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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Lower TRT dosage when adding hCG to keep blood work stable?
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<blockquote data-quote="madman" data-source="post: 274594" data-attributes="member: 13851"><p>Adding in hCG can easily drive up your TT and estradiol.</p><p></p><p>The main reason for the addition of hCG is to preserve ITT (intra-testicular testosterone) which will help preserve/maintain fertility and minimize/prevent testicular atrophy.</p><p></p><p>Yes, it can help improve mood and libido but this is not a given as some men will benefit whereas others will be worse off.</p><p></p><p>Trial and error is the only way to find out.</p><p></p><p></p><p><strong><em>post #19</em></strong></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/tips-to-dial-in-test-c-hcg-protocol.24822/#post-217446[/URL]</p><p></p><p></p><p></p><p></p><p>Post labs with assays used for (TT, FT, and estradiol) and include SHBG if you have it.</p><p></p><p>Missing TT and CBC which includes critical blood markers RBCs, hemoglobin, and hematocrit.</p><p></p><p>We always want to test using the most accurate assays TT/estradiol/DHT (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration).</p><p></p><p>Keep in mind that although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects.</p><p></p><p>Need to use the most accurate assays (ED or UF) when testing free testosterone, especially in cases of altered SHBG to know where it truly sits.</p><p></p><p>Highly doubtful you had your FT tested using an accurate assay judging by the reference range you posted.</p><p></p><p>Lab work should be done at the true trough (lowest point) before your next injection.</p><p></p><p>Seeing as you are injecting 140 mg T/week split (M/W/F) then your true trough would be Monday morning (72 hours post-injection).</p><p></p><p>Not sure how long you have been using the oral finasteride but keep in mind that 5AR inhibitors (finasteride/dutasteride) can cause sexual side effects in some men.</p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/the-post-finasteride-syndrome.28481/[/URL]</p><p></p><p><strong>*</strong><em><strong>The 5ARIs finasteride and dutasteride are widely used drugs over 20 years for alopecia and BPH/LUTS with a <u>variety of side effects like sexual, neurological, psychiatric, endocrine, metabolic, ophthalmological, testicular dysfunctions and increased incidence of high-grade prostate cancer</u> [17, 21, 54].</strong> <strong><u>The sexual side effects are common and transient, but in a small subgroup of patients, these side effects can persist even years after discontinuation of the drug</u> [48, 88, 89]. This so-called PFS has serious implications for the quality of life and unfortunately, till now no effective therapy exists [17, 54].</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*<em><strong>The lack of quality studies is a major problem in assessing the presence and frequency of the side effects</strong></em></strong></em></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/finasteride-and-antidepressant-induced-sexual-dysfunction-in-men.28107/[/URL]</p></blockquote><p></p>
[QUOTE="madman, post: 274594, member: 13851"] Adding in hCG can easily drive up your TT and estradiol. The main reason for the addition of hCG is to preserve ITT (intra-testicular testosterone) which will help preserve/maintain fertility and minimize/prevent testicular atrophy. Yes, it can help improve mood and libido but this is not a given as some men will benefit whereas others will be worse off. Trial and error is the only way to find out. [B][I]post #19[/I][/B] [URL unfurl="true"]https://www.excelmale.com/threads/tips-to-dial-in-test-c-hcg-protocol.24822/#post-217446[/URL] Post labs with assays used for (TT, FT, and estradiol) and include SHBG if you have it. Missing TT and CBC which includes critical blood markers RBCs, hemoglobin, and hematocrit. We always want to test using the most accurate assays TT/estradiol/DHT (LC/MS-MS) and FT (Equilibrium Dialysis or Ultrafiltration). Keep in mind that although TT is important to know FT is what truly matters as it is the active unbound fraction of testosterone responsible for the positive effects. Need to use the most accurate assays (ED or UF) when testing free testosterone, especially in cases of altered SHBG to know where it truly sits. Highly doubtful you had your FT tested using an accurate assay judging by the reference range you posted. Lab work should be done at the true trough (lowest point) before your next injection. Seeing as you are injecting 140 mg T/week split (M/W/F) then your true trough would be Monday morning (72 hours post-injection). Not sure how long you have been using the oral finasteride but keep in mind that 5AR inhibitors (finasteride/dutasteride) can cause sexual side effects in some men. [URL unfurl="true"]https://www.excelmale.com/threads/the-post-finasteride-syndrome.28481/[/URL] [B]*[/B][I][B]The 5ARIs finasteride and dutasteride are widely used drugs over 20 years for alopecia and BPH/LUTS with a [U]variety of side effects like sexual, neurological, psychiatric, endocrine, metabolic, ophthalmological, testicular dysfunctions and increased incidence of high-grade prostate cancer[/U] [17, 21, 54].[/B] [B][U]The sexual side effects are common and transient, but in a small subgroup of patients, these side effects can persist even years after discontinuation of the drug[/U] [48, 88, 89]. This so-called PFS has serious implications for the quality of life and unfortunately, till now no effective therapy exists [17, 54]. *[I][B]The lack of quality studies is a major problem in assessing the presence and frequency of the side effects[/B][/I][/B][/I] [URL unfurl="true"]https://www.excelmale.com/threads/finasteride-and-antidepressant-induced-sexual-dysfunction-in-men.28107/[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Lower TRT dosage when adding hCG to keep blood work stable?
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