HCG Increasing LH and FSH while on Testogel

Pharma TRT
1

Started TRT a month ago, had horrifically low e2 for a long time and cannot get this to rise, so decided to add in HCG at 250iu ED to no success rising e2, can HCG increase LH and FSH as my bloods before using hcg my LH and FSH were both 0.

Before HCG
Hormones
Serum oestradiol level 22 pmol/L [41.0 - 159.0]
Outside reference range
Serum testosterone level 14.9 nmol/L [8.6 - 29.0]
Serum sex hormone binding globulin level 60 nmol/L
Gonadotrophin level
Serum follicle stimulating hormone level 0.3 IU/L [1.5 - 12.4]
Outside reference range
Serum LH level < 0.3 IU/L [1.7 - 8.6]
Outside reference range

After beginning hcg for 1 week.
Gonadotrophin level
Serum follicle stimulating hormone level 3.2 IU/L [1.5 - 12.4]
Serum LH level 2.4 IU/L [1.7 - 8.6]

Hormones
Serum oestradiol level 61 pmol/L [41.0 - 159.0]
Serum prolactin level 207 mIU/L [86.0 - 324.0]
Serum testosterone level 13.5 nmol/L [8.6 - 29.0]
Serum sex hormone binding globulin level 59 nmol/L [18.3 - 54.1]

And then 2 weeks after, NHS missed off my gonadotropins as they always miss something.
Hormones
Serum oestradiol level 26 pmol/L [41.0 - 159.0]
Outside reference range
Note male E2 revised reference range as from 26.5.20
Serum prolactin level 111 mIU/L [86.0 - 324.0]
Serum testosterone level 15.2 nmol/L [8.6 - 29.0]

Serum sex hormone binding globulin level 61 nmol/L [18.3 - 54.1]
Outside reference range

DHA-Sulphate 6.2 umol/L [4.34 - 12.2]

Can anyone give me any idea what’s going on here? Why could LH and FSH be rising? Could my hcg have seems in it or something? Bayer ovidac? I pregnancy tested it?

2

There is only one possible explanation here, you aren’t absorbing the testogel and absorption rates are falling and/or you aren’t getting enough exogenous Test into your system to shut the LH and FSH down.

3

Time to up it to 3 pumps and retest in a week?

4

Your hormone levels are still too low, but this is something you discuss with your doctor. I don’t think the NHS is going to work out for you because of the high SHBG requiring you to run a higher Total T value in order to benefit from TRT.

I also don’t believe topicals are going to be enough to suppress the high SHBG then allowing Free T to increase, this is where injections shine.

5

My doctor is clueless from everything I’ve read on here his advice is terrible, I will up to 4 pumps and then if no success I’ll switch to Injections.

Theoretically what would you do systemlord? If you wanted to try and make the gel work?

I was actually on test e injections previously my t was in upper range 22nmol but my e2 was super low which was why we switched to gel, e2 was about 15 previously with injections

6

That’s not reality, you can take a bath in the stuff and I still don’t expect optimal results.

7

You have an aromatase deficiency, injections and HCG is the way forward.

8

Okay I’ll talk to the doc, my only worry is the carrier which is used as I’m allergic to most oils, the one I used before was tested ugl, I think most prescription are nut oils on the NHS.

Also when using injections 16mg every 2 days put me at 22nmol so there’s something going on with my body an d hormones? My friend was taking about 30mg every 2 days for the same test results?

Also how do I transition from gel to Injections?

9

I don’t understand why you are injecting E2D, your SHBG is high, e2 low.

If those numbers are accurate, you are sensitive to injections.

10

Can you educate me, from my understanding it would give more stable blood levels?

11

The more stable blood levels is ideal for those encountering symptoms as a result of fluctuating hormones and/or are clearing out the test too quickly. The large peaks from higher dosage of test can have a greater impact on suppressing overly high SHBG.

12

Which shouldn’t be the case due to my high shbg? And how often should I be injecting? Once every week and that should increase my e2 too? I tried transdermal e2 which worked but fucked with my liver

13

I would start out 1-2 times per week.

I don’t understand how that would be possible, men require E2 to function normally. It could be that the dosage was too high.

It should, but if not and E2 falls in the middle of the week then you can inject twice weekly.

14

Okay I’m going to get on with this tomorrow thankyou!

Apparantly transdermal e2 can be quite liver toxic, my enzymes are still elevated from it?

15

Where did you get the HCG? Cos these should be suppressed while taking it

16

It’s Bayer ovidac and I got it from ugl but preg tested and it came up as positive so I’m not sure what’s going out?