There are two negative feedback loops on LH release, estrogen and testosterone. So having normal or high levels of estrogen will shut down GnRH (gonadotropin releasing hormone) from the hypothalamus a... See Full Answer
We do offer enclomiphene. Like all SERMs, its effectiveness varies. Due to the way it functions (ramps up pituitary output of FSH and LH), enclomiphene does not work in primary hypogonadism. Pushing h... See Full Answer
The SERM (clomiphene or enclomiphene) and TRT combo is still experimental and not proven science. The hCG plus TRT is proven and the gold standard for men on TRT who want to maintain fertility. While ... See Full Answer
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
There’s a new conversation happening among men who want to take their hormone optimization to the next level — and it’s all about the stack.
Not a bodybuilding stack.
Not an overhyped supplement stack.
We’re talking about a strategic medical stack that combines:
Together, they’re being used by forward-thinking providers and patients to build a smarter, more personalized approach to men’s health. So, does it work? Is it safe? And who should consider it?
Let’s break it down.
TRT alone can dramatically improve energy, mood, muscle mass, libido, and mental clarity — especially in men with clinically low testosterone.
But some men — especially those who want to stay fertile, preserve testicular function, or support growth hormone levels — may benefit from targeted adjunct therapies.
Enter enclomiphene and sermorelin.
Enclomiphene is a selective estrogen receptor modulator (SERM) — a modern, purified version of clomiphene citrate (Clomid).
While TRT suppresses your natural testosterone production, enclomiphene stimulates your body to make more of its own by increasing LH and FSH.
Think of enclomiphene as a signal booster for your pituitary. TRT gives you T — enclomiphene helps your body keep making it, too.
Sermorelin is a peptide that stimulates your pituitary to release growth hormone (GH).
Unlike synthetic HGH, sermorelin encourages your body to produce its own GH — safely and in a regulated way.
When paired with TRT, sermorelin can help optimize the full hormonal picture — not just testosterone.
Yes — for the right patients, this combination can be a game-changer.
At AlphaMD.org, we’ve seen the "TRT + Enclomiphene + Sermorelin" stack help men:
✅ Stay fertile and maintain natural testicular function
✅ Recover faster and sleep deeper
✅ Improve body composition with more lean mass and less fat
✅ Enhance cognitive sharpness and resilience
✅ Feel more balanced emotionally — and consistently energized
But here's the key: stacking only works when it's personalized.
This isn’t a one-size-fits-all protocol.
But we often explore this stack for men who:
This isn’t about taking more.
It’s about taking exactly what you need — and nothing you don’t.
As with any hormone therapy, there are potential downsides:
⚠️ Enclomiphene can raise estrogen levels if not monitored properly.
⚠️ Sermorelin may cause water retention, headaches, or fatigue in some patients.
⚠️ Combining therapies without clinical guidance can create unpredictable hormone imbalances.
That’s why working with a knowledgeable provider is non-negotiable.
At AlphaMD.org, we don’t guess — we test, track, and adjust to make sure your protocol actually works for your body.
TRT is powerful on its own.
But when thoughtfully paired with enclomiphene and sermorelin, it becomes part of a truly advanced hormone strategy — one that respects your biology, goals, and long-term health.
We call it The New Stack — and for many men, it’s the next level.
We’ll help you find out what you actually need — and nothing more.
👉 Book your consultation with AlphaMD.org today.
No fluff. Just results.
At AlphaMD, we're here to help. Feel free to ask us any question you would like about TRT, medical weightloss, ED, or other topics related to men's health. Or take a moment to browse through our past questions.
There are two negative feedback loops on LH release, estrogen and testosterone. So having normal or high levels of estrogen will shut down GnRH (gonadotropin releasing hormone) from the hypothalamus a... See Full Answer
We do offer enclomiphene. Like all SERMs, its effectiveness varies. Due to the way it functions (ramps up pituitary output of FSH and LH), enclomiphene does not work in primary hypogonadism. Pushing h... See Full Answer
The SERM (clomiphene or enclomiphene) and TRT combo is still experimental and not proven science. The hCG plus TRT is proven and the gold standard for men on TRT who want to maintain fertility. While ... See Full Answer
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