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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
New guy here - Recently got bloodwork results back
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<blockquote data-quote="Re-Ride" data-source="post: 24551" data-attributes="member: 8395"><p>I'm not an expert. If Nelson and Jay suggest an HPT axis re-set I am sure they are correct.</p><p></p><p>["I have been supplementing with 5000IUs of Vitamin D drops daily for the past several years"] </p><p></p><p>It's your serum level that counts. That's true for many vitamins and minerals, notably B12, Zinc. Do not assume intake translates to sufficiency. I've been taking Rx supplement for two years and can't get above 25. </p><p>I've tried both ergocalciferol 50k i.u./week (D2) and cholcalciferol 10k i.u. /day (D3)</p><p></p><p>Total 25-OHD assay measures the sum of 25-hydroxy (D2 and D3) vitamin D </p><p>metabolites. Therapy indications are based on Total 25-OHD, as follows: </p><p>Deficiency: Less than 20 ng/mL</p><p>Insufficiency: 20-29 ng/mL</p><p>Sufficiency Level: 30-100 ng/mL</p><p></p><p>If I were in your situation I'd review ( if you haven't already) the list of xeno-estrogens which includes everything you are exposed to such as detergents, paper products, personal care products, even the water you drink. I would strongly consider getting baseline SHBG, Prolactin, DHT, Estradiol and Thyroid (TSH, FT3, FT4, rT3 and antibodies). Sub-par thyroid can cause many symptoms mimicking Low T. 550 isn't low enough to cause issues in all men. Don't get it in your head that you need 800, 900 or 1000. </p><p></p><p>If environmental modifications, a switch to organic foods, and removal of otherwise healthy phytoestrogen bearing foods has no effect and everything else checks out such as thyroid, then you might consider 100-200 i.u. name brand hCG EOD or E3D or twice per week as a starting point for a month. </p><p></p><p> There are two major camps: (1) next step is increase the days not the dose (Shippin) and (2) increase the dose up to 500 i.u. Read what Dr.Chrisler has to say on this.</p><p></p><p>If you get to the point of considering hCG dose then forget the infamous rat studies which were poorly done and which are the basis of myth relating to leydig cell damage. "Down regulation" or desensitization is another. If it occurs it is only temporary. HOWEVER excess dosing is wasteful and invites E2 to the party.</p><p></p><p>Aside from increasing T by stimulating leydigs, hCG will stimulate LH receptors outside the testes and possibly other receptors.</p></blockquote><p></p>
[QUOTE="Re-Ride, post: 24551, member: 8395"] I'm not an expert. If Nelson and Jay suggest an HPT axis re-set I am sure they are correct. ["I have been supplementing with 5000IUs of Vitamin D drops daily for the past several years"] It's your serum level that counts. That's true for many vitamins and minerals, notably B12, Zinc. Do not assume intake translates to sufficiency. I've been taking Rx supplement for two years and can't get above 25. I've tried both ergocalciferol 50k i.u./week (D2) and cholcalciferol 10k i.u. /day (D3) Total 25-OHD assay measures the sum of 25-hydroxy (D2 and D3) vitamin D metabolites. Therapy indications are based on Total 25-OHD, as follows: Deficiency: Less than 20 ng/mL Insufficiency: 20-29 ng/mL Sufficiency Level: 30-100 ng/mL If I were in your situation I'd review ( if you haven't already) the list of xeno-estrogens which includes everything you are exposed to such as detergents, paper products, personal care products, even the water you drink. I would strongly consider getting baseline SHBG, Prolactin, DHT, Estradiol and Thyroid (TSH, FT3, FT4, rT3 and antibodies). Sub-par thyroid can cause many symptoms mimicking Low T. 550 isn't low enough to cause issues in all men. Don't get it in your head that you need 800, 900 or 1000. If environmental modifications, a switch to organic foods, and removal of otherwise healthy phytoestrogen bearing foods has no effect and everything else checks out such as thyroid, then you might consider 100-200 i.u. name brand hCG EOD or E3D or twice per week as a starting point for a month. There are two major camps: (1) next step is increase the days not the dose (Shippin) and (2) increase the dose up to 500 i.u. Read what Dr.Chrisler has to say on this. If you get to the point of considering hCG dose then forget the infamous rat studies which were poorly done and which are the basis of myth relating to leydig cell damage. "Down regulation" or desensitization is another. If it occurs it is only temporary. HOWEVER excess dosing is wasteful and invites E2 to the party. Aside from increasing T by stimulating leydigs, hCG will stimulate LH receptors outside the testes and possibly other receptors. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
New guy here - Recently got bloodwork results back
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