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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Low T added T Gel, then Atrophy, added HCG ... now T Levels are dropping
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<blockquote data-quote="Cataceous" data-source="post: 183699" data-attributes="member: 38109"><p>Sounds like your insurance company is the one eating the high cost of Androgel. In any case, it's common to feel better when starting TRT only to have the effects fade. The presumption is that you're getting a boost from the exogenous testosterone before your natural production shuts down. Loss of natural testosterone production may contribute to substandard results down the road because you also lose production of other hormones that probably do some useful things. These include kisspeptin, GnRH, LH and FSH. HCG is often used as a passable replacement for LH.</p><p></p><p>Free T should not be zero. But if you didn't specifically request one of the accurate methods—equilibrium dialysis or ultrafiltration—then the result will not be as useful. Alternatively, it's good to simply order an SHBG test along with total testosterone and use the <a href="https://tru-t.org" target="_blank">Tru-T calculator</a> to get a decent estimate of free T—healthy normal range is 16-31 ng/dL.</p><p></p><p>If you like the gel and have good results then there's no reason to change as long as your cost is so low. I personally had a lot of problems with Androgel and gave up on it relatively quickly. I would have needed to apply it at least twice daily to keep levels high enough, and even then I may have had absorption problems. In contrast, injections have provided very consistent results.</p><p></p><p>Regarding highs and lows in serum testosterone: These may be bad when the excursions leave a normal physiological range. They may also be less good when the cycle takes place over many days. Normal physiology has most of the variation occurring in a daily cycle, with serum testosterone dropping from a morning peak to an evening trough. Increasing the injection frequency damps down the variations, which is preferable to having large excursions over multiple days. But having fairly constant hormones is not really a natural condition either.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 183699, member: 38109"] Sounds like your insurance company is the one eating the high cost of Androgel. In any case, it's common to feel better when starting TRT only to have the effects fade. The presumption is that you're getting a boost from the exogenous testosterone before your natural production shuts down. Loss of natural testosterone production may contribute to substandard results down the road because you also lose production of other hormones that probably do some useful things. These include kisspeptin, GnRH, LH and FSH. HCG is often used as a passable replacement for LH. Free T should not be zero. But if you didn't specifically request one of the accurate methods—equilibrium dialysis or ultrafiltration—then the result will not be as useful. Alternatively, it's good to simply order an SHBG test along with total testosterone and use the [URL='https://tru-t.org']Tru-T calculator[/URL] to get a decent estimate of free T—healthy normal range is 16-31 ng/dL. If you like the gel and have good results then there's no reason to change as long as your cost is so low. I personally had a lot of problems with Androgel and gave up on it relatively quickly. I would have needed to apply it at least twice daily to keep levels high enough, and even then I may have had absorption problems. In contrast, injections have provided very consistent results. Regarding highs and lows in serum testosterone: These may be bad when the excursions leave a normal physiological range. They may also be less good when the cycle takes place over many days. Normal physiology has most of the variation occurring in a daily cycle, with serum testosterone dropping from a morning peak to an evening trough. Increasing the injection frequency damps down the variations, which is preferable to having large excursions over multiple days. But having fairly constant hormones is not really a natural condition either. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Low T added T Gel, then Atrophy, added HCG ... now T Levels are dropping
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