Finally got a script for HCG,hooray !

[tripperdogg]

Just spoke to my Doc about my latest bloodwork. He said that he was fine with my test numbers being at 943 and a peak number of 1200 on a labcorp scale of 1197 max.I was suprised because my e2 was 43 with the 943 bw and 53 with the 1200 bw. I guess my pleading about shrunken and painful testes finally worked. He wrote me a script for HCG , 3 x a week.What should I lower my dose of test cyp to now that I'll be using HCG. I was using .50 ml 2 x's a week, but wanted to lower my e2 by bringing that down to .40 ml 2 x's a week. Does that sound good ? thanks

[Vettester]

Wow, for taking only 100mg/wk, I would think your serum would be lower. It goes to show that we all metabolize differently.

The same concept goes with HCG. Everyone is different, and it really depends on how receptive your leydigs will be to the HCG. For me, I was able to reduce my cypionate by 40%, and still achieve at/around the same serum levels when I started my HCG protocol (250iu x 3/wk). In your case, I'd say 'yes', drop to .40 x 2/wk, which will be a 20% reduction. It would be good to run labs in another 4 to 6 weeks to see where you sit.

I would also like to see your free & bio available testosterone numbers. This would give us a better picture of what your body is really utilizing, and it will help us know where you need (or don't need) to make adjustments.

IMO, it might not hurt to add .25mg x 2/wk of Arimidex to your protocol. Again, running labs in 4 to 6 weeks, you will see where you sit. Would be ideal to get your E2 down in the 30's; possibly mid/high 20's.

[tripperdogg]

I suggested an A.I. to my doctor,but he said that I dont need it with test numbers like I have. I didnt agree, but I'm not the Dr. His reason didnt make sense to me, but I guess I'll fight one battle at a time. HCG feels like a victory for me, so thats why I figured I would lower my dose alittle to help bring the e2 down. When I was only injecting .25 ml 2 x's a week, my e2 was in the high 20's, but total test was only 445 on a labcorp scale. Thats when he doubled my dose to bring the total up, unfortunetly e2 followed as usual.Should I get something from ar-r ?

[kelkel]

Good write up by Vette as always. Trip are you taking any natural supplements to help combat your E as well? Also a thought may be to only run the HCG twice per week, the day before each of your injections. It's a good start. You are making progress!

How are you feeling by the way?

[tripperdogg]

I am taking all the supps that you suggested in the P.M. you sent me. B6 and zinc I believe. My strength is up, energy is better, labido is through the roof [thank god for the internet,ha ha] and the brain fog is gone. At almost 50 ,I still am alittle forgetful at times, but I feel pretty good. My sleep is much better too. Do you think 250 iu's is still a good HCG dose ?

[jwhit84]

Just spoke to my Doc about my latest bloodwork. He said that he was fine with my test numbers being at 943 and a peak number of 1200 on a labcorp scale of 1197 max.I was suprised because my e2 was 43 with the 943 bw and 53 with the 1200 bw. I guess my pleading about shrunken and painful testes finally worked. He wrote me a script for HCG , 3 x a week.What should I lower my dose of test cyp to now that I'll be using HCG. I was using .50 ml 2 x's a week, but wanted to lower my e2 by bringing that down to .40 ml 2 x's a week. Does that sound good ? thanks

Just out of curiosity, is your test cyp 200 mg/ml, meaning you are currently injecting 200mg per week?

I'm about to start HCG myself, but I'm only doing 250iu twice a week with 50mg cyp twice a week. I have no clue where that'll put me, but I'm just starting off conservatively. Thanks, and grats on the script!

[kelkel]

250 IU's is perfect. I currently do 250 M-W-F but I'm sure I'd be fine with twice per week as well. It just takes time, as you now know, to get dialed in. First year or so can be full of adjustments...

[tripperdogg]

That is correct jwhit. He started me at 100 mg every week and I split that and did subq. That wasnt enough for me and he doubled the dosage and he says he's happy with those numbers.Good luck with your treatment

[Vettester]

Good catch jwhit!! I had mg's fixated on my mind when I first read the OP, when in fact he was stating the "ml" dosage amount.

OP, the serum results look about right now that my contacts are in straight! You actually might be able to cut your cyp dosage down even lower to achieve the same serum level with HCG. Once upon a time, I was also at 200mg/wk. Went to 120mg with HCG, and still had 900'sh serum. These days I'm closer to 90mg if that, and in the low 700's. That works for me, but you need to find out what works best for you.

[jwhit84]

Good catch jwhit!! I had mg's fixated on my mind when I first read the OP, when in fact he was stating the "ml" dosage amount.

OP, the serum results look about right now that my contacts are in straight! You actually might be able to cut your cyp dosage down even lower to achieve the same serum level with HCG. Once upon a time, I was also at 200mg/wk. Went to 120mg with HCG, and still had 900'sh serum. These days I'm closer to 90mg if that, and in the low 700's. That works for me, but you need to find out what works best for you.

When you added HCG, did you experience any acne from it? It seems that people report more acne problems with hcg than with just test cup, so I'm just curious.

[phaedo]

So my question is how does one convince your doctor to prescribe hCG in conjunction with TRT?... and still leave them standing in the "professional spotlight," if you will. I would figure a doctor wouldn't take too kindly to you basically do their job for them. In other words, how and what do you use to educate your doctor into prescribing a proper TRT protocol?

[tripperdogg]

In my case my doc said that he only perscribes HCG for patients with testicle discomfort, not everyone has that issue he told me. Well I did have some tenderness and while we were dialing in my dosage ,I would tell him about my discomfort and shrinkage, Finally his nurse called me back and told me with my latest bw ,that he was starting me on HCG to help with these concerns. We know all of the other benifits of Hcg, but they were not the reasons for his script. Vette, I will lower my bi-weekly dosage to .35 ml per shot once I get the HCG up and running. Kel I will follow your recommendation of twice a week on the HCG also. You guys have been a great source of help, since I usually only talk to my dr.'s nurse and sometimes she sounds alittle unsure when I ask her questions about things. What about an AI from our vendor , or should I just work on the new protocol first ?

[TraceMYD]

So my question is how does one convince your doctor to prescribe hCG in conjunction with TRT?... and still leave them standing in the "professional spotlight," if you will. I would figure a doctor wouldn't take too kindly to you basically do their job for them. In other words, how and what do you use to educate your doctor into prescribing a proper TRT protocol?

I convinced mine to give me hcg by telling him I would like to take it because at 35y/o I may want another child in the future and would want to keep my testicles from completely shutting down IF for some reason I had to to come off TRT to bring up my sperm count. (I have no plans what so ever coming of TRT regardless)

[ZenFitness]

This is good stuff to know... I plan on pushing my doc next month for a HCG script.

[kelkel]

So my question is how does one convince your doctor to prescribe hCG in conjunction with TRT?... and still leave them standing in the "professional spotlight," if you will. I would figure a doctor wouldn't take too kindly to you basically do their job for them. In other words, how and what do you use to educate your doctor into prescribing a proper TRT protocol?

You can print out GD's sticky on it. The same for Crislers paper on HCG. Alert them that it's also on many medical inserts for the treatment of Hypogonadic Hypogonadism. Then slap them upside the head and wake them up.

[tripperdogg]

Should I get an ai from ar-r and maybe use it once a week.what should I get and how much should I take?my doctor said I don't need it but 43-53 e2 is still high. Thanks

[tripperdogg]

bump

[caira1074]

just out of curiousity why do the hcg the day before injections cant you do it on the same day as the injectionthats how my dr did it

[tripperdogg]

i JUST FOUND OUT THAT MY INSURANCE WONT COVER HCG. KIND OF PISSED.$ 175.00 FOR 10,000 IU'S. THE WIFE IS GONNA SHIT !

[steroid.com 1]

I will IM you later. I will help you.

[Wizwell]

Can any of you HRT specialists advise me on going about acquiring an HCG script? What would be the correct things to mention to my physician? I am on HRT 400mg test e once per month. I've already been told by Kel that my Dr. is a moron. ( or something to that effect ) Unfortunately he'll have no part of letting me self inject so I'm stuck with his protocol. I would think HCG would help during the lag time. Any suggestions?

[tripperdogg]

Your doc has no clue. I'm a new guy and even the guys taking one shot every 2 weeks feel like shit. You have to talk him into at least , one shot a week. Tell your doc that you are experiencing pain and shrinkage. No doctor wants their patient in pain. Even though he isnt very trt savvy, he should under stand your concern. Bring gdevine's sticky at the top of the forum for educated material if he is stubborn. Good luck !

[steroid.com 1]

Can any of you HRT specialists advise me on going about acquiring an HCG script? What would be the correct things to mention to my physician? I am on HRT 400mg test e once per month. I've already been told by Kel that my Dr. is a moron. ( or something to that effect ) Unfortunately he'll have no part of letting me self inject so I'm stuck with his protocol. I would think HCG would help during the lag time. Any suggestions?

Well, kel is right of course.

You're Doctor is causing you way more harm now than good and you need to 1) learn about TRT by reading the stickies above as quickly as you can and learn about the half life of Testosterone injections and 2) tell him you learned that the half life of injected testosterone is about 5 to 6 days and that he's seated you on a hormonal roller coaster totally screwing up all your hormonal pathways.

BTW, any dosage amount over 200 mg in a Physician's office for TRT would be considered abuse of a controlled substance by FDA and DEA and he could stand a good chance of losing his license to practice.

You need to learn and you need to tell this "Doctor" that his protocol is totally and 100% wrong!

God I can only imagine what your E2 levels must look like...but that's for another time after you fire him.

[VTX1800]

Where is it written that its malpractice to prescribe more than 200mg of testosterone to a patient? Just your opinion on malpractice? Not trying to Argue by no means just curious...

[Wizwell]

E2 levels? Estrogen? Where do I learn about that? So in your opinion, assuming I stayed with this physician, I'd be better off on a daily androgel protocol? I'm considering looking into the HRT offer advertised on this website.