Seems Like There's a Deal-Breaking Downside to Any TRT Protocol

I am not on TRT, but I’ve been researching it and considering it for years. It seems like there’s always a downside to any sort of protocol:

  • Test + AI + HCG = Long term AI use is not recommended and causes problems in many users.

  • Test + HCG = Impossible to get properly dialled in over the long term - there’s also the issue of the desensitization theory regarding HCG.

  • Test solo = testicular shrinkage and reduced ejaculate volume over time

I would love to hop on T, but it seems like all the major protocols have deal breaking downsides. All I want is an ideal sex drive and massive loads long term.

Am I looking at this wrong? Does anybody have anecdotal evidence to the contrary? Is there an alternative protocol that I don’t know about?

Just did a bit of a dive into your posts. I’m really interested in any sort of alternative that doesn’t shut down HTPA.

I have 1000 questions. Do you mind if I PM you?

Alright so:

  • Is there anyone you can point to (on this forum, on another form, or even anecdotally) who has had long term success with this sort of pulsatile T-replacement.

  • Are there any other options besides nasal application and troches?

  • If it truly doesn’t shut down HTPA axis, then why isn’t this more widely used? Is there a catch to it? Is it just not well known?

Neither of the three protocols you listed has any downside from my perspective. long term AI use causes problems? Unproven. Hard to dial in T+HCG? Harder, maybe, but certainly not impossible. Test only ball shrinkage? Depends, some guys see very little change.

If you’re hypogonadal and miserable because of it, then any one of those three options is better than the alternative.

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I have been using hcg for the last three months in an effort to boost sperm. Have had no issues dialing it in. Don’t really feel any better or worse, but have been feeling great on trt. I did put in another 6lbs of muscle though lol

What’s this desensitization thing you’re taking about?

Do you have bigger loads?

I feel very good even orgasms great EXCEPT for very low volume. But I hate to Mess up my protocol to get volume.

I only get decent volume if I edge for at least 30 minutes…

I really would like volume

No I didn’t get much more volume. I have pfs so I wonder if I’ll ever get back to my original sized loads

Have you tried selenium?

I have not. Before I take i need to know if it affects my hormone balance.

I’ve been on T cyp and inconsistent use of AI and have never experienced shrinkage or reduced volume. Increased drive and more consistent stronger erections, yes. Only on 100mg/wk. Soon will be at 150/wk, as I start lifting more and looking for increased benefit. So far so good.

You are over thinking it, you are anticipating problems without ever experiencing them. You will mostly find negative experiences on these forms.

I have only minor testicle shrinkage and my LH and FSH are still in the low normal ranges thanks to Jatenzo, a new oral T capsule taken twice daily.

There is a study which shows a 75% suppressive effect on LH and a 65% suppressive effect of FSH.

Is there not a downside to not treating the Low T?

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