Verbatim response from Claude
Enclomiphene vs TRT: Which to Consider First
Quick Answer
Enclomiphene is generally worth trying first for most men, especially if you're younger or care about fertility preservation.
Why Consider Enclomiphene First
How it works: Stimulates your body to produce its own testosterone naturally (preserves the HPG axis)
Key advantages:
- Maintains fertility and testicular size
- Reversible - your system isn't suppressed
- Lower long-term commitment
- Fewer side effects for many men
Good brands/sources: Prescribed through clinics like Marek Health, Defy Medical, or Maximus (their "King" protocol)
When TRT Makes More Sense
- Primary hypogonadism (testes aren't responding)
- You've tried enclomiphene without adequate response
- Older age with very low baseline testosterone
- Don't have fertility concerns
Reputable TRT providers: Defy Medical, Marek Health, Fountain TRT, Evolve Telemed
Important Considerations
- Get proper labs first (total T, free T, LH, FSH, estradiol)
- Work with an actual men's health specialist, not a "T mill"
- Enclomiphene works best when the issue is secondary hypogonadism
Would you like help understanding which labs to get first?