Low T and was given Human Chorionic Gonadotropin (HCG) and an estrogen blocker only... normal?

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couldthisbeit

New member
Low T and was given HCG and an estrogen blocker only... normal?

Well, just got back from the doctr for first visit. My Test was like 238 and Free was 7.3 (est. paperwork is in the car). I was a little disappointed with the outcome. I guess since it looks like I have high estrogen, he didn't want to give me any testosterone injection because I guess it would be converted to estrogen. So, he said we'll go for Human Chorionic Gonadotropin (HCG) and an E-blocker for now. I was really looking forward to the benefits of mental clarity, depression, energy, motivation, etc to happen quickly like I've been reading, but guess that will be delayed. I almost feel a little ripped off, but Im going to do some researching and educating myself before I jump to conclusions. I won't have any changes for I believe 6 weeks, so not sure if Human Chorionic Gonadotropin (HCG) alone will give any of the benefits of the Testosterone injections, but if I lower the estrogen and increase testosterone levels, that should make some kind of a difference in how I'm feeling and body weight and all?
A little frustrated, especially since everyone else gets started off on testosterone replacement therapy (TRT) initially.

If anything, from the research I have been doing I figured I would be put on testosterone replacement therapy (TRT), but add a estrogen blocker and/or Human Chorionic Gonadotropin (HCG) to protect fertility issues or something, but not be given testosterone replacement therapy (TRT) all together. I haven't seen that option from anyone. And without even having an accurate estrogen level tested, I just don't get it. Does just Human Chorionic Gonadotropin (HCG) alone yield the same results if not better than testosterone or what? He said something along the lines that LT.com might not cover doing the testosterone + an estrogen blocker + HCG, but I thought the fee covered everything that was needed all together. Would I need to pay more or something? Anyways, please move this to the correct forum, if it should no longer be in New Members, I feel I should have opened this under treatment programs. Please move.
Thanks!
 
I'm 28 btw, about 300lbs. Had gyno since I was 12 years old and don't doubt that I have high estrogen numbers. Not a lot of facial hair, large stomach, chest, boyish facial features, delayed puberty.... So, maybe there's a point, but what is you guys's opinion
 
couldthisbeit said:
No Human Chorionic Gonadotropin (HCG) diet. Although he pitched that to me.
Click to expand...

As you were sitting there listening to him did you hear in the back of your mind "Run!!! This guys is a fucking quack that just wants to part me from my money?"

Seriously -- you need to look for a better doc.
 
Megatron28 said:
As you were sitting there listening to him did you hear in the back of your mind "Run!!! This guys is a fucking quack that just wants to part me from my money?"

Seriously -- you need to look for a better doc.
Click to expand...

Your probably justifiable to feel the way you do. On the other hand it is probably good to get your estrogen in check first & then start in on the T. I'm would think it would probably be a longer road trying to balance to many things all at the same time. I could be wrong though; I'm still learning my self & just trying to help you make sense of it all. I think it would be rare that most testosterone replacement therapy (TRT) patients get started out on what we would desire. Currently I'm kind of taking the same journey hoping my Doc keeps his word & increase my dosage. However, I want know until my next appointment. If he does not I believe I will jump ship and switch to IMT. In the mean time you may want to just see how it all plays out or start looking for another Doc. In the mean time ask away & read all you can. Keep us informed how everything works out for you.
 
Am I right in that you're getting treatment from a charity? If that's the case, it's very likely he's not licensed to prescribe controlled substances and simply gave you what he could based on his qualifications. This is based on you stating Lt.com which is the Doctors Without Borders organization...
 
Hey I mean It could work if you blast the Human Chorionic Gonadotropin (HCG) at 2500mcg a week for 4 weeks then do clomid and nolva for another 4 weeks, and maybe you wont need TRT.
 
Good.2.Go said:
Your probably justifiable to feel the way you do. On the other hand it is probably good to get your estrogen in check first & then start in on the T. I'm would think it would probably be a longer road trying to balance to many things all at the same time. I could be wrong though; I'm still learning my self & just trying to help you make sense of it all. I think it would be rare that most testosterone replacement therapy (TRT) patients get started out on what we would desire. Currently I'm kind of taking the same journey hoping my Doc keeps his word & increase my dosage. However, I want know until my next appointment. If he does not I believe I will jump ship and switch to IMT. In the mean time you may want to just see how it all plays out or start looking for another Doc. In the mean time ask away & read all you can. Keep us informed how everything works out for you.
Click to expand...

How does the Human Chorionic Gonadotropin (HCG) diet accomplish that?
 
OP is only 28. Doctor is doing the right thing by attempting to restart his production before jumping into TRT.
 
Austinite said:
OP is only 28. Doctor is doing the right thing by attempting to restart his production before jumping into TRT.
Click to expand...

Except that's not the best way to restart.

Clomid and/or nolvadex and some form of Aromatase inhibitor (AI) should be used after the hCG blast (which typically lasts 2 weeks, not 4).
 
totalburnout said:
Except that's not the best way to restart.

Clomid and/or nolvadex and some form of Aromatase inhibitor (AI) should be used after the hCG blast (which typically lasts 2 weeks, not 4).
Click to expand...

Ok. How do you know that's not the direction he is going? He said he JUST got back from his visit.

It's the perfect way to start. Sounds to me like he has a very rare and smart testosterone replacement therapy (TRT) specialist.
 
Because 4 weeks of hCG is excessive, so no, not an extremely smart endo. That's certainly not a best practice, especially given hCG triggers estrogen production - so estrogen will be that much more difficult to manage. Also if you believe that leydig cells can be fatigued, a large blast of hCG for an extended period of time, also doesn't make sense.

Sounds like he could be gearing towards Dr Shippens protocol.

Can it work? Yes. Is it ideal? Far from it.
 
totalburnout said:
Because 4 weeks of hCG is excessive, so no, not an extremely smart endo. That's certainly not a best practice, especially given hCG triggers estrogen production - so estrogen will be that much more difficult to manage. Also if you believe that leydig cells can be fatigued, a large blast of hCG for an extended period of time, also doesn't make sense.

Sounds like he could be gearing towards Dr Shippens protocol.

Can it work? Yes. Is it ideal? Far from it.
Click to expand...
I completely 100% disagree with you. How would E2 be difficult to manage? There's nothing on earth easier than managing E2. Surely he's scheduled for more blood work.

Leydig cell desensitization from hCG does not happen to everyone.

Anabolic steroid induced hypogonadism treated with human chorionic gonadotropin.
 
Lol you disagree? Great. Except the #1 issue that everyone has while on testosterone replacement therapy (TRT) or on cycle is managing estrogen. It's the estrogen that gives the 'roid rage', acne, mood swings, etc - basically the most common issues with hormones.

What else is there to worry about? Hematocrit, cholesterol?

So you're essentially saying this entire process is easy. It's not.

You're way off base in your assessment that estrogen is EASY to manage. It's the most difficult aspect to manage.
 
That sounds like a good plan. 5000iu's per week for two weeks of hCG coupled with aromasin. Nolvadex and clomid + aromasin run for 3-4 weeks.
 
totalburnout said:
Lol you disagree? Great. Except the #1 issue that everyone has while on testosterone replacement therapy (TRT) or on cycle is managing estrogen. It's the estrogen that gives the 'roid rage', acne, mood swings, etc - basically the most common issues with hormones.

What else is there to worry about? Hematocrit, cholesterol?

So you're essentially saying this entire process is easy. It's not.

You're way off base in your assessment that estrogen is EASY to manage. It's the most difficult aspect to manage.
Click to expand...

Roid rage? lol, really sad to hear anyone say that nonsense. Ok... I don't see how you are remotely close to qualified to advise anyone.... E2 is only difficult if you play a guessing game, which it sounds like you do. Get blood work, and fix it. Simple. Its only difficult in the beginning stages.
 
Clearly you're not even coming close to being rational or reasonable.

Okay, if your E2 is 42 and your TT is 1400, what do you take? The answer is you can't tell me. For some people, 42 will feel terrific, for other people it will feel awful because its too low and for some because its too high.

How much Aromatase inhibitor (AI) do you take? .25mg, .5mg 1mg? Again, you don't know and your blood work won't tell you.

Blood work is just a snapshot in time, I know you're trying to sound intelligent and defending your irrational position but stop. Even though the answer here is always 'get bloodwork!', I see through your poor positioned argument.

Estrogen is the toughest aspect of any male Hormone Replacement Therapy (HRT) regimen to manage. Period, end of story. Don't give poor information simply because you want to sound right by being vague and falling back on the good old blood work routine. Reality is, it's trial and error.
 
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