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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 do you prescribe. What is an alternative to HCG for now and it appears it’s getting harder to get HCG anywhere. What will take the place of HCG to prevent the boys from shriveling up

AlphaMD's Answer

Our compounding pharmacies are large continental US based rather than smaller and locally based. The reason your local ones probably aren't is because they changed regulations a few years ago which made it much harder (costlier) to produce than it was before. So our pharmacies are still able to prescribe HCG.

However due to this still being the case even for them HCG is simply expensive. Depending on how we're able to source it it will tend to cost an additional ~$50-56 a month in addition to normal treatment.

It is important to note that a decrease in testicle size outside of current fertility concerns is mostly cosmetic and not long term. If someone is looking to conceive a child we would suggest cycling off of TRT for a few months or adding HCG while making attempts. 75% of men tend to have enough spermatic production while on TRT & HCG to conceive.

Outside of immediate conception, we would not advise long-term HCG use unless you personally want it, as it doesn't add much to the therapy but does add a lot to your bill.

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