Long term SERM use has a far greater risk for adverse health effects than proper HRT. This is not a subject for debate, this is already clearly understood.
Yes, see my post above regarding clomid monotherapy as a first treatment option for primary hypogonadism.
TLDR, clinics will basically "PCT" the patient first in hopes of reestablishing normal hormonal function and then cease the SERM use. if this method is unsuccessful at establishing a healthy natural baseline production, then the next option is TRT.
if your trt gives you supraphyiological levels then its not TRT.
The standard practice of correcting hypogonadism, while maintaining fertility is trt/hcg.
Which is time tested and proven effective.
it would behoove you to be informed yourself.
If you believe indefinite administration of a SERM for the purposes of treating hypogonadism is safer, or even remotely acceptable as an alternative to TRT, then your are woefully misinformed.