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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
When to add HCG to TRT?
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<blockquote data-quote="StepbyStep" data-source="post: 99545" data-attributes="member: 17633"><p>I had my appointment with my endo today, and as usual I have mixed results. He is extremely concerned about the semen analysis that I had done a few weeks ago that came back at 0(azoospermia). I brought along studies that proved TRT causes this, and that HCG in combination with Testosterone will maintain fertility, and he is open to combining the two, but wants to experiment with HCG monotherapy first. </p><p></p><p>Now he wants to be start at 3,000ui x3/wk, and titrate downwards to 1,500ui x3/wk. I feel that this is an absurd protocol. He wants me to do this for 3 months and do another semen analysis to make sure my testicle work. </p><p></p><p>I need to produce results for him, and the data would be nice to have. I have a few options here, as he recently doubled my prescription for Test. Cypionate so I currently have 2.5 months worth on hand. I have been having a lot of ups and downs on TRT and would really like to not feel terrible for the next few months before I can start hunting the sweet spot again. </p><p></p><p>Should I:</p><p></p><p>Combine Test. Cypionate and HCG at the standard 100mg,wk of test, and HCG at 250iu x3wk, and possibly risk a low sperm count.</p><p></p><p>Attempt HCG monotherapy and risk feeling terrible for a few months to provide potentially better results for the semen analysis. Protocol for this has yet to be determined. </p><p></p><p>Any advice would be great, I have been having a lot of ups an downs since I started TRT. I had about of month of feeling good at 100mg a week divided into two shots, but started to experience fatigue so I started 120mg a week divided into two shots a couple of weeks ago. I felt great again for the first week, but this week I have been dealing with heavy fatigue again. When this happens I almost always feel tired and groggy for the first half of the day, and then better by the second half of the day.</p><p></p><p>I am secondary hypogonadal, and was hovering around 520-640pg/dL TT at 100mg/wk with E2 at 22pg/mL.</p></blockquote><p></p>
[QUOTE="StepbyStep, post: 99545, member: 17633"] I had my appointment with my endo today, and as usual I have mixed results. He is extremely concerned about the semen analysis that I had done a few weeks ago that came back at 0(azoospermia). I brought along studies that proved TRT causes this, and that HCG in combination with Testosterone will maintain fertility, and he is open to combining the two, but wants to experiment with HCG monotherapy first. Now he wants to be start at 3,000ui x3/wk, and titrate downwards to 1,500ui x3/wk. I feel that this is an absurd protocol. He wants me to do this for 3 months and do another semen analysis to make sure my testicle work. I need to produce results for him, and the data would be nice to have. I have a few options here, as he recently doubled my prescription for Test. Cypionate so I currently have 2.5 months worth on hand. I have been having a lot of ups and downs on TRT and would really like to not feel terrible for the next few months before I can start hunting the sweet spot again. Should I: Combine Test. Cypionate and HCG at the standard 100mg,wk of test, and HCG at 250iu x3wk, and possibly risk a low sperm count. Attempt HCG monotherapy and risk feeling terrible for a few months to provide potentially better results for the semen analysis. Protocol for this has yet to be determined. Any advice would be great, I have been having a lot of ups an downs since I started TRT. I had about of month of feeling good at 100mg a week divided into two shots, but started to experience fatigue so I started 120mg a week divided into two shots a couple of weeks ago. I felt great again for the first week, but this week I have been dealing with heavy fatigue again. When this happens I almost always feel tired and groggy for the first half of the day, and then better by the second half of the day. I am secondary hypogonadal, and was hovering around 520-640pg/dL TT at 100mg/wk with E2 at 22pg/mL. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
When to add HCG to TRT?
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