Planning a SERM cycle. Advices?

March 18, 2009

I have been suffering from low testosterone, and I'd appreciate very much your

insight and thoughts on this matter.

So, my case:

I have been having hormonal problems for about 1 year now. I have had 4 blood

tests since then, all showing low testosterone. ACTH and cortisol also appear

low. LH and FSH have been dropping about half point in each new blood test.

Sexual life has gone downhill, to the point now that I'm taking 25mg DHEA + 10mg

Pregnenelone to be able to have an erection (libido is almost non-existant).

Last blood test came as follows:

LH 3.2 IU/L (1.7 - 8.6)

FSH 3.8 mIU/mL (1.50 - 12.40)

Estradiol 22.44 pg/mL (7.63 - 42.50)

Prolactin 15.0 ng/mL (4.60 - 21.40)

SHBG 25.5 nmol/L (13.00 - 71.00)

Testost. 363 ng/dL (285.30 - 801.15)

TSH 1.53 mIU/L (0.27 - 4.20)

Free T3 3.94 pg/mL (2.00 - 4.40)

Free T4 1.36 ng/dL (0.93 - 1.70)

DHEA-S 6.84 umol/L (6.0 - 17.1) for 25 or less years old

Cortisol 9.01 µg/dL (6.20 - 19.43) at 8am

ACTH 8.9 pg/mL (10.0 - 60.0)

Recently, per endocrinologist prescription, I did 2 months of Testoviron

Enanthate (very low dose, only 125 mg of T. per month).

The goal was to give my system a rest, so that it would be able to catch up by

the end of the 2 months. It didn't work, as proved by the symptoms and

subsequent lab results (didn't supress further either).

So now, I've been reading about similar cases and doctors prescribing an 8-week

cycle of SERM, to try to re-start the HPTA axis. Seems like exactly what I need.

I will also be starting 3 pills of Isocort per day (each pill is about 2.5mg of

hydrocortisone), as I think I could benefit from it.

Before starting Nolvadex, I might do 1 month of Sustain Alpha, as I've heard it

can boost Testosterone, and therefore give me some preparation for the

subsequent Nolvadex cycle.

I wonder if I should drop the current DHEA and Pregnenelone supplement, or if I

should mantain during this treatment.

So this is the my case, please let me know your advices, as it might help me a

lot to get myself healthy again.

kind regards,

ttwenties.

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