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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Best TRT Protocol For Me To Start?
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<blockquote data-quote="Cataceous" data-source="post: 208738" data-attributes="member: 38109"><p>It does appear that using hCG suppressed your HPTA. Kind of a shame to suppress it again just as it starts to recover. Do you have access to Natesto or another testosterone nasal gel product there? I'd suggest trying that before full blown TRT. The nasal gels let you experience periods of higher testosterone while your HPTA continues to function. This would automatically preserve your fertility.</p><p></p><p>Regarding TRT, it's true that 50 mg testosterone cypionate twice a week is a reasonable starting protocol. In this case it would be common for peak serum testosterone to be about 50% higher than trough testosterone. Ideally the dose is adjusted so that the peaks and troughs remain physiological. As the injection frequency is increased the differences between peak and trough serum levels will be reduced, and for most men will become virtually negligible with daily injections.</p><p></p><p>Your SHBG is on the low side. There's some anecdotal evidence that men with low SHBG fare better with reduced variation in serum testosterone. Keep this in mind in case you have problems with twice-weekly injections.</p><p></p><p>Many men find it helpful to use low doses of hCG with TRT all the time, with some experiencing better mood, libido, etc. It's worth experimenting to find out if you can gain these benefits. If you don't like it then you can simply wait until you need it for fertility. Using hCG with TRT increases your chances of maintaining/regaining fertility, but doesn't guarantee it. A small number of men may permanently lose fertility with TRT. If you don't want to gamble then you might freeze some sperm before starting TRT.</p></blockquote><p></p>
[QUOTE="Cataceous, post: 208738, member: 38109"] It does appear that using hCG suppressed your HPTA. Kind of a shame to suppress it again just as it starts to recover. Do you have access to Natesto or another testosterone nasal gel product there? I'd suggest trying that before full blown TRT. The nasal gels let you experience periods of higher testosterone while your HPTA continues to function. This would automatically preserve your fertility. Regarding TRT, it's true that 50 mg testosterone cypionate twice a week is a reasonable starting protocol. In this case it would be common for peak serum testosterone to be about 50% higher than trough testosterone. Ideally the dose is adjusted so that the peaks and troughs remain physiological. As the injection frequency is increased the differences between peak and trough serum levels will be reduced, and for most men will become virtually negligible with daily injections. Your SHBG is on the low side. There's some anecdotal evidence that men with low SHBG fare better with reduced variation in serum testosterone. Keep this in mind in case you have problems with twice-weekly injections. Many men find it helpful to use low doses of hCG with TRT all the time, with some experiencing better mood, libido, etc. It's worth experimenting to find out if you can gain these benefits. If you don't like it then you can simply wait until you need it for fertility. Using hCG with TRT increases your chances of maintaining/regaining fertility, but doesn't guarantee it. A small number of men may permanently lose fertility with TRT. If you don't want to gamble then you might freeze some sperm before starting TRT. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Best TRT Protocol For Me To Start?
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