Natural productionoral
Clomiphene
Signals your body to produce more of its own testosterone.
What to expect: Levels typically rise in 4–6 weeks.
Evidence: StrongWhere to start
Fix this first.
Drive, sleep and body composition move together. Labs show which lever to pull first — sometimes it is estrogen, sometimes sleep, sometimes signalling.
Priorities, in order
- Labs before anything hormonal
- Sleep is the cheapest testosterone
- Address visceral fat
Foundations
- Strength training 3x/week
- Alcohol under 4 drinks/week
- 7+ hours sleep
Start today — no labs needed
- Sleep routine and sermorelin while labs process
What helps & how
What's in it, in plain language.
Sleep & recoveryinjectable
Ipamorelin
A gentle growth-hormone secretagogue that works well stacked with CJC-1295.
What to expect: Better sleep quality and recovery.
Evidence: ModerateEstrogen balance (if labs indicate)oral
Anastrozole
Lowers conversion of testosterone to estrogen.
What to expect: Used only when labs show elevated estradiol.
Evidence: StrongThe protocol
Your plan, week by week.
- WK 1–8Clomiphene25 mg typicalRange 12.5–50 mgEvery other dayChanges when: Total T above 500
- WK 1–12Ipamorelin200 mcg typicalRange 100–300 mcgNightly, 5 on / 2 offChanges when: Sleep improving
- WK 4–12Anastrozole0.5 mg typicalRange 0.25–1 mg2x weekly if E2 highChanges when: Physician review
Acute phase
Labs + initiation
Long-term
Quarterly lab-guided adjustment
Review cadence
Every 12 weeks with your physician
Labs we look at — optimal ranges, not just "normal"
Total testosterone · 600–900 ng/dLEstradiol · 20–35 pg/mLHDL · > 50 mg/dL
Get the protocol
Everything in this protocol, in one order.
- ClomipheneNatural production · 25 mg, Every other day · oral$4146 × $69
- IpamorelinSleep & recovery · 200 mcg, Nightly, 5 on / 2 off · injectable$9546 × $159
- AnastrozoleEstrogen balance (if labs indicate) · 0.5 mg, 2x weekly if E2 high · oral$2946 × $49
3 peptides · 6-month supply
$1662
≈ $277/month · Rx — ships only after physician approval
Safety & eligibility
Honest about what this is — and isn't.
Testosterone replacement itself is not yet offered; this protocol uses non-controlled levers only.
Not a fit if you have
- Liver disease
- Osteoporosis (anastrozole)
Your physician will ask
- Trying to conceive in the next 12 months?
- History of blood clots?
A licensed, Vero-contracted physician reviews your intake and lab results (before you see them) and decides whether to prescribe. Nothing ships without that review.
About the expert
James Okafor
PA-C
"Fix the signal before you replace the hormone."
Sample bio: Men's-health PA focused on restoring natural production before TRT.
More about James →Start
Two ways to begin.
Required first step
Labs first
- Order your at-home lab kit
- Start what doesn't need labs now
- Physician reviews results before you do
- Your plan is tuned to your markers
Starter while you wait
Start the protocol
$219 /month · 6 months
- Short health questionnaire
- Physician review & prescription
- Shipped from a licensed pharmacy
Optional add-ons: MOTS-c for mitochondrial health ($129/mo)