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Question about Dr. John Crislers Nolvadex protocol

Jake LaMotta

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Here is what I read about Dr. John Crislers Nolvadex protocol (as seen here: http://www.allthingsmale.com/publications.html )

"If a patient has “nipple issues”, even while estrogen is within normal range, I add a SERM, emergently. I prefer Nolvadex over Clomid. Clomid often induces untoward visual effects (i.e. “tracers”), and can cause emotional lability by virtue of its estrogen agonistic effects at the more peripheral (emotion) brain sites. Nolvadex is then initiated, should they experience nipple swelling or sensitivity, at 40mg per day until the symptoms abate, and then taper down 10mg every 10 days to discontinue."

Here is what I'm confused about: does that mean take 40mg per day until the symptoms disappear, than take 30 mg for 10 days, than take 20 mg for 10 days, and than take 10 mg for days?

Or does that mean take 40mg per day until the symptoms disappear, than take 40 mg for 10 days, than take 30 mg for 10 days, than take 20 mg for days, and than take 10 mg for 10 days?

Basically what I'm confused about is this: after taking 40mg per day until the symptoms disappear, do you start out taking 40 mg OR 30 mg for 10 days (and then taper down 10mg every 10 days to discontinue)?
 
From the way I am reading it, once the symptoms abate, then start tapering down. Meaning start with 30mg after they disappear. But lets say the go away at like day 15, I would run 40mg till day 20 and then lower dosage. I don't use Nolva and never have so this is just my opinion on the article you presented. I have seen so many dosages recommended here and I am sure a quick search could bring up some more useful info. Sorry if I wasn't a big help.:(
 
When I looked at his power point version of trt. He said to start with 40mg a day till symptoms are gone. Then cut the dose in half every 5 days. So 40mg, 5 days later 20mg, 5 days later10mg etc.
 
take 40mg per day until the symptoms disappear, than take 40 mg for 10 days, than take 30 mg for 10 days, than take 20 mg for days, and than take 10 mg for 10 days
 
here is a link, the part you are looking for is 2/3 the way down

All Things Male - Center for Men's Health

TRT: A Recipe for Success

The top paper is his older one that has you on 40mg then reducing 10mg every 10 days.
If you go down to his newest version(the power point version) i.e. you will see he changed his taper down.
 

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