I've done one cycle of steroids (Testosterone alone) and I suffered severe shutdown. My balls went tiny, so before I cycle again I want to educate myself as much as possible on how Shutdown works so that I can be safe and sensible by preventing it as much as possible.
From what I understand of it so far, there are three stages in Testosterone production. Please correct me on any mistakes I make below, I don't claim to be an expert on any of this.
When your body is working normally, here's what happens:
1: The Hypothalmus produces "Gonadotropin Releasing Hormone" (known as "GnRH")
Also called LHRH (Leutinizing Hormone Releasing Hormone)
The GnRH makes its way to the Pituitary Gland, where it stimulates the production of Leutinizing Hormone (known as "LH")
And also FSH (Follicle Stimulation Hormone). WHich is primarily used for sperm production.
The LH makes it way to the testicles, where it stimulates the production of Testosterone.
It stimulates the Leydig cells, yes.
When you inject a high amount of Testosterone Enanthate (e.g. 600mg per week), the Hypothalmus reduces the amount of GnRH it produces, which results in less LH being produced in the Pituitary, which results in less Testosterone being produced in the Testicles. I've been told that as little as 50 mg of Testosterone Enanthate will cause SHUTDOWN .As your testicles produce less and less testosterone, they get weaker and smaller.
When the hypothalamus senses enough androgen, estrogen or progesterone receptors are activated, it shuts down GnRH, which has a knock on effect, yes.
In a perfect world, the best way of preventing Shutdown would be, I think, to prevent the Hyopthalmus from reducing the amount of GnRH it produces. I don't think there has been any success in this area medically.
Yes. Opoid-antagonists can keep GnRH going when using androgens, it seems. But the data is limited and taking opoid-antagonists and GnRH agonists, is not the way forward IMHO. Endo's dont advise this at all.
The next best choice would be to take supplemental GnRH. I don't think this is available yet though. Please correct me if I'm wrong (it would be fantastic if we could find a GnRH replacement).
The next choice after that would be to take supplemental LH. This is actually available, but it has a very short half-life of only 20 minutes, meaning you'd need to take it maybe 50 times a day. (Don't ask me what you'd do when you're sleeping). A more suitable alternative is something called Human Chorionic Gonadotropin (known as "hCG" -- not to be confused with "hGH"), which is very very similar to LH, and which will perform the same function as LH. The good thing about hCG is that the half-life is much longer at 24 hours. So if you take supplemental hCG, it will make its way to your testicles and make sure your testicles keep producing Testosterone.
Correct. See my HCG thread. "HCG - How important is it"
If you stay on a steroid cycle for too long, and if you are shut down for too long, then you risk doing damage to the following:
1: Your Pituitary Gland will eventually become weak at producing LH
Secondary Hypogonadism.
2: Your Testicles will eventually become weak at producing Testosterone[/B]
(If either of these are wrong, please correct me).
Primary Hypogonadism.
Taking hCG will save your testicles, but I don't think it will help your Pituitary Gland in any way, meaning you still risk damaging your Pituitary so that it doesn't produce LH.
Your hypothalamus and pituitary usually recover quickly. Your testes dont. See my thread.
My next cycle is going to be Testosterone along with Nandrolone. I've been told that Nandrolone causes severe shutdown, so I want to be prepared before I embark on this.
So with today's medical knowledge, what is the best way of preventing shutdown? Is hCG our best and only choice at the moment?
Yes.
For people who have already educated themselves about this stuff, I'd love to hear what you have to say. I'd also like to know if we need to discuss Follicle Stimulating Hormone at all? There is a product called Menotropin which contains both LH and FSH, and I'd be very curious to hear if anyone's ever tried it? Here's a short Wikipedia page about it:
http://en.wikipedia.org/wiki/Menopur
I welcome any stories people have to share about SHUTDOWN, about how they avoid it, and about what success they have had in avoiding it.
(I'll edit this post to correct any errors I've made once I've been informed of any errors)
Edits so far:
1: Added sentence about 50 mg of Test E being enough to cause SHUTDOWN