Questions about HCG (Human Chorionic Gonadotropin)
Find answers to commonly asked questions about HCG (Human Chorionic Gonadotropin), administration, and benefits.
Does HCG make sex better? Not necessarily having issues currently with my TRT dose but anecdotally heard it increases sensitivity and makes sex better...
There has been anecdotal reports of this by some men, though we tend to think this is more about finding the right hormone levels rather than the addi...
Is there an alternative to HCG in respect to keeping the testes from shrinking? Ive also read anecdotal reports from some that HCG has helped them ke...
There are not good alternative for teste size, or at least none as good as HCG with as few negatives as it has other than price.
I just had 6 week bloods done. e2 was 48. SHBG must be crashed because my free T was 255. Obviously an e2 of 48 is unlikely to cause any puff or itchi...
Well, to break things down, when starting TRT you should generally not be adjusting your routine or adding medications until the 7-8 week mark when yo...
Are there any downsides to using hCG?
Generally no, it is fairly safe. There are a few niche interactions which may have it tip your Estrogen up or such, but that's usually more controlled...
After being on TRT for a while, is there any way to increase the sperm count in case you want to have a child? Number one reason I haven't started TRT...
Taking hCG concurrently while on TRT can maintain sperm production.
Empower is great for compounding. And as for the generics. I guess you would just trust the ones that you could actually find on the FDA website? I gu...
We trust the large chains more just like you suggest, and like the poster below states, since Testosterone is such a safe product & the production isn...
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Does your clinic ever use AI's with clomid, and have you noticed any benefits? Disclaimer: obviously not asking for medical advice. Just discussing.
For the patients that we have on Clomid, most of them require the use of an AI. The benefit of adding the AI helps reduce high E2 symptoms which inclu...
Does pregnyl lose potency after 60 days?
Technically yes, but realistically no.
Im 32 can I do hcg alone or trt with hcg and still gain permanent penis size gains? Did anyone do this before? Or with a dht cream with hcg ?
The only study that showed gains with penis size on hCG was done in fully grown men with micropenis. It does not cause penis growth outside of that su...
Does the amount one takesTest correlate to the amount they should take with HCG? Lets say you take only 40mg a week should you take the same amount of...
HCG dose is independent of what TRT dose you are on. Basically, when on TRT, the LH receptors are just hanging out, doing nothing. They are just waiti...
What have you found to be best for fertility with your patients, clomid or something like hcg+fsh? Obviously people react differently on different med...
With our patients, we have had more success with hCG. This may have to do with the fact that more of our patients prefer hCG to clomid. Every patient ...
Is hcg necessary for the nuerochemical cascade that you wouldn’t get if you just took trt?
Necessary? Not really considering the neurosteroids that are affected by TRT can actually be taken orally. Pregnenolone (and its derivative allopregna...
My urologist is starting me off with 2000 unit of HCG a week.. my levels are in the 200s. Canadian. Any chance I notice any difference? Is it safe fo...
If you have secondary hypogonadism (pituitary function poor, normal testicular function), then hCG may double your total testosterone. If you have pri...
Is there any way to reduce HCT without donating blood constantly? I had high numbers from the beginning and it seems to keep climbing. We have reduce ...
Sadly dose reduction is one of the main raise to help lower this if you don't want to deal with blood donations. There may be some OTC options as well...
Maintaining testicular size and strength are important to me should I start TRT, and I hear HCG is the way to do that. Are there any alternatives if H...
Adding hCG to TRT essentially “keeps the factory working”. It counteracts the most of the testicular shutdown that occurs on TRT, and at sufficient do...
If I have too low E2 while I am on TRT would HCG a good option to slightly increase it? I tend to have low E2 with sometimes under 10 even though my ...
Yes, hCG does result in a higher aromatization rate than exogenous testosterone. This is because when you are already on TRT, your body recognizes tha...
I’m convinced that HCG ruined my TRT experience. Unfortunately my clinic started me on both at the same time. Experienced sides immediately that last...
Many men have side effects from hCG. This is why we never advocate for starting hCG and TRT at the same time. Dial in the TRT first and find your opti...
I have been on Test CYP for 6 months and now want to come off. I have 4 5000iu bottles of HCG. What is the typical dOSE per week people are taking to ...
Reading this post has me confused on something I thought I was clear on. Hope my sophomoric question doesn’t rile anyone up.
Can HCG be used alongside Clomid for fertility proposes? For example 1500iu EOD and 25mg Clomid ED until conception.
There are some providers who recommend that, though bear in mind HCG and the LH produced from Clomid use compete for the same receptor.
What is a common dosage of HCG for someone who is taking 200mg of Testostorone Cypinate weekly? On forums I have seen as little as 100mg HCG 2x a wee...
HCG dosing is determined independent from Testosterone levels or Testosterone dosing, and is generally based on desired use case. If your goals are co...
Do hematocrits ever level out without donating blood? I was on 100 mg once a week , my levels the day before injection was always about 580 that being...
They can, yes. There is no exact answer for hematocrit to dosing ratio to look at, because this one is totally dependent on the individual. Some men c...
Is HCG better than Enclomipine?
To be very general, yes. There's many aspects to consider but the biggest one for us is that IGF-1 can be suppressed heavily on Enclomiphene & it isn'...
I see many people say that HCG can raise estrogen in a disproportionate amount when compared to just testosterone alone. However, I’ve never seen any ...
There are no studies on this. It is primarily something noticed clinically. For example, I saw a patient last week who was on 150mg/wk of TRT. His E2 ...
My total T was 293 when I started TRT at 28 years old. Been in 120mg weekly. Injecting twice week with no side effects other than body acne do too ge...
If you wanted to come off of TRT then you'd want to work with your TRT provider. You could likely come off with HCG dosing and potentially a short sti...
Hi! I’m doing HCG mono 3500 UI / week. 3 mg Anastro / week and 50mg clomi 3x / week. My T is at 1050 and E2 at 39. Without anastro I was with 90 E2 f...
That is indeed a very high dose of anastrozole.
I’m on HCG monotheraphy medication called Ovitrelle which contains choriogonadotropin alpha 6500 IU (3x/week). I see that it’s potency is way higher i...
Ovitrelle is slightly different than other forms of rHCG, but is similarly dosed. That is a higher dose than usual for hCG monotherapy.
Just out of curiosity, why is some of the Hcg prescribed for intramuscular injections by regular docs? My understanding is that it works better subcu...
hCG can be either SQ or IM. Most men will see better absorption and synthesis by the body via SQ. SQ also won't ruin arm or leg day or cause you to ha...
i've been on TRT for about a year, I have already had children, so I don't need my fertility. I'm not taking HCG and from my understanding because I d...
In your case, we wouldn't recommend HCG for you. Mostly because you don't want the fertility & because it sounds like you have the benefits you need f...
Can you give an example of where HCG monotherapy would be suitable and the dosing strength and frequency?
The most important aspect of choosing whether hCG monotherapy is appropriate is first determining if you have primary or secondary hypogonadism. Prima...
Is there any long term risk associated with hcg use?
Generally HCG is fairly safe to work with long term, and many men enjoy low doses of it alongside their traditional TRT.
How does HCG affect total t, free t, and estrogen on top of current trt dose? If there is a large difference, would it be beneficial in some cases to...
HCG can effect this in some very specific cases. Usually it is if the HCG dose is moderate to high & the patient in question had a higher baseline Tes...
I'm on a 2000 IU, 3x a week (6k...) dosage of hcg after having done trt for 2 years. The hcg does totally make me feel better, but my dosage feels a b...
That is a relatively high dose of HCG, though if you are trying for active conception, that could be fine until it occurs. After that, it may be wise ...
My labs are dialed in on TRT but I still feel like I have room for improvement. Whats a good starting dose of HCG to help improve libido further and h...
Typical low end dosing for hCG is 500IU/wk. “Start low and go slow” is what they teach in med school, and I would suggest that with the addition of an...
My Dr has only prescribed HCG after I'm done with my vial of Testosterone, is that normal? To only take it between my vials of testosterone? My proto...
No, that would not be very normal. It is much more common to be on a consistent safe dosing of Testosterone constantly & a lower dose of HCG semi-cons...
How much HCG is it good for me to start with being on 250ml of test? Plz conservative doses only I don’t want to over do it
If you're looking for basic maintenance doses of HCG, 500 units weekly is a very standard approach for baseline fertility & testicle size. At 250mg T ...
What are your thoughts on an hCG starting dose? And how long before I would notice a difference for my trial? And since I’m asking questions… I know ...
Starting dose for hCG is typically 500-750IU/wk, often divided into 2 or 3 shots per week.
'm currently on TRT (cypionate 110ml/week) for really low T that presented itself after a chronic Rocky Mountain Spotted Fever and Anaplasmosis infect...
It is interesting that is has that effect for you, and we may suggest experimenting with the dosing & frequency further to see if it can provide that ...
What should be the normal dosage of HCG while on my cycle, here's what I'm dosing 2cc per week (800mg) need to know right dosing nuts are shrinking wa...
For HCG dosing, it is done by units. If you are on 800 units weekly, that should be fine for a moderate dose to maintain things as they are. If you're...
If experiencing symptoms of high E when HCG is introduced (I’ve done just Test 200/weekly no sensitive nipples) but when HCG is introduced I got them…...
You can lower the dose. Spreading the dose out won’t change much considering the half-life is 3.5 days, so doing it more frequently won’t change much.
If children aren’t in the immediate future is it ok to discontinue HCG use until ready to conceive? Or metaphorically speaking .. is it smarter to ke...
Due to the price of HCG & how it tends to work, many men elect to go through TRT without it until the time comes for conception. We generally ask for ...
What are your thoughts on enclomiphene without TRT and do you see it gaining FDA approval anytime soon?
This is very similar to another question so I will copy/paste that answer.
What are your thoughts on HCG mono-therapy? What dosage would you recommend?
In general it is fairly safe, and if you are suffering from low Testosterone & don't want your TRT to be in the form of Testosterone injections, it i...
How would you treat someone with very low SHBG and high estrogen symptoms? Assume patient is taking a large amount of AI already.
Generally adjust their dosing frequency to be more frequent to reduce overall spikes which may cause aromatization, switch from IM to subq because it ...
I’ve read that subq tends to aromatize more due to conversion in fat. Is that true?
No, it is not truly. In almost all cases it causes overall less aromatization to occur because that action is in response to when your body detects T ...
I've been in TRT for near 10 years. No HCG as wife said no kids. Now she wants a child. Can I stay on my trt and add HCG? Or best to come off? I don...
It depends on your timeline. If there is any rush, the fastest route to fertility is quitting TRT. However, it only takes the majority of men 90-120 d...
Is it possible to order just the HCG from you, if I receive my TRT from a different clinic?
This would be possible, though the pricing for this would be different than the traditional TRT costs. (Higher, since HCG costs more than Testosterone...
What if my baseline was around 250-280, would dropping the HCG disrupt my current levels with the HCG by a lot you think?
Not likely by that much. While hCG does add to the total testosterone level while on TRT, the TRT is still suppressive to a degree that is rarely over...
If possible. How common are blood clots with HCG? And does HCG directly increase hypercoagulability by itself or indirectly via increased Testosteron...
They are not a common side effect of the medication at all, nor is it considered common to Testosterone either. If it were to impact it, it would be v...
I’m already splitting HCG & test doses into 3x/week injections, IM test and SubQ HCG. Which one were you referring to when you suggest switching to Su...
Your Testosterone specifically for Subq. Testosterone is absorbed slower via subq than IM, resulting in an overall more even level & lower Testosteron...
HCG benefits more than just fertility. It also benefits mood and sensitivity, but too much can cause someone to crash. I'm guessing it causes E to sp...
Awesome to hear that, those are great outcomes. Yes, it can cause E spikes as well at any level depending on the person. That more has to do with how ...
How far in advance should one start HCG before trying to conceive?
Generally 3-6 month's heads up is what we suggest, 3 months is the minimum time it takes for a sperm to reach maturity.
Why is hCG being restricted? It has personally been extremely helpful for me and I dread a day where I can get it… I just paid 250 for 2x 6000iu vials...
The "why" aspect of it comes down to likely overregulation but really some of these small changes can have some pretty large impact on the whole proce...
So what are some risks of trt dose for rest of life besides not being able to have kids really just trying to understand ? Thanks in advance
Risk factors for traditional managed TRT are quite low, it is one of the lowest cost malpractice medical fields to put it into perspective. Since you ...
I have a brand new vial of HCG I need to reconstitute. Would you recommend that I drop the progesterone or continue it while I reintroduce HCG? (Regar...
While we recommend you speak to your doctor regarding your protocol, our recommendation would be to take only hCG or progesterone; not both. Taking bo...
What would TRT cost with the addition of hcg? How many months of prescription do you send out at once and is it delivered to my door or do I go to a ...
Generally HCG is $300 at the time of order/reorder and we send out 10,000 units at a time. Typical dosing is 500-1000 units weekly depending on goals,...
When the HCG gets here should I do em both? I've seen them used together with a mixed bag of opinions. It's just 1 vile I will not be getting anymore ...
Once the hCG arrives, you should discontinue the gonadorelin.
So I've been on TRT for 6 months, my clinic doubled my dose when I was at 615 with normal E2 levels then 3 months later. I'm only at like 718 and my E...
You already paid for it, there is no harm in trying it. It’s true, gonadorelin is a poor substitute for hCG, and has little benefit for this purpose, ...
This is two years of 6 month interval tests including FSH and LH Here’s a summary of my Total Testosterone and Free Testosterone numbers over time: ...
Your LH levels are lower than expected for your T levels for true isolated primary hypogonadism. You may have some mixed hypogonadism (both testicular...
Interesting that you say that because I found that my 3-4 years of elevated blood pressure have gone away ever since introducing one pump of progester...
While we recommend you speak to your doctor regarding your protocol, our recommendation would be to take only hCG or progesterone; not both. Taking bo...
At 1000 iu weekly, are there any long term side effects of the body no longer responding and producing LH?
As answered in another question today, long term use of hCG does carry the risk of downregulation of the LH receptor. So we always recommend a "drug h...
What would it cost with the addition of hcg? How many months of prescription do you send out at once and is it delivered to my door or do I go to a ...
Generally HCG is $300 at the time of order/reorder and we send out 10,000 units at a time. Typical dosing is 500-1000 units weekly depending on goals,...
If your LH levels are low as well as your testosterone levels, would you be a good candidate for hcg as opposed to trt? And do your levels stay elevat...
For those with low LH (secondary hypogonadism), hCG monotherapy can work well to raise testosterone. Once you stop treatment, levels will return back ...
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-...
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 soli...
1. Disregarding systemic effects, are there any downsides for your hair specifically to taking oral dutasteride? I'm fortunate to have zero signs of h...
I know someone who is on 200 mg a week. Went from 290 to 1000 at trough, but they don't feel any different. Test is from a clinic in USA. Thoughts?
It sounds like they may either be on too much for what they need & much is aromatizing to Estrogen, or they preemptively gave them an AI that was too ...
Is 496 too low at 20? Am i in a disadvantage?
When looking at a textbook definition of Testosterone levels, you would not be considered low. However, you would still be within an acceptable range ...
Cold turkey to quit testosterone?
We would generally advise against this, as it is fairly easy to work with either HCG, Clomid, or Enclomiphene to make the transition off of TRT easier...
What are your thoughts on theoretical long term effects on enclomiphene or were the studies not designed or powered to look for adverse events? Clomid...
For the long term use of Enclomiphene I'll let one of my partners hop in on that tomorrow who is more knowledgeable on that aspect.
Why does enclomiphene raise testosterone levels, but the testosterone doesn’t seem to be absorbed by the body, thus not relieving any symptoms of low ...
So, this may be a bit of a two part answer. A bit candid if you're okay with that.
Does anyone "time" TRT use according to their endurance schedule? That is, I *know* roughly when I'm going to bottom out -- during the two hardest mon...
From personal experience, I have raised my Testosterone consumption during periods I know it was dropping due to reasons like the above. However, I am...
Been on TRT since November. My wife and I would like to eventually have kids but we won’t be ready to start trying for 2-3 years. I know some doctors ...
That is generally how we approach this subject as well.
How do you handle libido problems? If testosterone and estradiol are both in range, where do you look next? DHT? Prolactin? I am currently dealing wi...
Libido issues can unfortunately be difficult to pin down sometimes because there are many factors, both intrinsic and extrinsic, that affect it.
I have been seeing more advice on replacing HCG with 2x/week enclomid (5-12.5mg). What are the pros/cons if this scheme?
Pros:
What are your thoughts on HCG along with TRT? 41 yo started trt about 6 months ago, and considering HGC. What are some advantages, and disadvantages? ...
Pros:
Why is it that Clomid, despite raising T levels, isn't really that effective? I've seen countless people on here say that their Free and Total T leve...
People have this question often. And the answer is Clomid is a medicine, testosterone is not.What I mean by that is Clomid (clomiphene) is a foreign s...
I’m on week 8 of 140mg / week and the original prescription included hcg. Trt clinic wants to wait until post 8 week labs to then introduce hcg, not f...
So our opinion on HCG is that it's really expensive to produce in the USA & thus they're probably charging and arm & a leg for it. If you're not takin...
When (or what circumstances) would you recommend clomid over testosterone?
The most common case is when a patient insists on it because they've read about the medication and really want to take a pill instead of do an inject...
I didn’t like HCG so my dr switched me to enclomiphene, which I tolerate better. I recently purchased some clomiphene citrate, is that ok to take for ...
Are you on TRT as well or are you doing SERM mono therapy?
Just started 200 mg split in 2 doses a week. Felt great first few week with high sex drive, full erections, morning wood, and strength in the gym. Wee...
There is a very common phenomenon around the 6 week mark of TRT, where some of the benefits seem to diminish. No one knows why that is, though we beli...
32 years old, not done having kids. T level at 294 with no energy, depressive tendencies and up and down libido. Doctor has prescribed me Clomid. I'v...
Many men still produce enough sperm while on TRT and hCG to get a woman pregnant.
Why is it that Clomid, despite raising T levels, isn't really that effective? I've seen countless people on here say that their Free and Total T level...
Although we replied in the other thread, just going to post it here incase it helps someone:
Can you have one of your providers look at my most recent thread (which includes bloodwork) See if they can give correct diagnosis. Would be a chance ...
Please refer to our disclaimer that we are not your doctor, and this advice is general and not meant to constitute a treatment plan.
I was reading hcg alone wasn’t a viable option according to the gurus of Reddit. But then again it’s the internet. Any comment on that ? Also there wa...
It's certainly more of a short term option as a stand alone, the addition of Testosterone will always be better, but trying to provide a benefit while...
I still want to have kids and want to avoid anything that could possibly shut me down all together. Which treatment is best for me ?
It depends on when you want to have children. If your intent is to conceive in the next 12 months, you should choose hCG alone or a SERM like enclomip...
And can you write scripts that can be use for insurance? Like thryroid meds and hcg?
We do sometimes work with local pharmacies instead of compounding pharmacies when patients ask for it. It's just important to note that your insurance...
What are your opinions on Maxum King’s and Hims treatment and the clomid tabs? Is clomid a beginners route to see if supplements are the right path? ...
We're not the biggest fan of clomid itself. It does raise Testosterone levels but lowers IFG-1 levels, which is one of the larger benefits of having ...
Is HCG recommended even if fertility is not a concern?
The very short answer: No. It does not provide much benefit that normal Testosterone wouldn't as well, and is current very expensive. That said, if so...
Currently on trt cream, no hcg. Talking about starting family with my wife, wondering what the best way to boost fertility without coming off would be...
Without coming off of TRT, then hCG would be the typical recommendation. This will raise intratesticular testosterone levels and restart sperm product...
I realize you need to answer in a generalization, but I’m searching for answers on nipple sensitivity and puffiness around the nipple. Currently no lu...
hCG aromatizes more that testosterone does. Your likely having elevated estradiol from that. You should speak with your doctor, but your options are t...
I’m 31, 6’2”, and 345lbs. I had back surgery last year and I was about 260 and athletic before I got injured 10 years ago. I’m fairly strong (I do som...
Well, you have low total and free T. Technically, your FSH and LH should be higher in an effort to get your testicles to work harder. But FSH and LH a...
What added benefits does HGH (not peptides) bring to a TRT routine?
HGH Carrie’s the benefits of improving nitrogen retention beyond that of testosterone. It increases IGF-1 levels to a greater extent than testosterone...
Can you get hcg mixed into TRT cream? Or does hcg need to be injected?
hCG does cannot be absorbed through the skin. It also cannot survive first pass metabolism, so it cannot be taken orally either.
Does it make sense to not take HCG currently if your plan to have kids is in, let's say, 5 years? Instead, you start taking HCG after those 5 years to...
Yes, that makes sense. Every study on the subject has shown that hCG causes a return of fertility. In fact, 75% of men on TRT become fertile while als...
In terms of injecting, how many times in a week or month would patients typically inject HCG?
Typically you'd do injections twice weekly if you're going to be on TRT anyways, as you inject Testosterone twice weekly most of the time anyways. Giv...
Does HCG effectively mean I would still produce my own T as well as gain T naturally as I take TRT? Say for example, im on TRT and HCG, I’m going to t...
Not quite. A good way to think about it is that the main purpose & effect of HCG is to "prime" the testes for production, which will do a good job of ...
42yrs old. I took Boron and DHEA for about 7-8 years and T levels were in the mid 400's and felt good. Recently it stopped working as well so I stopp...
It would depend on your test results, but things like Clomid increase your Testosterone by an amount of your base ability to do so. You won't notice a...
Currently on TRT for about 8 years, doctor does not want to put me on HCG long tearm. I am only 37 and want to recover testicular function. Any studie...
There are not really long term studies on HCG that you could present, no, as that is still considered off-label technically. However, anecdotally, man...
What do you think about combining enclomiphene with a peptide to increase IFG1 to counteract enclomiphenes side effect of lowering IFG1?
Logically that makes sense and we get it, however there are not long term studies on this exactly. If you're cool with that you could be the test subj...
What you are doing is awesome guys! I would highly appreciate your input on my case. I have been working out in the gym/calisthenics/swimming/jogging...
To answer your questions in order:
What do you think of combining enclomiphene citrate with HCG as a way to boost test?
We would think that it would boost your Testosterone, but to keep in mind that these things improve your natural production. They are more effective t...
I'm in a bind right now with my situation. I've been on trt for 11 months, 150mg a week split into 3 shots. I also take hcg with every injection, 50...
While not knowing everything exactly and not wanting to step on anyone's toes, we'd suggest consulting with a fertility specialist rather than just a ...
While on a standard trt protocol (200 weekly) + hcg, at what testosterone level can one maintain fertility?
We do not necessarily agree with 200mg weekly being a "standard" dose. It is actually the highest use case dose that the DEA considers normal treatmen...
Why does institutional endocrinology insist on horribly outdated treatment protocols, when modern evidence says they're wrong? eg: I asked my nearly ...
How many patients have vision problems with clomid?
Between 1.5-3% of patients will experience vision problems with clomiphene. The higher the dose, the higher the likelihood. Most cases are reversible,...
I am wanting to switch my from clinic they absolutely refuse to stop infusing my TRT with anastrozole , what do you guys usually include in a protocol...
I'm guessing that the pharmacy that they use only sells their Testosterone Cypionate with that mixed in, or that they don't care to take things on a c...
Why is HCG impossible to get in certain states. We can’t get it in Arkansas. They don’t or won’t compound the medicine. Do y’all prescribe HCG or what...
The rules regarding
Why can’t you stay on HCG long term?
It is generally more of a concern about cost more than anything for the average American. When taking HCG with Testosterone, it is not adding much in ...
Are there any studies about TRT affecting sperm quality? I know about motility and sperm count. I mean specifically like denaturing of the sperm quali...
Testosterone does not cause birth defects. Remember what you are injecting is the same substance that has been coursing through your body every single...
Hi there, I have chronically low T , but not quite low enough that my doctors will prescribe it for me (hovers around 225-290 ng/dl) . I’m also trying...
For fertility purposes, clomiphene and enclomiphene are your best bets. They are the first line treatment used by fertility doctors to increase sperm ...
How much would 150mg of testosterone cypionate, 1000iu’s of HCG weekly be?
150mg of Testosterone Cypionate would be within our standard ranges and covered by our basic $129. For the HCG it would come down to the intended leng...
Do you guys prescribe HCG and can you telemed in Nevada? And what pharmacy do you guys use for compounding?
Yes, we can prescribe HCG & we are able to do telemedicine in Nevada. We use a handful of compounding pharmacies which have better prices on different...
I'm thinking about getting on TRT to boost my energy, libido, and mental performance. I would like to maintain my fertility too. What do you think abo...
Hey there, we had a few people review this since you were pretty clear.
Why is HCG impossible to get in certain states. We can’t get it in Arkansas. They don’t or won’t compound the medicine. Do y’all prescribe HCG or what...
Our compounding pharmacies are large continental US based rather than smaller and locally based. The reason your local ones probably aren't is because...
I’m in California. I’m already on with Royal. If I switched to you guys what would the cost be? Could you also get me on HCG and T?
There's no extra cost from switching TRT providers, we do accept current treatment plans but would still want to talk about how you're feeling on it.
Thoughts on use of enclomiphene as opposed to TRT?
The best case & results we've seen for it's use has been for men who have higher base Testosterone levels, aka relative hypogonadism TRT candidates. S...
I am currently self administering TRT 125mg PW Sustanon to be precise (35yo Male, no known medical conditions or physical health issues besides MH & L...
There is very little issue adding HCG full time to a TRT regimen, though you want to be reasonable and only use 500-1000 units a week. Closer to 1500 ...
My LH is zero. Will HCG fix that?
Other than fertility issues, are there any other concerns that a 26 year old man should have before starting trt? (Before starting I have taken 2 test...
In general, *current* fertility & hair loss are our main concerns for otherwise healthy young men.
I am currently on a protocol that is HCG based "monotherapy" it has been working great it seems, especially on bloodwork, but I wonder if I'm feeling ...
Clomid & HCG are fine together, they come at the problem from different avenues to try and accomplish the same thing.
Hi. 54 YO man. T was 170. Been on .75 Xyosted for 2 months. Now T is 420 and feeling good. But, the Testicular atrophy is killing me. Right Testicle k...
Xyosted
Makes sense. Apomorphine sounds promising on account of not requiring an injection, so I'll probably inquire about that first when I visit a doctor. H...
Apomorphine effects typically kick in 20min after the sublingual dose. Its effects typically last several hours..hCG should typically be dosed no less...
If a person would take HCGs the preserve fertility, how many injections can he expect to do weekly on a combo of TRT and HCGs Also, regarding libido,...
Someone looking to maintain fertility by using hCG while on TRT would typically dose at a minimum of 500 IUs/wk, with improving sperm levels with incr...
The longer you are on TRT, the harder it is to bounce back from, should you decide to go off, correct?
Yes and no. If you were to only take it for a few months, then recovery would be expected to be rapid, typically within a few months. The longest it h...
I'm all over the second, non medical advice. I have labs to test my ferritin & iron levels next week. If they look good I'm going to a different bloo...
Good planning with the lab tests, most donation companies don't talk to one another at all.I would be annoyed as well. It's really interesting the spe...
I was wondering if I could ask about my labs. Current 46 years old. Started feeling symptoms that could be associated with low t. I was also overweigh...
First, awesome job losing the weight and making lifestyle changes.
On daily cypionate and HCG but estrogen is high. Tried examestane and anastrazole which brings down to normal levels but I feel hollow sometimes and a...
It sounds like the goal is to maintain treatment and remove the need for AIs. With that in mind, you could consider reducing your HCG dose unless you'...
Would it make sense to be on 25mg of enclomiphene twice a week while on 140mg a week of test cyp to help preserve fertility? I was prescribed this and...
While you can, we would suggest to not if you're interested in the fitness aspects of TRT (which most men are).
I'm currently taking 60mgs test cyp, 500iu HCG and 25mcg anastozole twice a week. I'm new to HCG and strictly taking it for the neurological benefits ...
In general yes, though HCG is relatively safe for long term personal health (though a bit harmful to long term monetary costs depending how you get it...
Hey! I have elevated e2 of 70, total test of 400 maximum, lh 1.9, fsh 3.2 I feel testicle ache, shrinkage, and low T symptoms going on 2 years. Any ...
HCG monotherapy will still increase Estrogen compared to normal. You would probably be primary or secondary, yes. It may be work taking an AI, the onl...
What can cause severe anxiety and palpitations (especially at night) on trt and Hcg?
Well, TRT is not typically known to cause anxiety, though elevated estradiol levels can, so you should look into that. hCG is more likely to aromatiz...
How do you recommend coming off TRT if you have been on for many years?
A combination of Clomid/Enclomiphene & HCG is usually ideal. It would be fine to start those up while still on TRT for a few weeks if it's all planned...
I was on testosterone but quit a couple weeks back and now take HCG and Enclomiphene to try to get fertility back. Do you offer anything else that wou...
HCG & Clomid/Enclomiphene would be the same course of action that we would take for someone trying to cycle off of Testosterone to have a child. Thoug...
Hearing more about demesterol levels and enclomiphene as being a long term cardiovascular risk factor. Have u looked into that at all?
Desmesterol is the pre-cursor to cholesterol. Enclomiphene blocks the conversion of desmesterol into cholesterol by inhibiting the enzyme 24-dehydroch...
Sorry, but there's no such thing as a great dose. Take me, for example. Off 120mg my trough is 1344ng/dl. At 175mg, I was off the charts. My point is ...
I agree that everyone is different and that there will always be outliers, good stuff to share.
I’ve been on TRT for 6 months (160 mg weekly). Added HCG (1,500 weekly) 3 months ago. Balls though got firmer but still have not recovered to the pre-...
160mg a week is a great dose for Testosterone. For HCG 1500 units a week is what we would use for someone trying to actively conceive a child.A good ...
Don’t think I've got super low T but never felt like ive got good range of T either. Question is, can i do one cyxle and come off and see effects if i...
We would advocate to go through a traditional TRT practice so they can help guide the needs:dose and talk about it based on your symptoms. That said, ...
How does one start taking HCG with TRT? I want to try testosterone only initially and see how my body responds to it, then when I think I'm maintainin...
You would not need to adjust your Testosterone dose when adding HCG generally. HCG/Clomid increase your natural production. On Testosterone your natur...
Looking into stopping TRT for a while and starting enclomiphene (for fertility). I've read that clomiphene can get your test numbers into the referenc...
The reason it doesn't feel as good as normal TRT is that Clomid/Enclomiphene suppress IGF-1, which is what builds/maintains muscle & provides many of ...
I’m hoping to start TRT next month. Been dealing with terrible symptoms the last five years, got blood work done that showed low free and total T. I...
Yes sir, many men do. You could probably start on a mild dose of 500-1000 units weekly until you're actively trying and then kick it up to 1500 units ...
I've been noticing a lot of fatigue and brain fog the day before I take my Testosterone Cypionate. Is this just in my head since the half-life for Tes...
It is realistically closer to 4 days, and if you can tell a difference the day before your normal shot it would be perfectly fine to change to three t...
I know this isn’t TRT related but I’m a 20 year old male(344 ng/dl first test done at 8:30, and 311 ng/dl done at 9 am, 2 different dates) overall hea...
Clomid is a form of TRT the way we think of it, no worries.
Is there any information about using hcg with trt that contains benefits outside of fertility and ball size? I’m old and done with kids and don’t care...
There can be some. Some men have reported having better Estrogen levels or having it help with libido while on TRT.
Thoughts on using HCG + Enclomiphene in lieu of TRT for younger men with low testosterone worried about fertility?
They are fine ways to improve your Testosterone level, though each has some drawbacks.
What requirements do you require to get started with semaglutide, tirzepatiode or any of the following that you mentioned above ?
GLP-1s are less of a controlled medication that Testosterone & TRT is, which means the guidelines for use when not working with insurance justificatio...
For context, I'm a 35 year old male. I have had two blood test. The first of which stated: Finger prick blood test Total testosterone - 17.100 Free ...
Our opinion would be to rethink the goal & metrics a bit. For TRT & why you've been denied care, many institutions like insurance companies or very ol...
How are you guys feeling with using Enclomiphine as a means to preserve testicular function vs HCG while on testosterone? Have you tried combining the...
So, we are a bit more conservative in that we don't feel like the science has proven any benefit for use of a SERM and TRT concurrently.
My wife and I I look to try for our third child next year, first post TRT, I wanted to get your thoughts on what i should be researching, asking my pr...
So, to keep it simple, TRT is male birth control. While some men still can produce sperm while on TRT, you should never assume you are one of them. A...
When these neurosteroids bottom out, would that cause adhd medications to stop working? Would introducing HCG be a better option than supplementing wi...
Yes, when these neurosteroids are depleted, it would make focus and attention worse. This would typically mean that any treatments for attention would...
Any downside to micro dosing HCG? I take 60 units per week, 17 units EOD. I have heard it is not as effective at low doses. True? Would I be better of...
I wouldn't say there's a downside to micro dosing vs more spread out injections on paper. The trouble is that when you're working with those very very...
I see many people on this sub post with bloodwork confirming that while on TRT (test only, no HCG) all health markers look great/within range and they...
Thoughts on Enclomiphine Vs HCG alongside testosterone for the sole purpose of preventing testicular atrophy? I just started EOD 12.5mg Enclomiphine ...
There are no studies on using enclomiphene and TRT together, but it is becoming a more common practice. Logically, it keeps your FSH and LH production...
What’s your favorite hair protective method for someone who is prone to baldness? Also subq vs IM? The age old question. I started with HCG mono and ...
When it comes to TRT, Testosterone at a therapeutic dose (getting you to where you should be) typically doesn't cause additional* hair loss. However i...
Is HCG the recommended product to return testicular size when on a TRT regimen?
Generally yes. There are a few other things that can help, but HCG is going to be the most direct & effective.
I am considering trt to improve my gym performance and physique. I'm wondering if I decide to stop trt one day, how long will it take for my own body ...
Many more recent studies show that 6 months to 1 year for production levels to return to normal completely unassisted.
Why is hCG so expensive?
A good few years ago they changed the regulations regarding its manufacture, making it a much harder process on the production side of things. This c...
What’s your recommended dose for hcg weekly to maintain fertility and testicular size? And it hcg increases e2 too much is it fine to take an AI long ...
Anywhere from 250-1000 units weekly will have a good effect for cosmetic size & can be considered a maintenance dose. Many men opt for 500 units weekl...
What could I expect cost wise to start on TRT and include HCG for fertility purposes? Considering it and no clue what to expect for cost. I know there...
Almost all clinics are going to cost around an average of $130-150 a month, despite whatever they say, for baseline TRT (no HCG). There are some like ...
My doctor is only testing free testosterone for medically prescribed TRT at my appointments. What other levels and things should I ask him to check? ...
Truthfully if you're only on a moderate dose of TRT, it is providing the benefits you're looking for, and you have no side effects - Basic Testosteron...
I am completely confused about TRT. I see people here talking about HCG, AI, different gauge needles, amounts, different types of Testosterone. Can y...
Yeah! No worries. A lot of men are in the same boat. Happy to clear up what I can here too.
Im dealing with : Shortness of breath, severe cognitive issues (memory, verbal fluency, cant remember simple words during conversation) Water retentio...
Well, the shortness of breath is an indication that your symptoms may not be related to your hormones. You have described symptoms that could be relat...
What dose of hcg would you recommend when starting TRT?
The dose would depend on the purpose & a bit on financial reach.
I’ve put a post on here recently. I am waiting for more blood test results but previously I had high SHBG, high total T, high e2, low normal free T. I...
With high E2 that is probably true, for men with low Estrogen they can certainly bottom out their Estrogen even with a basic AI dose.
Do you recommend HCG along with TRT? Not for fertility but for other benefits? Like keeping testicle size normal?
We would be neutral on HCG with TRT if not for fertility.
Can HCG cause itching/tingling nips and enlarged breasts? I was doing fine until (under doctors orders) I injected 500iu HCG. Woke up this morning wit...
No & yes.
How often do you see HCG doing nothing to preserve fertility? I had to completely quit all TRT for 6+ months to regain my fertility. I was on 250iu t...
Very rarely.
Would you treat a 23 year old male? Also how much are your clinic fees? Ie; start up fees, medication costs, any recurring fees. Thanks!
Yes, we would and have - If they are suffering from low T symptoms & we can determine there is no underlying condition during a consultation.
Do you offer hcg?
Yes, we do. It is an ancillary medication for TRT which comes with an increased cost because it is quite expensive. We should probably list that more ...
Is there any point in taking hcg and clomid at the same time? Would hcg cancel clomid's effect out? Like clomid trying to kick pituitary to function w...
There are no studies on this practice of using both at the same time, but logically speaking, using them together doesn’t really make sense. HCG attac...
Does timing matter for HCG injections? Husband is adding hCG (3x/week MWF) to usual TRT (2x/week Sun/Thurs) to regain fertility, and didn’t know if AM...
Generally no. With hCG it is less direct than with TRT, as it's not the medication itself causing a level to change but the downstream effects which p...
Hello, I had low T but normal LH and FSH levels last year. Sperm count and quality was also good. I started HCG monotherapy (1500 IU twice a week) aro...
So, primary hypogonadism is typically diagnosed when LH levels are normal are high, and testosterone level is low. Basically, LH is the gas pedal tel...
I need to take hCG because, simply put, my testicular pain disappears. So, I undergo treatment just to maintain testicular health and size. In this c...
If it is simply for this reason and nothing else, then it would make sense that the lowest possible dose while still providing the benefit you are loo...
What benefits do you typically see from monotherapy with HCG?
The removal of low Testosterone symptoms would be number one on the list. Essentially, effectiveness goes somewhat in this order: Injection T > Topica...
If you are someone who has no fertility concerns (family planning is done) is there any benefit to taking hCG alongside TRT. My clinic has me on test...
It would mostly be used for testicle size & fertility.
I’ve read you should take hcg for 20 days then stop for a while and others say take it as long as you want. What’s a good protocol. I’ve been taking m...
The reasoning is that you do become a bit desensitized to it over time, which can require a higher dose. However outside of that there's not many othe...
I switched from my primary doctor to a TRT clinic a month ago in order to get HCG along with my test, and 2 weeks after my first hCG dose I am told I ...
Yes, we do!
Thoughts on Kisspeptin and how it compares to hCG?
Kisspeptin works in a different pathway. Kisspeptin is produced in the hypothalamus and acts upon KISS1 and GPR54 receptors to stimulate the release o...
Would you say that TRT with hCG is a much better option for someone that wants to maintain fertility as opposed to Enclomiphene mono therapy? I was co...
We would say that, yes. In general although Enclomiphene appears to have less side effects than Clomid, it has not been around as long as these other ...
Are there any viable alternatives to hCG when trying to maintain fertility on testosterone? If not, are there any being studied or developed? I've be...
There are some, like Enclomiphene or Clomid, but they are not as safe & effective as hCG is for the same purpose. That said, for many men like yoursel...
Question regarding HCG and HTN: I had a weird experience on 200units of HCG. I was prescribed 500 units three times a week but did a test dose of 200u...
First of all this sounds very scary and I am glad to hear that you have no long-term affect from this incident. I'm also glad to hear that you were cl...
Is there cream or gel for hCG plus TRT?
No sadly, for hCG you would need to use an injectable given what is available on the market right now.
What happens if my provider gives me hCG for 6 months with the same vial when it says one month is the max on the bottle ? Is it still good ?
For hCG & the listed 60 days (or 30 days depending on the state that you are in); The discard date (sometimes labeled as expiration date) is not the s...
I used to have cumshots that would make a pornstar jealous. I know hCG is mainly for fertility, will it also help me with the cumshot?
Yes & no. Only a small portion of ejaculation comes from the testicles, which is why it's not a major concern/complaint when someone has a vasectomy....
I've been wondering about something about hCG in regards to RBC, hematocrit, and hemoglobin. It's well-known that exogenous testosterone use will rais...
TRT and hCG can/will cause some elevation of hematocrit and/or hemaglobin. Changing doses doesn't usually get H&H into better ranges. The best method ...
I started HCG 1200 IU weekly at the same time as 100 mg test, with no AI. If my bloods come back normal but with high e2, would the first course of a...
It would depend on a few things. First, how you're feeling on the two medications & what your Testosterone comes back as. If you are feeling great wit...
If I accidentally left reconstituted hCG out of the fridge. How long is too long and I should be worried if at all?
Generally this is fine depending on how long you plan to use it for. Some men don't even refrigerate their hCG because their dose is high enough that ...
Do you believe it’s likely to have kids while onTRT if using hCG regularly? I’ve been in TRT for a 4+ years but have only been using hCG for the last...
HCG can keep your sperm count high enough for conception. You can get a sperm count done, but generally you should have high enough to conceive.
Is there any disadvantage to HCG monotherapy as opposed to TRT?
Assuming cost isn’t an issue, what’s the best dose of HCG as a supplement to TRT? I’ve seen as low as 500iu weekly and as high as a few thousand. What...
"Best" dose is always individual, but here is a quote from a frequently cited study that will help explain things:
I’m on test 100 mg per week pinned twice a week. I recently added 500iu hcg split twice weekly. Almost immediately I got acne on my chest back and arm...
It sounds like you were right at your sweet spot for Testosterone levels where your body didn't see it as an issue & aromatase into extra estrogen. Ad...
I was just prescribed HcG from my endocrinologist. I’ve been on Clomid for a year and it has made me feel awful. I’m a different person on it. What ca...
In general there are a lot of side effects with Clomid compared to HCG, especially if we're talking monotherapy without additional Testosterone. Assum...
I'm currently taking half a ML a week of pregnyl on top of half a ML of test cypionate, with that dosage a bottle would last me 20 weeks. The shelf li...
So, the "shelf-life" is how long an FDA medication can "gurantee" sterility after puncture. The actual medication in the vial remains viable for up to...
Many people are talking about using hcg instead of clomid, but hgc is simply an analogue of LH. when it comes to fertility explicitly you need both go...
You are right in that Clomid provides better fertility than hCG because it also increases FSH, which we now know matters less for sperm count, and mor...
Endo has me on clomid and trt. Would they switch me to hcg instead? Is it better to use than clomid?
The SERM (clomiphene or enclomiphene) and TRT combo is still experimental and not proven science. The hCG plus TRT is proven and the gold standard for...
Why has it been so hard to find a pharmacy that can fill compounded hCG?
Due to new FDA regulations, access to compounded hCG is now extremely restricted and may at some point stop altogether. This means an already low supp...
Is there a shortage of hCG in the US?
Yes. There has been less hCG available in general terms for all pharmacy distributors across the board.
Is there any reason to use Testosterone Cypionate and Enclomiphene concurrently?
There are two negative feedback loops on LH release, estrogen and testosterone.
How important is it to start HCG with TRT if conceiving isn't in the plans for several years down the line? Once on TRT, how soon should hcg be starte...
All studies on concurrent use of hCG on TRT were done as a recovery study, not a preservation study. What that means is, all the data we have about hC...
I have been in enclomiphene for a year, but my test has been going down, and I just haven't been feeling as great as I did overall after starting the ...
Based on how you've responded, and how adding that has gone - We'd suggest swapping to injectable TRT & HCG for fertility instead. The main issue with...
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