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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Sustanon/HCG/Exemestane dosage/frequency for TRT?
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<blockquote data-quote="Simbarn" data-source="post: 236106" data-attributes="member: 44021"><p>Living in AU, we have access to Sustanon too. I did not think it was available or prescribed in the US, perhaps you are in Europe? I used it decades ago and found it very unpredictable owing to all the mixed esters in it. It was designed to be used as a 3 week single injection. Not for weekly use. I stopped using it and went to simple single ester preparation: Primoteston, which is Enanthate. This I think is better for more frequent dosing, which means you may be able to control titration a lot better, which is all important.</p><p></p><p>If you do not use hCG, your testicles will shrink again and quite possibly your ejaculate levels will reduce substantially over time, plus there may be sexual sensation losses too. I have very little to no ejaculate after being on just testosterone after 3 or more months. It has become quite apparent that I need some form of gonadotropin like stimulation for my sexual function to be closer to normal. Initially this is not so evident for many men in the early stages of TRT, but after time when the testicles have shut down and the absence of our upstream hormones have taken full effect; sexual function can suffer.</p><p></p><p>It could be that the combination of the amount of Sustanon you are on and hCG is generating your nipple issues. Remember, the hCG may be supplementing your T level considerably if your testes respond well to it. Lowering your T dose substantially may help. 125mgs a week on its own without the hCG may be excessive. I would suggest that you consider changing to a single ester and try using 80-100mgs per week until you stabilise and then add in the hCG. You may find that you could lower your T dose even further after this. I personally avoid AI’s like the plague.</p><p></p><p>In regard to testicle size and hCG, it may be that hCG will not bring them back to the same volume they were prior to HRT, as the Sertoli cells in the testes make up most of the size of the testicle (as compared to the leydig cells) and these respond mostly to FSH. hCG can stimulate these cells in some men and not so well in others. My ejaculate levels have never been the same as pre HRT, even with all my trials with hCG, as I think a genuine FSH replacement may be needed to accomplish this; thus stimulating the seminal vesicles sufficiently.</p><p>After all the years I have been on HRT, I am now most definitely an advocate of less is more when it comes to testosterone replacement.</p><p></p><p>You could also try using recombinant chorionic gonadotropin (Ovidrel) as I have found this affects my nipples less so than regular hCG.</p></blockquote><p></p>
[QUOTE="Simbarn, post: 236106, member: 44021"] Living in AU, we have access to Sustanon too. I did not think it was available or prescribed in the US, perhaps you are in Europe? I used it decades ago and found it very unpredictable owing to all the mixed esters in it. It was designed to be used as a 3 week single injection. Not for weekly use. I stopped using it and went to simple single ester preparation: Primoteston, which is Enanthate. This I think is better for more frequent dosing, which means you may be able to control titration a lot better, which is all important. If you do not use hCG, your testicles will shrink again and quite possibly your ejaculate levels will reduce substantially over time, plus there may be sexual sensation losses too. I have very little to no ejaculate after being on just testosterone after 3 or more months. It has become quite apparent that I need some form of gonadotropin like stimulation for my sexual function to be closer to normal. Initially this is not so evident for many men in the early stages of TRT, but after time when the testicles have shut down and the absence of our upstream hormones have taken full effect; sexual function can suffer. It could be that the combination of the amount of Sustanon you are on and hCG is generating your nipple issues. Remember, the hCG may be supplementing your T level considerably if your testes respond well to it. Lowering your T dose substantially may help. 125mgs a week on its own without the hCG may be excessive. I would suggest that you consider changing to a single ester and try using 80-100mgs per week until you stabilise and then add in the hCG. You may find that you could lower your T dose even further after this. I personally avoid AI’s like the plague. In regard to testicle size and hCG, it may be that hCG will not bring them back to the same volume they were prior to HRT, as the Sertoli cells in the testes make up most of the size of the testicle (as compared to the leydig cells) and these respond mostly to FSH. hCG can stimulate these cells in some men and not so well in others. My ejaculate levels have never been the same as pre HRT, even with all my trials with hCG, as I think a genuine FSH replacement may be needed to accomplish this; thus stimulating the seminal vesicles sufficiently. After all the years I have been on HRT, I am now most definitely an advocate of less is more when it comes to testosterone replacement. You could also try using recombinant chorionic gonadotropin (Ovidrel) as I have found this affects my nipples less so than regular hCG. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Sustanon/HCG/Exemestane dosage/frequency for TRT?
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