HCG Use in Men on TRT or as Monotherapy: Over 200 Questions and Answers

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Nelson Vergel

Founder, ExcelMale.com
I collected questions and answers posted on ExcelMale.com in the last 10 years about the use of human chorionic gonadotropin in men who want to prevent loss of testicular size and fertility while on testosterone replacement therapy or that want to use hCG alone as a way to boost their testosterone blood levels.

These are the top HCG related posts on ExcelMale.com that will be covered in the upcoming hCG Manual I am writing.



Introduction to HCG Usage​

HCG is used alongside TRT and for fertility purposes, particularly pre-IVF. In this discussion, we'll dive into the different experiences and evidence surrounding HCG usage. Keep watching to learn more.

HCG and TRT: A Personal Experience​

In my experience and what we observe in clinics, HCG is often used with TRT. While many preach its necessity, it largely depends on personal response. For some, like Nelson Vergel, it significantly improves sex drive and libido, while others may not have the same experience. Dosage can vary, and it's often a matter of trial and error to see what works best.

The Impact of HCG on Libido and Testicular Size​

Nelson Vergel shares his strong bias in favor of HCG, noting that despite its recent popularity, he personally went many years without it while on testosterone. Although he felt fine, he noticed a dramatic increase in sex drive when he started using HCG. Testicular shrinkage and decreased sperm volume are common without HCG, but some experience pain during sex due to testicular atrophy. While not universally effective, HCG can enhance libido and help maintain testicular size for some men.

The Science Behind HCG and Fertility​

Dr. George Tillyattle shares research findings on HCG's role in fertility. Studies have shown that HCG, particularly when combined with FSH, can improve sperm count and quality in about two-thirds of men on testosterone replacement therapy. However, there are still challenges, such as ensuring adherence to treatment protocols.

HCG’s Influence on Estrogen and Water Retention​

Some men experience side effects like water retention, acne, and increased estrogen levels with HCG. Despite this, for those who respond well, the benefits outweigh the drawbacks. The right dose of HCG remains controversial, with studies suggesting that while it works for many, it’s not effective for everyone, especially those with longer exposure to testosterone or older age.

HCG’s Role Beyond Fertility​

Emerging research suggests that HCG may have broader implications beyond fertility, possibly influencing cognitive function and neurosteroids. Nelson Vergel discusses how his productivity and brain function have improved since starting HCG, raising the question of whether early use could have provided even greater benefits.

Conclusion: Individualized Treatment with HCG​

HCG’s effectiveness varies from person to person, making it essential to tailor treatment to individual needs. Whether for fertility, testicular maintenance, or enhanced libido, HCG can be beneficial, but it’s not a one-size-fits-all solution. For those using it for fertility, enduring side effects may be necessary to achieve desired outcomes. Ultimately, personal experience and professional guidance should inform HCG usage.

hcg manual book cover .jpg


HCG-Is It Worth It ?

Testicle Size: Testosterone Injections vs hCG vs T gel

Dosing and freq of T and HCG

how to use hcg with T Gels

First blood work after adding testosterone to HCG solo treatment

How to mix my HCG?

HCG monotherapy: Good first option for a Secondary case?

Now on TRT plus HCG to preserve fertility

Human Chorionic Gonadotropin, Pregnenolone and DHEA By Gene Devine

Why is it good to take HCG with testosterone replacement?

Dr. has no problems with me buying hcg from him but wont give me a handwritten prescription for it

HCG use in testosterone stimulation and restoration

Reputable Online supplier of HCG

Getting OFF testosterone questions

Prions in hcg

HCG How long until it starts to work

Testosterone and HGC

Converting HCG units - mcg to IU

How to travel with T and HCG?

HCG Injections: Morning or night. Does it matter?

struggling with hcg solo treatment, feel very sick, please help

hCG Expiration

Clomid vs hcg

Testosterone and hCG Mix

Sublingual HCG

Two Studies That Used HCG with Testosterone

Cost and availability of HCG

Good Online Source For HCG Inj

HCG Starting Dose

How to mix 11,000iu HCG vial?

HCG and Hematocrit

Testopel and HCG to Keep Testicle Size

HCG--Does it expire/lose potency if too old or not refrigerated?

Article: Why many doctors do not prescribe HCG or anastrozole

Can you inject HCG and hgh together?

Best days to use HCG, when inj. testosterone bi-weekly?

Cycling HCG

2 questions about hcg mono

Effects of Three Different Medications on Metabolic Parameters and Testicular Volume

HCG is not working anymore. Do I have antibodies to it?

Can HCG make your penis grow?










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Attached file (You can download it if you are registered)





 

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"Beyond Testosterone" is a comprehensive 427-page guide authored by Nelson Vergel, a seasoned expert in the realm of hormone therapy and author of "Testosterone: A Man's Guide" and "Built to Survive." With a vibrant full-color layout and extensive illustrations, this compilation of illustrations stands as an essential resource for both clinicians and patients who enjoy learning visually.

The book extends Vergel's commitment to advancing health through understandable medical insights. He brings over thirty years of experience and a personal journey with hormone therapy following an HIV diagnosis. This guide builds on his previous works, offering updated research and practical advice grounded in real-world applications.

The Table of Contents of "Beyond Testosterone" is meticulously organized into detailed sections, each addressing key aspects of testosterone therapy:

  1. Introduction
  2. How to Use This Book
  3. Testosterone 101
  4. Testosterone in Women
  5. How to Increase Testosterone Naturally
  6. Benefits of Testosterone Replacement
  7. Diagnosis of Hypogonadism (Low Testosterone)
  8. Testosterone Treatment Options
  9. Testosterone Side Effect Management
  10. Testosterone and the Prostate
  11. Testosterone and the Cardiovascular System
  12. Human Chorionic Gonadotropin (HCG)
  13. Estradiol: The Other Male Hormone
  14. Gynecomastia: Not a Simple Diagnosis
  15. Dihydrotestosterone: Should We Be Concerned About This Testosterone Metabolite?
  16. TRT-Related Acne and Hair Loss
  17. TRT-Related Water Retention and High Blood Pressure
  18. Erectile Dysfunction/Low Libido
  19. Clinical Use of FDA-Approved Anabolic Steroids
  20. Fertility and HPTA Recovery
  21. Growth Hormone-Releasing Products
  22. Thyroid Dysfunction: Diagnosis and Management
  23. Mental Health
  24. Nutritional Considerations
  25. Exercise Considerations
  26. Nelson's Tips for TRT Patients
  27. How to Monitor TRT Lab Tests
  28. La Testosterona: Información en Español
  29. Expert Interviews
  30. TRT Resources
beyond testosterone book on Amazon.jpg
"Beyond Testosterone" is more than a medical guide; it's a tribute to the collective wisdom of Vergel's ExcelMale.com community, capturing the essence of community-driven health discussion. Each topic is enhanced with QR codes for updated information and practical tips, making it a dynamic tool for anyone seeking to understand the broader implications of testosterone in health.

This book is indispensable for patients exploring testosterone therapy and clinicians aiming to enhance their therapeutic practices. It promises to empower readers with knowledge and inspire them to take charge of their health.
 
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Beyond Testosterone Book by Nelson Vergel

Scott Brunner, CEO of the Alliance for Pharmacy Compounding (www.compounding.com) speaks about the current threats to people's access to affordable and customized hormone products in the U.S. and what you can do about it. The FDA is considering banning compounded estradiol, estrone, estradiol cypionate, estriol, pregnenolone, progesterone, testosterone, testosterone cypionate, and testosterone propionate and all pellet cBHT therapies. Also, under the Biologics Price Competition and Innovation Act of 2009 (BPCIA) – Protein-based drug products like hCG, FSH, and hMG that had been approved as “drugs” over 15 years ago are now considered “Biologics” and now fall under the jurisdiction of the FDA’s Center for Biologics Evaluation and Research (CBER). These 3 compounds are gonadotropins that have been used in fertility and hormone replacement in women and men. Compounding pharmacies have been compounding urine-derived hCG, FSH, and hMG and increasing patient access to these medications for 50 years. Under the new law, compounding pharmacies are no longer allowed to make these products unless they go through a new lengthy and costly Biologic License Application (BLA). Scott also explained how proposed USP changes in "Beyond Use Dates" will increase cost and need for frequent refills for patients.

Take Action!: Take Action
 
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