drkimcrawford
Banned
- Joined
- Jun 2, 2016
- Messages
- 319
HI all,
You'll understand the title when I explain......
I did a consult yesterday with a PM guy in his 20's who was seeing an Endo who told him (duh, after 3 years of cycling,off everything) he has low T. The Endo wanted to give him Clomid. The member didn't know the dose and the Endo didn't give him his numbers. But I'll tell you if an ENDO says you have low T then wow it's really low.
Anyway,I asked this guy why he wanted to try to jump-start his T after 3 years of cycling with off cycles being 100-200 mg of T so jump starting with just clomid, especially Endo dosing (low) would be difficult. He said he didn't but that's what the Endo wanted to do.
I then asked him about his marital status,GF,desire for kids. He said he wanted kids in 3 years. It hit me that he, like MOST guys (I've seen tons) never thought about the "kids thing" before starting to dabble with T and then AAS's.
Rule 1: Before anyone starts T,etc get a sperm analysis=count/motility and if your "boys" are good,FREEZE 'em! I won't start a young guy, even one who says he doesn't want kids, on T without a deep freeze. Guys change their minds.
Rule 2: (This applied to him.) If you have been cycling for 3 years and you think you want kids but in 3-4 years you need to START YOUR ENGINES now...get a sperm analysis,then FREEZE. Then you can follow part 2 of the protocol I'll get to in a moment and if your engines can't be started in another 3 years at least your "boys" will be in the freezer.
Here's the standard protocol all of us A4M bodybuilding docs use and in my experience it works 50-75% of the time unless someone is like 10 years out.
Week one: Clomid 50 mg/day with HCG 1000IU/day sub-Q
Week two: Clomid 50 mg MWF with HCG 750 IU/day sub-Q
Week 3,4: Clomid 50 mg MWF with HCG 500 IU/day sub-Q
End of this: Test LH,FSH,T,Free T,albumin and SHBG to calculate bioavailable T and get a GOOD sperm analysis.
Someone asked me today how to calculate bioavailable T:here you go:
Free & Bioavailable Testosterone calculator
Anyway.....
If the boys are good,FREEZE em.....if not....repeat above and repeat sperm analysis and cross your fingers.
I have not seem someone get their axis back even after going to a fertility specialist if this doesn't work. More clomid doesn't add more to the mix-the HCG is doing a LOT of LH/FSH stimulation here.
If T levels are good but "boys" are motile but not numerous,they can combine sperm samples to freeze.
Once the "boys" are frozen if you might want kids you have a better chance of a jump start in another 2-3 years if you add on and off cycle HCG to your regimen. This is part 2.
You take HCG 350IU/every other day....yes there are studies on this...pubmed.gov
Then you do the whole initial jumpstart again,and if it works,congrats, if not,you have the frozen boys.
If you are DONE with kids why are you bothering with clomid? It's rarely enough for E2. It's healthier to just take T cyp. And if you believe the arimidex studies (I don't,not in the doses I give),take novaldex for E2.
So there you go. And BTW I created a new cheap consult just for you guys so you can get my personal advice if you want it. Just see quick guide below my signature. Read Big A's "read this"-he just told us all we cannot ask for references and cannot post pricing for the guys who asked me to post services and pricing-so sorry,no can do-Big A is THE BOSS!!!
Have a super night and freeze those "boys"!
Dr.Kim
You'll understand the title when I explain......
I did a consult yesterday with a PM guy in his 20's who was seeing an Endo who told him (duh, after 3 years of cycling,off everything) he has low T. The Endo wanted to give him Clomid. The member didn't know the dose and the Endo didn't give him his numbers. But I'll tell you if an ENDO says you have low T then wow it's really low.
Anyway,I asked this guy why he wanted to try to jump-start his T after 3 years of cycling with off cycles being 100-200 mg of T so jump starting with just clomid, especially Endo dosing (low) would be difficult. He said he didn't but that's what the Endo wanted to do.
I then asked him about his marital status,GF,desire for kids. He said he wanted kids in 3 years. It hit me that he, like MOST guys (I've seen tons) never thought about the "kids thing" before starting to dabble with T and then AAS's.
Rule 1: Before anyone starts T,etc get a sperm analysis=count/motility and if your "boys" are good,FREEZE 'em! I won't start a young guy, even one who says he doesn't want kids, on T without a deep freeze. Guys change their minds.
Rule 2: (This applied to him.) If you have been cycling for 3 years and you think you want kids but in 3-4 years you need to START YOUR ENGINES now...get a sperm analysis,then FREEZE. Then you can follow part 2 of the protocol I'll get to in a moment and if your engines can't be started in another 3 years at least your "boys" will be in the freezer.
Here's the standard protocol all of us A4M bodybuilding docs use and in my experience it works 50-75% of the time unless someone is like 10 years out.
Week one: Clomid 50 mg/day with HCG 1000IU/day sub-Q
Week two: Clomid 50 mg MWF with HCG 750 IU/day sub-Q
Week 3,4: Clomid 50 mg MWF with HCG 500 IU/day sub-Q
End of this: Test LH,FSH,T,Free T,albumin and SHBG to calculate bioavailable T and get a GOOD sperm analysis.
Someone asked me today how to calculate bioavailable T:here you go:
Free & Bioavailable Testosterone calculator
Anyway.....
If the boys are good,FREEZE em.....if not....repeat above and repeat sperm analysis and cross your fingers.
I have not seem someone get their axis back even after going to a fertility specialist if this doesn't work. More clomid doesn't add more to the mix-the HCG is doing a LOT of LH/FSH stimulation here.
If T levels are good but "boys" are motile but not numerous,they can combine sperm samples to freeze.
Once the "boys" are frozen if you might want kids you have a better chance of a jump start in another 2-3 years if you add on and off cycle HCG to your regimen. This is part 2.
You take HCG 350IU/every other day....yes there are studies on this...pubmed.gov
Then you do the whole initial jumpstart again,and if it works,congrats, if not,you have the frozen boys.
If you are DONE with kids why are you bothering with clomid? It's rarely enough for E2. It's healthier to just take T cyp. And if you believe the arimidex studies (I don't,not in the doses I give),take novaldex for E2.
So there you go. And BTW I created a new cheap consult just for you guys so you can get my personal advice if you want it. Just see quick guide below my signature. Read Big A's "read this"-he just told us all we cannot ask for references and cannot post pricing for the guys who asked me to post services and pricing-so sorry,no can do-Big A is THE BOSS!!!
Have a super night and freeze those "boys"!
Dr.Kim