I saw a physician today. He prescribed Clomid, 50mg every day. Clomid only -- no aromatase inhibitor. He said we can consider an AI as needed, based on bloodwork. He wasn't concerned by my thyroid numbers or cortisol.
I'm leaning towards giving the Clomid a try, but the dose seems way high. From what I've seen on these forums, 12.5mg or 25mg would be more appropriate. What do you guys think?
In lieu of an AI, I'm thinking about taking DIM for the first few weeks. Then if E2 comes in high hopefully the doc agrees to an AI.
The doc also recommended tongkat ali, as it can free up testosterone from SHBG. Is there any truth to this?
@KSman, I've laid off the brazil nuts. I'd been eating 4-6 per day.
I'll do thyroid labs with my next set of blood tests (in a few weeks).
@49perccent, to answer some of your questions: I do have anxiety, and I don't handle stress well. It really wears me out. My belly is not disproportionately fat, nothing like a Cushing's syndrome physique. Sleep is fine. I do crave sweets sometimes.
I like your suggestion to test ACTH, might toss that into my next set of tests. Depending on the outcome what remedies would you suggest?
I've recently added vitamin C and phosphatidylserine (2g and 300mg per day, respectively). Not sure if it's these or the Iodoral, but my bowel movements feel more regular.