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question from a user

If the goal is to prevent permanent testicular atrophy with no immediate plans to have a kid, would the advice be to go on HCG every 3 months for a 3-month duration? What would be the lowest effective dose for HCG per week that you usually recommend and what would you decrease the weekly testosterone if I'm taking 175mg per week?

AlphaMD's Answer

For many men the easy solution is to do 3 months on & 3 months off, or just stay on a low dose long term. A simple 500 units weekly tends to be a solid dose for the always on approach, and 750 weekly for the 3 month (also due to the standard HCG size being 10,000 units). There is benefit to going on and off, but the reduction in slight efficiency over time & the swapping of T dose typically doesn't feel worth it for most men. If you took 500 units weekly, you could probably adjust down 10-20mg, and at 750 you'd want to do at least 20mg. Do note that HCG does tend to produce more Estrogen from the same value of Testosterone produced that it is exchanged for, which is why dropping dose can also be good to avoid E levels raising & needing an AI. You could start either & take a look at your E a few months into the exchange.

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