Enclomiphene - 25 mg per capsule

Enclomiphene - 25 mg per capsule

Number of capsules per bottle: 30 - three month supply (2-3 capsules by mouth per week)
Enclomiphene Questionaire
Name*

First NameLast Name
Date of Birth *

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I am pregnant or am planning on getting pregnant: (NOTE- If the answer is yes, please stop and do not purchase enclomiphene). *
I understand enclomiphene may cause changes in vision, bloating, changes in sleep, fatigue, restlessness, changes in mood, and breast discomfort. *
Please list all medical diagnosis and/or medical problems. If you have never been diagnosed with any condition, write "NA."*
Please list all medications or substances you are using/taking. This includes over the counter medications. If you do not take anything, write "NA."*
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cell phone number *
Please enter a valid phone number.Format: (000) 000-0000.
Please list all medication allergies. If you do not have any, write "NA.*
Is your estrogen level abnormally high? *
Is your plasma testosterone level greater than 1200? *
Email*
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Please list any and all allergies to medications*
You agree to take Enclomiphene 25 mg capsules no more than three times per week. If you are feeling faint, drowsy, or have any side effects from Enclomiphene, stop usage and contact your primary care physician. *

My Products*

Enclomiphene

25 mg capsules / 30 capsules per bottle - 3 month supply at two-three capsules per week (shipping included)

$200.00 Quantity

Total

$0.00

I understand Dr. David Mahjoubi recommends taking one 25 mg Capsule of Enclomiphene every 3-4 days, and recommends not taking more than 50-75 mg per week. *
Dr David Mahjoubi requires patients who have been on Enclomiphene to submit lab values for Total Testosterone, Free Testosterone, and Estrogen once a year. If you have been receiving Enclomiphene from us for one year or more, please submit these lab values to dr@drdavidwellness.com. Thank you. This is required every year to continue getting enclomiphene from us. *
You understand that taking Enclomiphene can increase your estrogen level, especially if taken more then twice per week. Increased estrogen in men can cause gynecomastia (enlarged breasts), erectile dysfunction, changes in libido, and changes in weight, sperm production and muscle mass. Increased estrogen can also cause male pattern baldness and mood changes. If you are unsure if enclomiphene is right for you, please schedule a consultation with Dr. Mahjoubi, or your primary care physician. *
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Enclomiphene Questionaire