Dr. Peter Attia

Either the ability to make sperm or the ability to make testosterone We typically tell men in our practice, two years would be the absolute ceiling. Are we too conservative? Maybe. Okay.

Either the ability to make sperm or the ability to make testosterone We typically tell men in our practice, two years would be the absolute ceiling. Are we too conservative? Maybe. Okay.

And then I usually check them at about six weeks. It's interesting. If you give Clomid, the pituitary will make FSH and LH? Yeah, it takes a while. Well, that's a way more cost-effective approach than giving, because synthetic FSH is pricey. Yes, a couple thousand a month in America, yeah. So is there any reason to do that over the Clomid approach, or is it just that it's faster?

And then I usually check them at about six weeks. It's interesting. If you give Clomid, the pituitary will make FSH and LH? Yeah, it takes a while. Well, that's a way more cost-effective approach than giving, because synthetic FSH is pricey. Yes, a couple thousand a month in America, yeah. So is there any reason to do that over the Clomid approach, or is it just that it's faster?

I think you might gain a couple of weeks of time.

I think you might gain a couple of weeks of time.

If they're in normal range. Oh, really? Okay. We want within a couple months to see them back to 600. 300 would be okay. To make sperm.

If they're in normal range. Oh, really? Okay. We want within a couple months to see them back to 600. 300 would be okay. To make sperm.

Now, I want to get onto some of the other topics here, but just to close the loop on this, do you ever advocate crazy ideas for guys that are using testosterone to use lower doses and then combine it with HCG, just as we were talking about the Clomid plus HCG approach? All the time. Okay. Not an unreasonable approach to combine Clomid with testosterone at low doses to preserve testicular function.

Now, I want to get onto some of the other topics here, but just to close the loop on this, do you ever advocate crazy ideas for guys that are using testosterone to use lower doses and then combine it with HCG, just as we were talking about the Clomid plus HCG approach? All the time. Okay. Not an unreasonable approach to combine Clomid with testosterone at low doses to preserve testicular function.

35.

35.

Do you think that there's a difference between HCG and Clomid in that effect as the adjunct?

Do you think that there's a difference between HCG and Clomid in that effect as the adjunct?

Outside of fertility, given the popularity of testosterone replacement therapy today, is there another advantage to just doing dual therapy? Obviously, for fertility, we wouldn't be talking about it. But can you think of any other reason why it might be advantageous if a guy can deal with the hassle and the cost? Yes, depends on the indication though.

Outside of fertility, given the popularity of testosterone replacement therapy today, is there another advantage to just doing dual therapy? Obviously, for fertility, we wouldn't be talking about it. But can you think of any other reason why it might be advantageous if a guy can deal with the hassle and the cost? Yes, depends on the indication though.

Everything but fertility, like any other health benefit?

Everything but fertility, like any other health benefit?

But I'm saying as opposed to just being on testosterone injectable to do the dual therapy versus just monotherapy. Oh, you mean if you're going to do some kind of therapy? Yes, if you've committed to doing therapy.

But I'm saying as opposed to just being on testosterone injectable to do the dual therapy versus just monotherapy. Oh, you mean if you're going to do some kind of therapy? Yes, if you've committed to doing therapy.