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    Additionally, bone densitometry (BD) results were collected for all patients. Author information Abstract OBJECTIVE: To assess the efficacy and safety of long-term clomiphene citrate ( for over 12 months. Moskovic DJ1, Katz DJ, Akhavan A, Park K, Mulhall JP. Clomiphene citrate is safe and effective for long-term management of hypogonadism. Demographic, comorbidity, treatment and Androgen Deficiency in Aging Men (ADAM) score data were also recorded. Comparison was made between baseline and post-treatment variables, and multivariable analysis was conducted to define predictors of successful response to therapy in hypogonadal patients. RESULTS: The 46 patients (mean age 44 years) had baseline serum testosterone (T) levels of 228 ng/d L. From what I have seen on the Peak Testosterone Forum, the popularity of Clomid (clomiphene citrate) seems to be growing. Furthermore, it appears to be increasingly considered by young men as a viable long term solution for their low testosterone (hypogonadism). And it is true: Clomid can boost total testosterone levels easily to 500-600 ng/dl in most men with secondary hypogonadism from what I have seen. (For details, see my link on Clomid and Testosterone.) Futhermore, many physicians feel comfortable with Clomid overall and consider it to be a safe long term alternative. Consider what one poster wrote: "My doc says he's had guys on it 'for years.' There not that many (if any at all) studies on long term usage of clomid in men. Clomid is used by many fertility physicians to boost fertility. Seems like most docs really feel/think it's fine, but still - that's what they *think.*" [1] For years, eh? One recent study pointed out how cheap Clomid is compared to many of the brand testosterone-boosting alternatives: "The monthly cost of Testim 1% (5 gm daily) is $270, Androgel 1% (5 gm daily) is $265, and CC (50 mg every other day) is $83." [Compounded testosterone products are much cheaper and are closer to Clomid in price.] NOTE: Standard testosterone injections and compounded creams are typically inexpensive as well. In fact Clomid can have a very powerful effect in this area: one study on infertile men showed participants more than doubling their sperm counts! Traditional testosterone therapy can can lead to some testicular shrinkage especially if the doctor goes into the 800 ng/dl range. So what else is so great about Clomid and why is it so popular? Another study found that within 2-6 months nnot only had sperm counts improved but also sperm motility (mobility/movement) as well. The shrinkage is actually not very much, depending on the man's testosterone levels and a few other factors, but many men are very sensitive about "the boys" getting smaller in any way and request HCG to overcome this.

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