Rouzier's... HCG

[JimBob]

Does anyone know Dr. Rouzier's position on the use of HCG, outside of fertility? I ask because some of his "followers" on the TOT Roundtable (Kominiarek, Nichols) do not prescribe it, except in extreme cases.

 

[Dr. John Crisler]

I'm proud to say I have known Dr. Neal Rouzier for many years, and have never heard him speak on it.

 

[Dr. John Crisler]

Two simple facts. (1) When you administer TRT, you shut down the HPTA. This ceases LH production, and alters downstream hormones (2) There are LH receptors all over the body. They would not be there were there not good reasons.

My clinical strategy has always been to normalize the pathways as much as possible. Indeed, were everything running smoothly, the patient would not be seeing me. Restoring the system to a more natural balance is one of the benefits of regular, low-dose HCG administration.

 

[Vince Carter]

Two simple facts. (1) When you administer TRT, you shut down the HPTA. This ceases LH production, and alters downstream hormones (2) There are LH receptors all over the body. They would not be there were there not good reasons.

@Dr. John Crisler

Dr C can you speak a bit on what is too me an obvious dysfunction in that pathway, even with HCG? I call it obvious because we still see guys on any manner of HCG regimen imaginable with low Preg/Prog/DHEA/et al...all those downstream of Cholesterol, basically. So indicates to me that HCG does not sufficiently mimic LH in that regard, or the guy has another dysfunction in that area of LH and downstream conversion.

 

[Dr. John Crisler]

HCG, like LH (and ACTH) stimulates the P450scc enzyme, which converts CHOL to PREG. Its role is obvious in this respect, in order to provide the building blocks for downstream hormones.

Its need in TRT medicine is similarly obvious to me, even outside its potential for maintaining fertility.