HCG needed with TRT

50yr old on TRT for 5yrs 120mg weekly was off and on HCG at the beginning but for the last 4 yrs no HCG. Have noticed some atrophy of testicles but do not plan on having any more kids, married and I have a vasectomy. Do I really need to supplement with HCG or something comparable?

No you don’t. The question is can you tolerate it. HCG increase cortisol among other hormones.

HCG can create balance these other hormones while also creating imbalances.

There is nothing else comparable, nothing else works for testicular atrophy while on TRT.