"The study included 20 men. The average age was 50.3 (SD 15.6) years and ranged from 26 to 77. On past medical history, 2 of the patients had a history of anabolic steroid use, and two had a history of prostate cancer, one of whom was post- -radical prostatectomy. These patients had an average testicular volume of 14.2cc (SD 4.3), and 3 presented with varicoceles, 2 of which were grade II and 1 of which was grade I (Table-1). Indications for treatment were largely attributed to persistent complaints of one or multiple of either low libido, low energy, or erectile dysfunction, but also included infertility and insomnia. Patients received an average dose of 2000 IU weekly."
These men presented with an average initial T of 361.8 ng/dL (SD 158.2) and improved to an average follow-up T of 519.8 ng/dL (SD 265.6). The duration of therapy for these men averaged 6 months, with an average weekly hCG dose of 2000 IU. Over this period, they experienced an average change in T of 60%. One-tail Mann Whitney U test demonstrated this improvement was significant, as the sample of T at baseline was significantly less (p<0.005) than that of follow-up T. This corresponded with 50% of men subjectively reporting symptom improvement. Of the 10 men who reported symptom improvement, only 2 had negative changes in testosterone levels, both by less than 15%.
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I would use 1,000 IU three times per week of hCG monotherapy or
TRT (100-150 mg/week injections or higher concentration compounded creams) plus:
1- 500 IU hCG three times per week (If I want to get my girl pregnant) Best HCG Dose for Men on TRT: Two Studies That Used HCG with Testosterone
or
2- 500 IU hCG twice per week if I just want to prevent testicular atrophy.