How long to give HCG Mono?

[paphater]

So I'm starting my second month of HCG mono therapy taking 2,500i.u. three times a week. My testicles have returned to their normal size and my libido has seen improvements but my fatigue hasn't improved much. I saw the urologist this past Monday and he felt that if my fatigue hasn't improved by May for our next appointment we need to revisit the HCG and decide if it's worth the cost. Pre HCG my TT was 235 (29 years old) and he felt that it wasn't that bad. He kept emphasizing that it wasn't a dangerous level if I went back to it. My TT is now 631 so the HCG is definitely having some effect.

Is HCG mono similar to clomid where your levels may rise yet you won't necessarily feel relief from all of the symptoms?

Also of note my estradiol was high at 87 but he didn't want to address it until I started showing signs of it. He also absolutely refuses to do a combo of Test and HCG.

 

[johnfromeurope]

2500iu three times a week? are completely out of your mind? 2000iu/week absolutely maximum what u need. HCG causes high Estradiol if u dont know

 

[johnfromeurope]

the proper treatment would be 500iu hcg two to three times a week...and still you would need to control estrogen.

 

[halfwit]

Time to find a new doctor.

1. 235ng/dL IS that bad, and while you won't keel over dead tomorrow from it, you will likely develop diabetes and thyroid problems down the road as these systems require testosterone for proper function.

2. Fatigue IS a symptom of high estradiol. What's he waiting for? He going to treat you AFTER you join a sewing circle and sprout some C-cups?

3. That dose is insane. So how are you going to manage after 7500iu of HCG desensitizes your testes, and you stop making testosterone again?

There's just so much wrong here, it's not even funny. YOU'RE the boss, and it's YOUR body we're talking about here. Either Smartypants, MD plays ball - or you find someone (my suggestion) that actually has a clue.

I really urge you to read the sticky about TRT at the top. By the time you've absorbed all that knowledge, you'll officially know more than the clown you're paying to treat you.

My .02c

 

[Megatron28]

I think that if you are up to 631 TT on the hCG now and you feel like your testicles have returned to full size, that you are ready to begin phase two of your restart attempt. Will you be using Clomid for phase two?

 

[paphater]

Thanks guys. I'll drop it down to 500i.u three times a week. Should I go right to that dose or titrate down to it? Has there been anything published showing that high doses of HCG will desensitize the testicles? My primary doc is usually pretty agreeable so I think if I can present something to that effect with this press.endocrine.org/doi/abs/10.1210/jc.2004-0802 I may be able to get him to take over.

Megatron we weren't originally planning a restart. The urologist said has never had any luck sustaining a restart with his patients. Starting to see why that may have been.

 

[halfwit]

Rats, but it's a start: Effect of a second injection of human chorionic gonadotropin on the... - PubMed - NCBI
Temporal relationship between hCG induced desensitization of LH/hCG... - PubMed - NCBI
LH action in the Leydig cell: modulation by angiotensin II and cort... - PubMed - NCBI

There are a bunch on my desktop, but I'm cleaning the fittings on my water pump, so I had to give it a go on my phone. You should be able to find more results without much difficulty as I found these pretty quickly.

I would really give some thought about where you want to be in a few years though. If there's no discussion of restarting your HPTA, and testosterone is off the table, will you be happy with things such as they are?

 

[Megatron28]

I think you either need to actually try a restart of your HPTA in which case moving to clomid would probably be the next step or get on testosterone if you are going to stay on TRT.

You could find a new doc who is more up to date with modern treatments or tell him you want to simply be on Testosterone. It is fairly easy to find hCG from online pharmacies. You could supplement your treatment with hCG on your own if you had to.

 

[paphater]

Thanks guys. I'm taking all of the pertinent stuff to my primary to see if I can convince him to get me on the right protocol and if not I'll at least get on Test for now and try and get my HCG from somewhere else.

 

[Alpin]

Time to find a new doctor.

1. 235ng/dL IS that bad, and while you won't keel over dead tomorrow from it, you will likely develop diabetes and thyroid problems down the road as these systems require testosterone for proper function.

2. Fatigue IS a symptom of high estradiol. What's he waiting for? He going to treat you AFTER you join a sewing circle and sprout some C-cups?

3. That dose is insane. So how are you going to manage after 7500iu of HCG desensitizes your testes, and you stop making testosterone again?

There's just so much wrong here, it's not even funny. YOU'RE the boss, and it's YOUR body we're talking about here. Either Smartypants, MD plays ball - or you find someone (my suggestion) that actually has a clue.

I really urge you to read the sticky about TRT at the top. By the time you've absorbed all that knowledge, you'll officially know more than the clown you're paying to treat you.

My .02c

Very very true.