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Good point, Jeffrey.

Believe it or not, we do not have a study we can mention that followed up men with optimized TRT (I use the word optimized since most studies just provide TRT with little post monitoring) in the long term to determine if indeed TRT's benefits start "wearing off" with time.  If this is the case, the co-current use of HCG + TRT may be the answer to bring back the initial sexual and stamina boost. I have talked to a doctor who thinks that stopping TRT and using HCG monotherapy in short cycles may be more effective at preventing that potential (yet unproven) decline in efficacy.  The fact is that we do not know.  All we know is what some of us who are long  term testosterone users can report.

In my case, HCG at 500 IU twice a week along with 200 mg per week of testosterone cypionate keep my sexual interest and resilience (I like that word better than assertiveness) going.  When my sex drive drops even with this protocol, daily Cialis plus nitric oxide precursors ( arginine+ citrulline) seem to do the job.  In my opinion, HCG is great but we sometimes need some PDE5 inhibition and nitric oxide boost to boost sexual drive when it dips.  No one (at least I have not met that person) can sustain constant high sex drive every week unless they have no stress, sleep great, no alcohol, no medications for blood pressure, lipids, mood, etc    Sex drive is cyclic like everything in life.  However, I never want to lose resilience.  Optimal TRT + HCG really helps me cope with stressors.