question from a user
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 term?
AlphaMD's Answer
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 weekly simply because the cost of HCG is so higher currently.
For true fertility's sake, aka trying to have a child *right now*, 1500 units weekly is more ideal.It is not overly likely that HCG monotherapy would raise E2 to a point you'd need an AI, but if you do need to take one with it then a low dose long term is fine. More ideally, if you're taking high dose HCG without needing to have a child immediately, lowering the dose may be better.
Same thing if you're taking HCG+Testosterone, a slightly lower dose, switching Subq, or increasing frequency of injection can all be alternatives to avoid higher E2 without an AI.
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