Nolva vs Clomid

Muscle mechanic

MuscleChemistry Registered Member
Ok I robbed this and sharing it because is has info to questions asked in another thread and I will post other opinions I found on this subject.

By William Llewellyn

I have received a lot of heat lately about my preference for Nolvadex over Clomid, which I hold for all purposes of use (in the bodybuilding world anyway); as an anti-estrogen, an HDL (good) cholesterol-supporting drug, and as a testosterone-stimulating compound. Most people use Nolvadex to combat gynecomastia over Clomid anyway, so that is an easy sell. And for cholesterol, well, most bodybuilders unfortunately pay little attention to this important issue, so by way of disinterest, another easy opinion to discuss. But when it comes to using Nolvadex for increasing endogenous testosterone release, bodybuilders just do not want to hear it. They only seem to want Clomid. I can only guess that this is based on a long rooted misunderstanding of the actions of the two drugs. In this article I would therefore like to discuss the specifics for these two agents, and explain clearly the usefulness of Nolvadex for the specific purpose of increasing testosterone production.

Clomid and Nolvadex

I am not sure how Clomid and Nolvadex became so separated in the minds of bodybuilders. They certainly should not be. Clomid and Nolvadex are both anti-estrogens belonging to the same group of triphenylethylene compounds. They are structurally related and specifically classified as selective estrogen receptor modulators (SERMs) with mixed agonistic and antagonistic properties. This means that in certain tissues they can block the effects of estrogen, by altering the binding capacity of the receptor, while in others they can act as actual estrogens, activating the receptor. In men, both of these drugs act as anti-estrogens in their capacity to oppose the negative feedback of estrogens on the hypothalamus and stimulate the heightened release of GnRH (Gonadotropin Releasing Hormone). lh - leutenizing hormone - output by the pituitary will be increased as a result, which in turn can increase the level of testosterone by the testes. Both drugs do this, but for some reason bodybuilders persist in thinking that Clomid is the only drug good at stimulating testosterone. What you will find with a little investigation however is that not only is Nolvadex useful for the same purpose, it should actually be the preferred agent of the two.

Pituitary Sensitivity to GnRH

Studies conducted in the late 1970's at the University of Ghent in Belgium make clear the advantages of using Nolvadex instead of Clomid for increasing testosterone levels (1). Here, researchers looked the effects of Nolvadex and Clomid on the endocrine profiles of normal men, as well as those suffering from low sperm counts (oligospermia). For our purposes, the results of these drugs on hormonally normal men are obviously the most relevant. What was found, just in the early parts of the study, was quite enlightening. Nolvadex, used for 10 days at a dosage of 20mg daily, increased serum testosterone levels to 142% of baseline, which was on par with the effect of 150mg of Clomid daily for the same duration (the testosterone increase was slightly, but not significantly, better for Clomid). We must remember though that this is the effect of three 50mg tablets of Clomid. With the price of both a 50mg Clomid and 20mg Nolvadex typically very similar, we are already seeing a cost vs. results discrepancy forming that strongly favors the Nolvadex side.

But something more interesting is happening. Researchers were also conducting GnRH stimulation tests before and after various points of treatment with Nolvadex and Clomid, and the two drugs had markedly different results. These tests involved infusing patients with 100mcg of GnRH and measuring the output of pituitary lh - leutenizing hormone - in response. The focus of this test is to see how sensitive the pituitary is to Gonadotropin Releasing Hormone. The more sensitive the pituitary, the more lh - leutenizing hormone - will be released. The tests showed that after ten days of treatment with Nolvadex, pituitary sensitivity to GnRH increased slightly compared to pre-treated values. This is contrast to 10 days of treatment with 150mg Clomid, which was shown to consistently DECREASE pituitary sensitivity to GnRH (more lh - leutenizing hormone - was released before treatment). As the study with Nolvadex progresses to 6 weeks, pituitary sensitivity to GnRH was significantly higher than pre-treated or 10-day levels. At this point the same 20mg dosage was also raising testosterone and lh - leutenizing hormone - levels to an average of 183% and 172% of base values, respectively, which again is measurably higher than what was noted 10 days into therapy. Within 10 days of treatment Clomid is already exerting an effect that is causing the pituitary to become slightly desensitized to GnRH, while prolonged use of Nolvadex serves only to increase pituitary sensitivity to this hormone. That is not to say Clomid won't increase testosterone if taken for the same 6 week time period. Quite the opposite is true. But we are, however, noticing an advantage in Nolvadex.

The Estrogen Clomid

The above discrepancies are likely explained by differences in the estrogenic nature of the two compounds. The researchers' clearly support this theory when commenting in their paper, "The difference in response might be attributable to the weak intrinsic estrogenic effect of Clomid, which in this study manifested itself by an increase in transcortin and testosterone/estradiol-binding globulin [sex hormone binding globulin ] levels; this increase was not observed after Tamoxifen treatment". In reviewing other theories later in the paper, such as interference by increased androgen or estrogen levels, they persist in noting that increases in these hormones were similar with both drug treatments, and state that," ?a role of the intrinsic estrogenic activity of Clomid which is practically absent in Tamoxifen seems the most probable explanation".

Although these two are related anti-estrogens, they appear to act very differently at different sites of action. Nolvadex seems to be strongly anti-estrogenic at both the hypothalamus and pituitary, which is in contrast to Clomid, which although a strong anti-estrogen at the hypothalamus, seems to exhibit weak estrogenic activity at the pituitary. To find further support for this we can look at an in-vitro animal study published in the American Journal of Physiology in February 1981 (2). This paper looks at the effects of Clomid and Nolvadex on the GnRH stimulated release of lh - leutenizing hormone - from cultured rat pituitary cells. In this paper, it was noted that incubating cells with Clomid had a direct estrogenic effect on cultured pituitary cell sensitivity, exerting a weaker but still significant effect compared to estradiol. Nolvadex on the other hand did not have any significant effect on lh - leutenizing hormone - response. Furthermore it mildly blocked the effects of estrogen when both were incubated in the same culture.

Conclusion

To summarize the above research succinctly, Nolvadex is the more purely anti-estrogenic of the two drugs, at least where the hpta - hypothalamic-pituitary-testicular axis - (Hypothalamic-Pituitary-Testicular Axis) is concerned. This fact enables Nolvadex to offer the male bodybuilder certain advantages over Clomid. This is especially true at times when we are looking to restore a balanced hpta - hypothalamic-pituitary-testicular axis - , and would not want to desensitize the pituitary to GnRH. This could perhaps slow recovery to some extent, as the pituitary would require higher amounts of hypothalamic GnRH in the presence of Clomid in order to get the same level of lh - leutenizing hormone - stimulation.

Nolvadex also seems preferred from long-term use, for those who find anti-estrogens effective enough at raising testosterone levels to warrant using as anabolics. Here Nolvadex would seem to provide a better and more stable increase in testosterone levels, and likely will offer a similar or greater effect than Clomid for considerably less money. The potential rise in sex hormone binding globulin levels with Clomid, supported by other research (3), is also cause for concern, as this might work to allow for comparably less free active testosterone compared to Nolvadex as well. Ultimately both drugs are effective anti-estrogens for the prevention of gynecomastia and elevation of endogenous testosterone.

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Found this post I thought was interesting.

But, what is relevant is the study of SERMs on different populations. Tamoxifen has been mostly studied for infertility while clomiphene is on hypogonadism. I do not know the exact numbers, but I believe there are many more studies with clomiphene in hypogonadism than tamoxifen. So, why any would get the idea of using clomiphene is very obvious.

On a more data related point. I did use clomiphene and tamoxifen alone for HPTA restoration after AAS use. the results were disappointing, very disappointing. It is only by serendipity that I used the combination with excellent results. Does this prove the combo is better? Absolutely not, but it is what has been published. I, as much as anyone, would like to see well-controlled trials of drugs to reverse HPTA suppression after stopping AAS. It would be nice to know the time course of HPTA recovery after stopping AAS (without any PCT drugs). For that, the best are the male contraceptive studies.

Elena T, Anargyros K, Dimitrios F, Ilias K, Marios S, Dimitrios P. The effect of selective estrogen receptor modulator administration on the hypothalamic-pituitary-testicular axis in men with idiopathic oligozoospermia. Fertility and sterility 2009;91(4):1427-30.

This study evaluates, compares, and contrasts the effects of three selective estrogen receptor modulators (SERMs), namely, tamoxifen, toremifene, and raloxifene, on the hypothalamic-pituitary-testicular axis in 284 consecutive subfertile men with idiopathic oligozoospermia using three therapeutic protocols: [1] tamoxifen, 20 mg, once daily (n = 94); [2] toremifene, 60 mg, once daily (n = 99); and [3] raloxifene, 60 mg, once daily (n = 91). The antiestrogenic effects of SERMs at the hypothalamic level result in a statistically significant increase of gonadotropin levels, which is more marked for tamoxifen and toremifene compared with raloxifene.

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And another sort of broken down
That I thought I would share here.

Perhaps practical findings of combination Clomid/Tamoxifen therapy working substantially better for the refractory cases that he largely or perhaps entirely deals with is that the optimal level of net estrogenic effect may be neither extremely low nor unusually high, but somewhere inbetween.

Tamoxifen alone as a pure antagonist at the pituitary might yield less than optimal net estrogenic effect; while clomiphene alone might well provide more than optimal such effect.

For ordinary cases not requiring care of a physician, either compound ordinarily works well.

But in more difficult cases, a further-optimized approach such as developed could reasonably make an important difference.

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I posted these looking for questions hard to diectly answer. Maybe u guys interested can pick through them and take what y'all want.

As said, I thought I would share the info that may answer or help answer a question to why nolva and Clomid rather than one..




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Nolva hands down. IMHO and based on my research.
Now this is something u can help with for sure. I am rusty as I haven't pcted in over 6 years....
I still use nolva low dose on blasts to be able to lower ai, and help lipids. I hope!!

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Nolva does help liver values due to the fact that it is an estrogen , albeit much weaker than E2, respectively. It still exerts positive estrogenic effects, while ,IIRC ,clomid does not.
 
For some that use an ai for trt would nova make a good option?
My Dr TRT doesn't test estro. Lol
He gives me no ai or hcg. But state I am in hadn't allow hcg from what I was told but may change?

Anyway I use adex on my own at around 1mg a week on blast to 0.5mg eod or aromasin 25mg eod depending on what.
I also use nolva at 10mg a day.

On TRT nolva would block estro and save lipids from over doing an AI.
But it would depend on each person how they react to water retention and estro all together on TRT.

Alot of times on TRT I used no ai at all.
Or proviron with nolva even at 5mg eod...
And I saw better lipids with Nolva 5mg eod and proviron at 50mg a day.

For me it's my HDL that runs low.
But I really couldn't tell u, being I don't need much an AI on TRT dose the nolva and proviron was on higher cruise.
I looked at long term side effects of nolva low dosed in men and hadn't really saw any.
I will look further for this...

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On another forum I had read that it was a carcinogen but I don’t think that’s true. That’s the only time I’ve ever heard that
 
On another forum I had read that it was a carcinogen but I don’t think that’s true. That’s the only time I’ve ever heard that
I can tell u I have been on 10mg nolva a day for 2 years prolly.
I have only used TRT dose only for 5 weeks before bloods.
Not condoning but being honest..
In women it lowers estro too much and that is hassard...
I have heard of guys on TRT with slight gyno use it indefinitely....
Not recommending it but some of these guys including a family member been on 10mg Monday, Wednesday, and Friday for over 10 years.

IMPORTANT!!!
It's important to know that Nolva uses same metabolism Cyp Enzyme as ADEX and Letro but not Aromasin..
This means that Nolva with letro or adex, one or other the AI or nolva will have a inter-action of lower plasma levels than normal. I can't remember if it's letro and adex or nolva that has Lower levels though...
I use together all the time...

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On another forum I had read that it was a carcinogen but I don’t think that’s true. That’s the only time I’ve ever heard that

Just remember that Nolva stimutes estro tissues in liver not blocking them which helps lipids But Nolva only blocks in certain tissues.
Nolva will not lower your estrogen levels like an AI would.
But in some it may help gyno without over taking too much AI!!

If one us having trouble with TRT and estro important to get tested sensitive estro test...
Also get rid of peaks and valleys!! Break TRT dose into 2 days and some I have heard break into more to even daily under skin injections!!

I myself would prefer test prop 50mg eod as my TRT rather than 100-150mg cyp per week!!!
Would have to check ranges and prop maybe better at 50mg MWF. But when I do prop on my own like this on top of 100mg cyp a week I need less AI!!
 
Just remember that Nolva stimutes estro tissues in liver not blocking them which helps lipids But Nolva only blocks in certain tissues.
Nolva will not lower your estrogen levels like an AI would.
But in some it may help gyno without over taking too much AI!!

If one us having trouble with TRT and estro important to get tested sensitive estro test...
Also get rid of peaks and valleys!! Break TRT dose into 2 days and some I have heard break into more to even daily under skin injections!!

I myself would prefer test prop 50mg eod as my TRT rather than 100-150mg cyp per week!!!
Would have to check ranges and prop maybe better at 50mg MWF. But when I do prop on my own like this on top of 100mg cyp a week I need less AI!!

50mg sun and wed. My total wasn’t out of range but at the high end. Sometimes feel off. More blood work in oct
 
Using TRT 2x week u gotta skip dose before labs or u will have a spike

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I use 50mg tues and Friday
I do labs on Wednesday I gotta skip Tuesday dose before labs and do it after labs are i am high range

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Using TRT 2x week u gotta skip dose before labs or u will have a spike

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i worded that wrong. My total estrogen was on the high side. I may try that with my dose though. I have to give blood a week before appointment on a tue or wed. I kinda feel like my level is low
 
i worded that wrong. My total estrogen was on the high side. I may try that with my dose though. I have to give blood a week before appointment on a tue or wed. I kinda feel like my level is low
I do labs 1 week before appointment do Dr can have results that is normal.

Donating blood will not lower your total test or free test, test cyp is released through depot sites of injection slowly!!

It's important to skip dose before blood if pinning 2x week. Bloods are meant to be read 1 week after pin if doing every 2 weeks or 1 week doing weekly.
My Dr thinks I pin 1x week so he said do bloods 5-7 days after dose.

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I do labs 1 week before appointment do Dr can have results that is normal.

Donating blood will not lower your total test or free test, test cyp is released through depot sites of injection slowly!!

It's important to skip dose before blood if pinning 2x week. Bloods are meant to be read 1 week after pin if doing every 2 weeks or 1 week doing weekly.
My Dr thinks I pin 1x week so he said do bloods 5-7 days after dose.

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Since I do sun and wed I’ll skip sun and get my blood on tue or wed.
do you take your shot right after doing your blood test?
 
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