HCG Monotherapy - Considering testosterone replacement therapy (TRT) - Bloodwork Included

Sneakster

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HCG Monotherapy - Considering TRT - Bloodwork Included

Blood Work Attached @ Bottom of Post. Please read information below first

Greetings,

Basic background info before I cut to the chase (just to answer any basic questions you may have):

Age- 23

Training History- 4 years of solid training (P90x, Insanity, Rippetoe Starting Strength, Stronglifts 5X5, Started "T25" yesterday in combination with heavy compound barbell lifts).

Nutrition- Excellent diet. I avoid processed foods and sugars. I currently consume 6 meals a day consisting of whole grains, fruits, vegetables, and lean protein sources (along with whey protein isolate shakes when necessary). Plenty of water per day.

Supplementation- I take a quality mutli, two fish oil capsules, vitamin D3 and Glucosamine. I have also used three natty test boosters in the past 3 years with mediocre results (Cellucor P6, Driven Sports AX and DAA powder).

Sleep- 6-9 hours per night (wide range I know, being a student has its scheduling downfalls.

Now to the important part:

I was beginning to feel lethargic, having focus issues and eventually began to have ED issues at age 20 so I consulted my doctor who suggested that I may have low testosterone. MRI revealed that I had a benign tumor next to my pituitary gland. Endocrinologists and my doctor determined that this tumor was in no way effecting the functioning hormonal duties of my pituitary gland (I am still skeptical about this, however I am not the doctor here). At age 20, blood tests revealed that my Testosterone levels were in fact low. My doctor immediately put me on test injections (I dont remember the frequency of the injections to be exact due to my lack of knowledge of hormones at the time, I was just focused on fixing my ED!) I did therapy for 2 months until my ED issues went away (Woohoo!) at which point I stopped therapy for obvious reasons (age and unwanted side effects). However, this did not solve 100% of my issues. Fast forward 3 years- I have gone from 150 pound skinny fat shrimp to 165 pounds at 13% body fat (quickly working on getting that number to 10) with positive libido and no ED (not the strongest erections for someone my age however). Three months ago I consulted my doctor again about some of the symptoms of low T. Despite my training, nutrition and general lifestyle, I have continued to be lethargic, unable to properly recover from lifting, poor sleep and my general sense of well being is just not adequate for someone with my lifestyle at my age. He gave me another blood test and it once again revealed that I do in fact have low testosterone. He referred me to a hormone replacement therapist in town who prescribed me Human Chorionic Gonadotropin (HCG) mono-therapy injections. I have been injecting 0.12ml (12 units on the insulin syringe) 5 days per week in order to naturally increase my testosterone levels.

Here are my concerns:
I have been on the Human Chorionic Gonadotropin (HCG) mono-therapy for over two months now and have not noticed any positive effects (other than some more morning wood). So far my skin is oiler and I seem to retain more water (this could be incorrect but I look more puffy and my hips have gotten bloated). I have not yet gone in for another blood test to see if my testosterone levels have increased (booking an appointment today to get blood drawn next Monday). I asked my doctor about estrogen control and he claims that there is no need to worry about increased estrogen due to the Human Chorionic Gonadotropin (HCG) injections. However, everything I have read on the informational sections of this webpage disagree with his statement.

Final questions:
Am I too young to begin testosterone replacement therapy (TRT)? My Hormone Replacement Therapy (HRT) doctor says it is undesirable to begin this at my age. I am considering administering myself Testosterone injections (presuming I can't find a doctor who will do so for me) along with an Anti-E (arimidex most likely) and continue my Human Chorionic Gonadotropin (HCG) injections for testicular insurance. I am a very well organized and responsible adult so abuse and/or improper use of testosterone is the least of my concerns. If your advice is in fact NO, that I should not pursue testosterone injections, then do you believe it would it be beneficial to add Arimidex (or any Anti-E medication) to my Human Chorionic Gonadotropin (HCG) therapy in order to control estrogen levels? Any other advice in general would be greatly appreciated. I am sick of working my ass off during training and maintaining my nutrition & healthy lifestyle just to wake up feeling lethargic and fatigued on a daily basis! Oh, one last thing- I do plan on having children sometime in the near/distant future so I do not want to pursue anything that could potentially put that at risk.

I want to thank everyone who took the time to read this long detailed post.

Best,
Nick

Blood Work Screen Shots

View attachment 552174View attachment 552175View attachment 552176
 
Nothing fellas? I know Human Chorionic Gonadotropin (HCG) monotheraphy is becoming a popular testosterone replacement therapy (TRT) strategy for people my age. I am considering ordering an estro blocker from pinnacle since I know my Hormone Replacement Therapy (HRT) doctor does not support that route but I do believe I will benefit from it as I do have the common symptoms of low T and high E. What estro blocker would best compliment my Human Chorionic Gonadotropin (HCG) injections?
 
When were those labs taken? Before Human Chorionic Gonadotropin (HCG) and testosterone replacement therapy (TRT)? After?

What's your LH and FSH at? Were you diagnosed with primary or secondary hypogonadism?

In the labs your included your estradiol looks great. If taken on your current protocol why do you think you need and AI?

Have you tried a restart? I would want to at your age if your are Secondary.

Anyway, answer those questions and that will help us give you advice.
 
Megatron28,

Thank you for your response. Sorry if my initial post came off as a bit unclear.

These labs were taken before Human Chorionic Gonadotropin (HCG) mono-therapy started.

I have low testosterone because of a pituitary tumor, therefore my low testosterone is due to secondary hypogonadism.

The blood work attached above is the only information I have at this point. What type of test should I request from my doctor to see my LH and FSH levels?

The estradiol level was a misinterpretation on my behalf. I read the stickys today on reading bloodwork and it helped clear up my misconception. Consequently, I do not believe an Aromatase inhibitor (AI) is needed for my current protocol. I still have the fear that the Human Chorionic Gonadotropin (HCG) will aromatize (this belief comes from my online research of Human Chorionic Gonadotropin (HCG) as a low test mono-therapy)

I have not attempted a restart. I have read a few different approaches to this. What restart process would you recommend?

Please let me know if you have any other questions.

Best,
Nick

Edit: I pick up my second vile of Human Chorionic Gonadotropin (HCG) tomorrow. I will post photos of the label and the doctors recommended protocol to see what your opinions are and if I should change my protocol strategy.
 
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Megatron28,

Thank you for your response. Sorry if my initial post came off as a bit unclear.

These labs were taken before HCG mono-therapy started.

I have low testosterone because of a pituitary tumor, therefore my low testosterone is due to secondary hypogonadism.

The blood work attached above is the only information I have at this point. What type of test should I request from my doctor to see my LH and FSH levels?

The estradiol level was a misinterpretation on my behalf. I read the stickys today on reading bloodwork and it helped clear up my misconception. Consequently, I do not believe an Aromatase inhibitor (AI) is needed for my current protocol. I still have the fear that the HCG will aromatize (this belief comes from my online research of HCG as a low test mono-therapy)

I have not attempted a restart. I have read a few different approaches to this. What restart process would you recommend?

Please let me know if you have any other questions.

Best,
Nick

Edit: I pick up my second vile of HCG tomorrow. I will post photos of the label and the doctors recommended protocol to see what your opinions are and if I should change my protocol strategy.

Sorry. I missed that you mentioned the tumor. Maybe lead with that next time. :-)

LH and FSH would have helped you determine if you are primary or secondary. Given the tumor its a pretty good bet you are secondary so not necessary. I guess you will see if the hcg helps. I am guessing that you ate going to need to add testosterone though. You shouldn't stay on hcg alone for the rest of your life.

HCG can affect your estradiol. Keep monitoring your estradiol.

Given the tumor, I doubt a restart would work for you. Looks like you're on testosterone replacement therapy (TRT) for life. Welcome to the club. It is a life saver if you need it. But you could try a restart. I guess the only thing you have to lose is time a money. There is a small risk in using clomid, but I don't believe it is very common.
 
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Sorry. I missed that you mentioned the tumor. Maybe lead with that next time. :-)

LH and FSH would have helped you determine if you are primary or secondary. Given the tumor its a pretty good bet you are secondary so not necessary. I guess you will see if the hcg helps. I am guessing that you ate going to need to add testosterone though. You shouldn't stay on hcg alone for the rest of your life.

HCG can affect your estradiol. Keep monitoring your estradiol.

Given the tumor, I doubt a restart would work for you. Looks like you're on testosterone replacement therapy (TRT) for life. Welcome to the club. It is a life saver if you need it. But you could try a restart. I guess the only thing you have to lose is time a money. There is a small risk in using clomid, but I don't believe it is very common.

My doctor was referred to me by my parent who also uses HRT. The doctors practice is specific to wellness and anti-aging. He is confident that I do not need testosterone at my age, however he does not specifically state why. Anytime I bring up testosterone replacement therapy (TRT) as opposed to HCG mono-therapy his response is always "This is not the preferred therapy protocol for someone of your age". I will continue to get blood tests regularly (once a month sound about right?) to monitor my estradiol. Furthermore, none of the protocols in his pamphlets mention anything about estrogen control. He exclusively uses Test injections, cream or pellets.

My main question at this point is this- What is the major downside(s) of utilizing Test injections at my age? I absolutely want to have children in the near future so maintaing fertility is extremely important to me. Btw, the fact that testosterone replacement therapy (TRT) is for life is not a downside for me. I am more than willing to dedicate to a life long therapy protocol given that it will improve my symptoms & imbalances!

I am considering dropping my doctor (or keeping him around for the HCG) and contacting the LowT reps that I see posting on this subsection of the forum. What are your thoughts?

Edit: Keep posted for photos of my HCG dosage protocol later today after I pick up this months vile.. I have read SO many different protocols for HCG monotherapy dosage that it is overwhelming!
 
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My doctor was referred to me by my parent who also uses HRT. The doctors practice is specific to wellness and anti-aging. He is confident that I do not need testosterone at my age, however he does not specifically state why. Anytime I bring up testosterone replacement therapy (TRT) as opposed to HCG mono-therapy his response is always "This is not the preferred therapy protocol for someone of your age". I will continue to get blood tests regularly (once a month sound about right?) to monitor my estradiol. Furthermore, none of the protocols in his pamphlets mention anything about estrogen control. He exclusively uses Test injections, cream or pellets.

My main question at this point is this- What is the major downside(s) of utilizing Test injections at my age? I absolutely want to have children in the near future so maintaing fertility is extremely important to me. Btw, the fact that testosterone replacement therapy (TRT) is for life is not a downside for me. I am more than willing to dedicate to a life long therapy protocol given that it will improve my symptoms & imbalances!

I am considering dropping my doctor (or keeping him around for the HCG) and contacting the LowT reps that I see posting on this subsection of the forum. What are your thoughts?

Edit: Keep posted for photos of my HCG dosage protocol later today after I pick up this months vile.. I have read SO many different protocols for HCG monotherapy dosage that it is overwhelming!

I have been giving your situation some thought. There are some contradictory/ambiguous things that make it hard to figure out what to do. For example, the pituitary tumor. That would seem to scream secondary hypogonadism. But your doc said it had 0 impact on your test levels. Seems odd, but what if he is right? And you don't have any LH or FSH results from before treatment to help us make the diagnosis. So if it isn't the tumor that caused your hypogonadism, what did? and is it something that can be corrected? How does your doc know that you are secondary without LH and FSH results?

Anyway, given how complicated your situation is, I really think you need to find an expert that can work with you to figure out what is wrong and get you on the right treatment. Your doc doesn't seem very good. HCG alone is not a long-term answer. You are going to need test if you cannot cure your hypogonadism.

I STRONGLY recommend that you give Increase My T a call. You will see their ad banner off to the right. The guys there know what they are doing. I'm not affiliated with them in any way. I have just seen how they have helped so many guys on this forum and I have learned a lot from the posts they make. Ask around and you will see that they have a great reputation for helping people deal with their hypogonadism. They offer some restart protocols too should that be an option.

I hope you call them. And please keep sharing your story. The guys here will do whatever they can to help.

It would not be a bad idea to get some sperm deposited at the bank.
 
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Update: I picked up my second prescription of HCG from the compounding pharmacy today. Here is the EXACT protocol from the bottle. (I am in a time crunch or I would post photos of the actual bottle..)

HCG 5000 U/ML INJ SOLUTION

2.4 ML

Inject 0.12 ml (12 units on the insulin syringe) subcutaneously 5 days per week.


For my first two months, I have followed this protocol exactly. However, seeing as how I will be on this mono-therapy for awhile, I am willing to change up the injection (ie: ED, E3D, etc...) and the amount per injection. Please, anyone else who is going through HCG monotheraphy, feel free to chime in on what has worked best for you! I have been following the above protocol for exactly two months now with no changes whatsoever in my symptoms. I am not sure if this abnormal or if it takes time for this type of therapy to take effect. If it does not produce significant results after another month then I am afraid I will be resorting to natty test boosters until I find a more open minded doctor (I know... mostly a waste of money, but I do get some positive results from running them for a couple of months). Any suggestions and/or input would be greatly appreciated!

Cheers,
Sneakster

Edit: I meant two months, not one.. Between finals this week and low testosterone I can not seem to think straight :rolleyes2
 
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I have been giving your situation some thought. There are some contradictory/ambiguous things that make it hard to figure out what to do. For example, the pituitary tumor. That would seem to scream secondary hypogonadism. But your doc said it had 0 impact on your test levels. Seems odd, but what if he is right? And you don't have any LH or FSH results from before treatment to help us make the diagnosis. So if it isn't the tumor that caused your hypogonadism, what did? and is it something that can be corrected? How does your doc know that you are secondary without LH and FSH results?

Anyway, given how complicated your situation is, I really think you need to find an expert that can work with you to figure out what is wrong and get you on the right treatment. Your doc doesn't seem very good. HCG alone is not a long-term answer. You are going to need test if you cannot cure your hypogonadism.

I STRONGLY recommend that you give Increase My T a call. You will see their ad banner off to the right. The guys there know what they are doing. I'm not affiliated with them in any way. I have just seen how they have helped so many guys on this forum and I have learned a lot from the posts they make. Ask around and you will see that they have a great reputation for helping people deal with their hypogonadism. They offer some restart protocols too should that be an option.

I hope you call them. And please keep sharing your story. The guys here will do whatever they can to help.

I completely agree! It has been a confusing and misleading experience thus far (seems to be similar to a lot of the younger guys experiences on this forum!).

I am dealing with three doctors. Primary physician, wellness Hormone Replacement Therapy (HRT) doctor, and endocrinologist.

Primary physician referred me to the Hormone Replacement Therapy (HRT) doctor due to my complains of focus, attention span, general lethargic symptoms despite my age and lifestyle. Hormone Replacement Therapy (HRT) doctor prescribed me the HCG protocol (Megaman- I agree with you about this doctor. I get very shaky vibes from him and I consider myself to be an accurate judge of peoples character. He doesn't make eye contact or seem to genuinely listen to anything I have to say. I get the feeling that he is the go to guy for older folks in town looking for a "quick fix") Furthermore, Hormone Replacement Therapy (HRT) doctor DOES believe that my pituitary tumor is what is causing my secondary hypogondaism. I saw my endocrinologist yesterday and he claims that my Test levels are completely normal according to the blood work attached to this thread. He believes that my pituitary tumor has nothing to with anything. I get the vibes that he thinks I am BS'ing my symptoms. Every time I have met him he seems to bring up young guys wanting to get "jacked up on testosterone", which is far from my case. I just want to feel like my normal self again.

I am going to continue searching for specialists in town. However most of what I am finding through google searches seem to be similar to my Hormone Replacement Therapy (HRT) doctor (aging and wellness clinics with cookie cutter protocols). In the mean time I most definitely plan on calling Increase My T. I have seen NOTHING but positive feedback and experiences with them on this forum. I have finals until this Sunday, so I plan on calling them bright and early on Monday morning.

Best,
Nick
 
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