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  1. #1
    krugerr's Avatar
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    Krugerr - TRT Protocol and Low FSH/LH

    Morning all, Any thoughts on the below? We're trying to get pregnant, and obviously, with these levels I have virtually a 0 sperm count. This protocol comes directly from a UK TRT specialist clinic.
    • Protocol
    • Exemstane - 1mg Daily
    • Test Cypionate - 13.75mg Daily (Subq Injection)
    • HCG - 100iu Daily (SubQ injection)
    • Tadalafit - 5mg Daily


    • Results [Test Name - Unit - (Low - High) - Result]
    • Haemoglobin - g/L - (130-180) - 180
    • Haematocrit - L/L - (0.38-0.5) - 0.56
    • Red Cell Count - x10^12/L - (4.4-6.5) - 6.13
    • MCV - fL - 81 - 98 - 91.4* MCH - pg - (27-33) - 29.4
    • MCHC - g/L - (300-350) - 321
    • RDW - % - (11.5-15) - 16.1
    • White Cell Count - x10^9/L - (3-10) - 6.4
    • Neutrophils - x10^9/L - (2-7.5) - 4.1
    • Lympocytes - x10^9/L - (1.2-3.65) - 1.7
    • Monocytes - x10^9/L - (0.2-1) - 0.5
    • Eosinophils - x10^9/L - (0 - 0.4) - 0.1
    • Basophils - x10^9/L - (0 - 0.1) - 0.1
    • Platelet Count - x10^9/L - (150 - 400) - 170
    • MPV - fL - (7 - 13) - 9.3
    • UREA - mmol/L - (2.5 - 7.8) - 5.7
    • Creatinine - umol/L - (59 - 120) - 114
    • EGFR - mL/min - (60 - 300) - 74
    • Bilirubin - umol/L - (0 - 24) - 15.7
    • ALP - IU/L - (30 - 130) - 63
    • ALT - U/L - (0 - 50) - 73
    • GGT - U/L - (8 - 61) - 45
    • Total Protein - g/L - (60 - 80) - 75
    • Albumin - g/L - (35 - 50) - 47
    • Globulin - g/L - (19 - 35) - 28
    • SHBG - nmol/L - (18.3 - 54.1) - 18.3
    • HBA1C - mmol/mol - (20 - 42) - 35
    • Total Cholestrrol - mmol/L - (0 - 5) - 5.67
    • LDL Cholesterol - mmol/L - (0 - 3) - 3.1
    • Non HDL Cholesterol - mmol/L - (0 - 4) - 4.67
    • HDL Cholesterol - mmol/L - (1 - 5.5) - 1
    • Total Cholestrol - HDL - ratio - (0 - 6) - 5.67
    • Triglycerides - mmol/L - (0 - 2.3) - 3.46
    • CRP HS - mg/L - (0 - 5) - 0.15
    • Uric Acid - umol/L - (200 - 430) - 314
    • Ferritin - ug/L - (30 - 400) - 233
    • Vitamin B12 - Active - pmol/L - (37.5 - 150) - 95.9
    • Vitamin D - nmol/L - (50 - 175) - 101
    • TSH - mIU/L - (0.27 - 4.2) - 2.1
    • Free T3 - pmol/L - (3.1 - 6.8) - 5.2
    • Free Thyroxinw - pmol/L - (12 - 22) - 17.1
    • FSH - IU/L - (1.5 - 12.4)- 0.3
    • LH - IU/L - (1.7 - 8.6) - 0.3
    • Oestradoil - pmol/L - (41 - 159) - 129
    • Testosteron - nmol/L - (8.65 - 29) - 15.3
    • Free Testosterone - Calc - nmol/L - (0.2 - 0.62) - 0.397
    • Testosterone Cosrtisol - ratio - ( - ) - 0.062
    • Free Androgen Index - % - (35 - 92.6) - 83.6
    • Prolactin - mIU/L - (86 - 324) - 234
    • DHEA Sulphate - umol/L - (2.41 - 11.6) - 12.4
    • Cortisol - nmol/L - (166 - 507) -248
    • Thyroglobulin Antibodies - IU/mL - (0 - 115) - 19.9
    • Thyroid Peroxidase Antibodies - IU/mL - (0 - 34) -9
    Last edited by krugerr; 07-22-2024 at 03:10 AM.

  2. #2
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    fixed formatting.

  3. #3
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    Include hmg if you can afford it. Time it's usage with your wife's clock for best results.

    Maybe also donate a pint of blood.

    Looks like you could clean up your diet a smidgen too. Can't we all, though...

  4. #4
    krugerr's Avatar
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    Quote Originally Posted by Cylon357 View Post
    Include hmg if you can afford it. Time it's usage with your wife's clock for best results. Maybe also donate a pint of blood.Looks like you could clean up your diet a smidgen too. Can't we all, though...

    I was given a protcol by a BB coach friend of mine, hes been pro, and coaches a lot of of other male/female pros. Said hes used the below to help a few of his clients overcome the fertility point. Initial thoughts on the below?
    Affordability of the bits isnt the issue. Also, what points were you looking at regarding diet? ALT and LDL/HDL? Im working on those... ive been unable to train in the gym/bjj/running for 9 months due to a leg injury. I am still in a leg cast so cant put shoes on!

    1. 75 IU HMG (3x week until pregnant)
    2. 2000 IU HCG (EOD until pregnant)
    3. 50mg Clomid (2x a day until pregnant)
    Last edited by krugerr; 07-23-2024 at 04:11 AM.

  5. #5
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    Quote Originally Posted by krugerr View Post

    I was given a protcol by a BB coach friend of mine, hes been pro, and coaches a lot of of other male/female pros. Said hes used the below to help a few of his clients overcome the fertility point. Initial thoughts on the below?
    Affordability of the bits isnt the issue. Also, what points were you looking at regarding diet? ALT and LDL/HDL? Im working on those... ive been unable to train in the gym/bjj/running for 9 months due to a leg injury. I am still in a leg cast so cant put shoes on!

    1. 75 IU HMG (3x week until pregnant)
    2. 2000 IU HCG (EOD until pregnant)
    3. 50mg Clomid (2x a day until pregnant)
    Cholesterol numbers were where the diet comment came from.

    Use enclomiphene instead of clomid. That eliminates the zuclomiphene molecule, which is the most problematic one. Shoot for 60% of the recommended clomid dose if you choose enclo. That is, for example, if they say 50mg clomid, aim for 30mg enclomiphene.

    Are you on TRT right now? I'm not sure clomid / enclo will be of much use if so.

  6. #6
    krugerr's Avatar
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    Quote Originally Posted by Cylon357 View Post
    Cholesterol numbers were where the diet comment came from.Use enclomiphene instead of clomid. That eliminates the zuclomiphene molecule, which is the most problematic one. Shoot for 60% of the recommended clomid dose if you choose enclo. That is, for example, if they say 50mg clomid, aim for 30mg enclomiphene. Are you on TRT right now? I'm not sure clomid / enclo will be of much use if so.
    Hi mate, correct I am on TRT now. Protocol in the OP. Figured it was the cholesterol point!

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