HCG to combat testicular atrophy and low libido

Thanks for the advice. I will up the DHEA to 50mgs/day. I added the 25mgs about 4 weeks ago and I have definitely seen *some* return of libido which I am really appreciating and enjoying. I am hoping it will continue to improve by increasing the does to 50 mgs.
I have a question regarding the HCG. Should I be using this indefinitely as long as I am on T, or can I cycle on and off of the HCG? Also, any suggestions on where to buy it? I have just been getting Pregnyl from my regular pharmacy but I am curious if I would be better off with a compounded product.
As far as my vegan diet, I have done my soul searching and I will be vegan for the rest of my life. I have a decade plus of excellent health and perfectly normal libido while being vegan, so my guess is that is not what has destroyed my libido (although I understand that diet does play a role in it). I know my low iron is a result of my diet and I will be taking infusions for that and hopefully that will also improve the situation.
Thanks again for your feedback and suggestions. I do appreciate it.
As far as HCG goes, I don't know any reason not to stay on it if it is giving you benefit, assuming you are on a moderate dose. There was a clinic (the one bought by Tony Robbins IIRC) that recommended coming off for a month or two every year because they felt there was a risk of developing an allergy to it, but that is not a common view. I have been on HCG for around 8 years but I come off if for a few weeks if I am travelling and don't expect to have consistent access to a refrigerator, partially just to check and see if anything has changed with how my body is processing it that I was unaware of. Kisspeptin is another option but it has not been around long enough to have a lot of long-term user feedback.

Regarding sourcing, the option for compounding was taken away several years ago in the US, but hopefully that option will return. There are other threads on here about sourcing from India and elsewhere, which seems to be a viable option.
 
As far as HCG goes, I don't know any reason not to stay on it if it is giving you benefit, assuming you are on a moderate dose. There was a clinic (the one bought by Tony Robbins IIRC) that recommended coming off for a month or two every year because they felt there was a risk of developing an allergy to it, but that is not a common view. I have been on HCG for around 8 years but I come off if for a few weeks if I am travelling and don't expect to have consistent access to a refrigerator, partially just to check and see if anything has changed with how my body is processing it that I was unaware of. Kisspeptin is another option but it has not been around long enough to have a lot of long-term user feedback.

Regarding sourcing, the option for compounding was taken away several years ago in the US, but hopefully that option will return. There are other threads on here about sourcing from India and elsewhere, which seems to be a viable option.
The reason I was questioning cycling off the HCG was solely because of the expense. I am paying about $300 for 10,000 IU, although the last time I bought it I did find a discounted price of $180 with one of the Rx Discount cards. Not sure if I'll be able to get that price again.
 
The reason I was questioning cycling off the HCG was solely because of the expense. I am paying about $300 for 10,000 IU, although the last time I bought it I did find a discounted price of $180 with one of the Rx Discount cards. Not sure if I'll be able to get that price again.
Ask your provider to send the prescription in to Optum pharmacy. That’s where I get it and it’s always around $125 for 10,000 ius.
 
As far as my vegan diet, I have done my soul searching and I will be vegan for the rest of my life. I have a decade plus of excellent health and perfectly normal libido while being vegan, so my guess is that is not what has destroyed my libido (although I understand that diet does play a role in it). I know my low iron is a result of my diet and I will be taking infusions for that and hopefully that will also improve the situation.
I keep hearing vegans tell me that the plant based diet is the optimal diet. Imagine trying a diet like this 10,000 years ago with no supplements in existence.

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This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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