This article applies specifically to the Enclomiphene treatment plan.
Requirements may differ for other Maximus programs. Blood flow medications referenced in this article are also explained in the Blood Flow Protocol articles.
Some Enclomiphene treatment plans may combine Enclomiphene with medications that support blood flow, such as Tadalafil or Vardenafil, into a single daily tablet.
This approach is designed to support both:
natural testosterone production
healthy blood flow and erectile function
Your clinician determines whether a combination approach is appropriate based on your health profile, treatment goals, and current medications.
These combinations may be available for both new and existing Enclomiphene patients.
How the Combination Works
Each medication in the combination supports a different physiological pathway.
Enclomiphene
Supports the body’s natural testosterone production by influencing hormonal signaling involved in testosterone regulation.
Tadalafil
Supports circulation by helping blood vessels relax, which may improve blood flow throughout the body.
Vardenafil
Works through similar vascular pathways to support circulation and erectile function.
Together, these medications may help support both hormonal balance and blood flow, which are two key factors involved in sexual performance.
How the Medication Is Taken
Combination treatments are typically taken:
orally
once daily
at a consistent time each day
Your clinician determines the appropriate medication strengths and treatment plan.
Who This Combination May Be For
Your clinician may consider combination therapy for individuals who:
are starting the Enclomiphene protocol
are currently using Enclomiphene and want additional blood flow support
are using separate Enclomiphene and Blood Flow protocols and want a simplified treatment plan
Availability may vary by patient eligibility and clinician evaluation.
Currently, this treatment option is available for men only.
Compatibility With Other Protocols
Combination therapies may be used alongside certain other hormone-based treatments depending on clinician evaluation.
Your clinician will determine whether combining protocols is appropriate based on your health profile and treatment goals.
If you are currently using a separate Blood Flow protocol, your clinician may recommend discontinuing that protocol if switching to a combined treatment option.
Safety and Eligibility
Combination treatments are not appropriate for everyone.
Before prescribing, your clinician evaluates factors such as:
medical history
cardiovascular health
current medications
possible contraindications
Certain medications and health conditions may prevent the use of PDE-5 inhibitors.
Your clinician will determine whether the treatment is safe and appropriate for you.
Monitoring and Clinical Oversight
Your clinician monitors your treatment through:
symptom check-ins
lab review when appropriate
ongoing evaluation of treatment response
If adjustments are needed, your clinician can review options with you.
Questions About Eligibility or Switching
If you have questions about:
whether combination therapy is appropriate
switching from another protocol
eligibility requirements
you can message your clinician through your patient portal or contact Support for assistance with account-related questions.
