First post here, so I’ll summarize my post in a few sentences for those that only have time for the highlights. I am looking for a PCT program with Clomid and Letro. I have 50 tabs of 50mg Clomid left and about the same of Letro at 2.5mg each. I am guessing that I should start a standard Clomid with AI protocol for 4 or so weeks. However how my scenario is different from most is I have been taking Clomid during my TRT, so I’m wondering if anyone has experience with running a PCT after that scenario, or can advise if I should do anything differently. That’s the cliff notes, if you want more details regarding how long I was on Clomid monotherapy and when I started taking extraneous testosterone shots, along with before and after labs, my story is below. Thanks for any help anyone can provide.
I first went to a TRT doc in June 2017 after struggling with the usual Low-T symptoms. I was hesitant to get on TRT because I wasn’t sure Low-T was the root cause of my problems so I tried Clomid monotherapy (50mg/daily) from July 2017 thru October 2017 (approx 3 mo). Here are my baseline #'s before starting the Clomid:
Total T: 424
Free T: 7.37
I got my blood drawn monthly while on Clomid monotherapy for the next 4 months. My first set of labs indicated that I was responding well to the treatment after a month on paper, my LH and FSH along with Total and Free Test improved dramatically, however my E2 was still sky high and I didn’t feel really that much better. Over the next several months ended up trying different dosages of the Clomid and different AI’s, starting with Arimidex then switching to Letrozole.
Nothing brought my estrogen levels down over the four months, they bounced between 70-80. From research it appears this is because the estrogen was being created inside my testicles from the Clomid stimulation vs. from extraneous testosterone administration. So in November 2017 I started taking 400mg/week of test, but my Dr. told me to stay on the Clomid (at a dose of 25mg/daily) instead of taking hGC, and continue with the Letro at 2.5mg daily.
So for the last 3 months up until this week, that has been my protocol. I can’t say with any conviction that my symptoms greatly improved, even with the below blood test results as of this past month:
Total T: >1200
Free T: >50
First, I realize the test dose was much higher than the average. My doctor said he wanted to start at that level to see if my symptoms subsided right away since I had already done so much experimenting with the Clomid monotherapy doses and no improvement in how I felt. With those numbers my Dr. said in theory I should not be experiencing any typical Low T symptoms, however the only real difference I can feel is with my muscular development and a somewhat better mood with less depressing thoughts. After reviewing last months results with my Dr., he suggested that if I really wasn’t seeing a large improvement in symptoms, and I didn’t want to stay on TRT, then I should try hCG monotherapy. I declined as I feel exhausted with all the appointments, researching forums, blood draws, pins, etc. I figured that if I go off everything and feel the same, then I know without a doubt my low T like symptoms are from something else.
I told him I just wanted to cease all treatment, but wanted to know if I should continue with my Clomid and AI on a taper PCT. He said that was not necessary, so I am back on the forums and this time posting in the hopes of getting some help, because I cannot find info on a PCT to use when one has taken Clomid daily during their TRT. I don’t think hCG will do anything to help since my LH/FSH levels are already high from the continued Clomid use while taking TRT. Thank you for any input you can provide with my situation.