now know matters less for sperm count, and mor...

A patient asked

Endo has me on clomid and trt. Would they switch me to hcg instead? Is it better to use than clomid?

AlphaMD's answer

The SERM (clomiphene or enclomiphene) and TRT combo is still experimental and not proven science. The hCG plus TRT is proven and the gold standard for...

A patient asked

Is there any reason to use Testosterone Cypionate and Enclomiphene concurrently?

AlphaMD's answer

There are two negative feedback loops on LH release, estrogen and testosterone.

A patient asked

How important is it to start HCG with TRT if conceiving isn't in the plans for several years down the line? Once on TRT, how soon should hcg be starte...

AlphaMD's answer

All studies on concurrent use of hCG on TRT were done as a recovery study, not a preservation study. What that means is, all the data we have about hC...

A patient asked

What are the best peptides to pair with TRT for getting lean?

AlphaMD's answer

In terms of what we can recommend via current official pharmacy offerings, Sermorelin would be a good boost. We could also anecdotally suggest that Ip...

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