Hcg ?

[LowT]

Also wondering if I'm currently administering hcg treatment, will this have any influence on getting the fsh tested ie; will hcg raise or lower fsh? I'm learning something new everyday with this but it seems to be a constant uphill battle.

 

[tmckenzie]

I have been wondering and I thinking am wrong, but since I see no benefits from hcg now, do you have to have pituitary function for it to work?

 

[Nelson Vergel]

HCG will lower your FSH pretty much like T does.

tmckensie, are you saying your testicles are not back to normal with TRT+ HCG? Can you remind us your dose and frequency?

 

[LowT]

Nelson, I thought you said taking hcg was basically jump starting your testicals? I'm trying to have another child and basically lost.

 

[Nelson Vergel]

While on TRT+ HCG, you basically do not need FSH to keep healthy sperm (I Know it is confusing). This combination preserves the needed intra testicular testosterone for sperm production even in the absence of FSH.

You may want to read this thread and Lipshultz paper: https://www.excelmale.com/forum/sho...erve-fertility&highlight=hcg+lipshultz+nelson

 

[KOArtist]

Nelson,

Any idea on what protocols/dosing is used when both HCG and HMG are being used for fertility boosting effects? I've read hcg on mwf, and hmg on tue/thurs/sat. Sound like a decent plan?

 

[tmckenzie]

HCG will lower your FSH pretty much like T does.

tmckensie, are you saying your testicles are not back to normal with TRT+ HCG? Can you remind us your dose and frequency?

Nelson , no, I would have to say that I am not back to normal on trt and hcg. sex drive comes and goes, no orgasms , testicles hurt at times. I am currently on 100 mgs test c twice a week. This was uppd last bloodckeck because I was at 500. defy has me taking 500 of hcg twice a week. but since I have empty sella and the pituitary gland is not functioning right, is hcg even worth the money? I would blame all of this on the new meds, hydrocortisone, whicxh caused me to become diabetic, taking metformin now as well. but I only ever had luck feeling normal on trt. the very dirst three weeks I was on axiron three years ago. sometimes I think I would be better off getting off trt altogether. I functioned better sexually with low t .
n

 

[bruin]

Im on 100ml Bi-test a week, will be starting hcg this week. My testicles have ascended and gotten visibly smaller, they do not feel sensitive. For the first time at the gym I felt self conscious in the shower thinking I looked like an 11 y/o boy with pubic hair

The sex drive is back and Im starting to experience good erections, but I don't have an orgasm 50% of the time. I cant believe I am faking my own happy ending, it is like there is a loss of sensation, the gate will not open. Is this something to do with my therapy or am I mental?
Duane

 

[tmckenzie]

I am in the same boat . I am actually wondering if I should try just getting on just hcg. try it and see. 1mg a day of arimidex cannoit be heallthy longterm.

 

[Jasen Bruce]

Are you still taking the pain medication? This is important to know prior to the next step. If you are not currently on opioids and NOT primary, you can temporarily come off TRT using a more aggressive stimulation protocol, typically tailored to the individual using at least one or a combo of hcg, HMG,and clomiphene. If you are still on opioids and/or are primary this will not work and you will crash, therefore IMO stay on the 100mg qw. I have personal experience working with opioid patients, hptaxis, detox, and recovery. Feel free to pm me for treatment referrals/references.

 

[Jasen Bruce]

You can get a sperm test at Labcorp, in some areas, pretty cheap. That is a great way to gauge production and response to therapy. Like Nelson stated hcg mimics LH so it will suppress gonadotropins in labs, but the hcg is indeed stimulating your testicles. You just have to understand if they are responding which a semen analysis will provide some data.

Yes you you will jerk off in a cup. I don't think they give you porn either so bring your own!

 

[EmpowerPharmacy]

Nelson,

Any idea on what protocols/dosing is used when both HCG and HMG are being used for fertility boosting effects? I've read hcg on mwf, and hmg on tue/thurs/sat. Sound like a decent plan?

HMG is a mixture of FSH/LH at a 1:1 ratio. Since HCG mimics LH and is much less expensive than LH most doctors don't prescribe HMG for men's fertility, instead they opt for FSH by itself. The following protocols will work for both HCG/HMG or HCG/FSH:

HCG: Inject 1500-3000 IU Subcutaneously every other day
HMG or FSH: Inject 75-150 IU Subcutaneously every other day

Most docs start off with the low end of the dose and increase it according to semen analysis results.

 

[tmckenzie]

somebody correct me please, I hope I am wrong. I called empower and aps today. I get my hcg from aps. both said there was no need to take hcg with empty sella syndrome. I hope I have not thrown good money after bad for two years?

 

[KOArtist]

HMG is a mixture of FSH/LH at a 1:1 ratio. Since HCG mimics LH and is much less expensive than LH most doctors don't prescribe HMG for men's fertility, instead they opt for FSH by itself. The following protocols will work for both HCG/HMG or HCG/FSH:

HCG: Inject 1500-3000 IU Subcutaneously every other day
HMG or FSH: Inject 75-150 IU Subcutaneously every other day

Most docs start off with the low end of the dose and increase it according to semen analysis results.

So just rotate them each day basically? Good stuff, thanks!

 

[tmckenzie]

the cost is still very high. I called and got the price from empower. but cheapest I have found.

 

[lsmyle]

Nelson,
Sorry this has taken so long to get back to. My situation is a bit different in that having been on testosterone replacement for so long, my balls sometimes felt like they hadn't descended. Anyway, I guess I was trying to see if even after all this time I could possibly make my own testosterone. So, I'm not starting with much to begin with, and if my goal is to make my own, should I stay on my same dose of Androgel? I have been following your protocol, and although I haven't seen great enlargement of my testicles, I do now consistently have a scrotum. But, importantly what I have noticed is I now have a libido, which was something I hadn't experienced (without drugs) for a long time.This is a surprising and wonderful side effect. Have you heard of this before? Is there a connection with these hormones and what i assume are dopamine levels? (I don't mean to get too technical.) Thank you, Nelson, hope all is well.
Larry

 

[Nelson Vergel]

Larry

I would suggest that you do not attempt to make your own testosterone after so many years of using TRT. You will crash like I did when I tried using a PCT protocol like the one described by Dr Scally.

I would stay on the Androgel plus HCG specially if you are now noticing better sex drive.

 

[Bama Boy]

Love the details in your quotes even an old country boy like me can understand. lol

Here:

Reconstituting 10,000IU’s of hCG
Use a larger bore (i.e., 18g) needle, and transfer your bacteriostatic water into the vial with the freeze dried hCG powder. You want to inject until you have added a total of 4ml's of solution. Keep the powder and vial upright because you can blow the hCG out of it when you pull the needle out of the vial. Otherwise be sure to draw air out after you push the water in to release pressure each time. Also, make sure to hold the plunger of the syringe when you first penetrate the vial as there is a vacuum inside the vial and it will want to pull the plunger down at an accelerated rate and you don’t want that to happen.


When completed, gently swirl the vial to mix. Keep in the refrigerator once reconstituted. It will keep its potency for 60 to 90 days.


When using an insulin syringe, each unit (line) on the scale of the syringe equals 25IU's of hCG. 250IU’s of hCG is then 10 units on the side of the insulin syringe.

 

[KOArtist]

4 ml typically doesn't fit in the 10,000 iu HCG vials I get! I've tried and had blowouts leading to bad measurements. So I go with 2.5ml of bac water. Makes each 1ml 400iu. Simple enough. I do 400mg 2 x per week currently. Seems to work well.

 

[KOArtist]

And yes, have a big "backload" of air behind the bac water (in your "filling pin") when u first stick it in the vial, as he said, because it's ready to "vacuum effect" at first.