i do in the range of 350-500IU on tuesday/saturday
This doesn’t have a ring of truth to it, you have to know if treatment is working and if the dosage is high enough to affect sperm quality and mobility, otherwise you’re just spinning your wheels.
The doctors I follow on YouTube are urologists, endocrinologist’s, TRT doctors, many of which are in the managed healthcare system, are not going to not check results of FSH prescriptions, are not going to continue providing treatment will poor results and overburden insurance companies by increasing costs for a treatment that doesn’t work for a particular person.
That would be like starting TRT and never checking Total T, Free T, CBC and hematocrit, how else would one know if the dosage is appropriate?
This comes across more like a rant than a civil discussion, so why not give it a rest.
Go to YouTube, subscribe to some of the reputable doctors, read some the studies they provide and open your mind, set aside your arrogance and inferiority complex and listen.
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With the addition of FSH to hCG, FSH levels increased (213 +/- 72 ng/ml) and sperm concentrations rose significantly, reaching a mean of 103 +/- 30 million/ml (P less than 0.03 compared to hCG alone).
Easy, we have a pregnant wife.
I’d love to.
I’ll give it a rest when you stop shit like this. You have not “seen”, nor do you know, one guy to which that statement would apply.
There it is. I would imagine most regulars here figured this out, as I did, but I am concerned with the new guys. You spend a lot of time in the internet following whomever. You learn a lot, some of it good stuff, some not. This has become a passion of yours. My problem with you is when you spit out crap. You answer seemingly every post, even regurgitating good answers previously stated. Then couch it with “I see” or “we see” when that is flat out not true and is misleading.
You want me to give it a rest? Try this:
Regarding the effectiveness of hCG compared to FSH, I follow Dr. _________ on his YouTube Channel, he’s a urologist. I saw his post two weeks ago and he was speaking of this. He stated in his practice he has
not
Because you haven’t. Do that and I will have zero issue with you.
Ah I see, is that what you have done? Minus the inferiority complex? I know that is meant as a dig and not advice. So, I’ll just keep doing what I’m doing, it’s working pretty well. Thanks.
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I offer this just as an anecdotal datapoint, not as any form of argument with anyone. I’ve been on TRT for over 10 years now. The dosage we dialed into finally was Testosterone 200mg/ml at 1ml per week, with 1mg of Anastrozole, and 0.5ml of HCG supposed to be twice a week, but I only used it once per week. My sperm count as measured by the YO app went to zero. My ejaculate is a clear liquid now. For a couple of months I quit taking the HCG completely, and I had testicular firmness deteriorate. I went back on it and gained all the firmness right back. I’m 67 so fertility is not important to me but testicular shape is. I switched from the testosterone clinic I’ve been seeing in Dallas for 10 years to a urologist with high ratings, but he is dropping me to only injecting 1ml every 2 weeks instead of 1 week, he messed up my Anastrozole completely by giving me a script for 1mg every day, and he won’t prescribe HCG. That’s another entire issue. The gist is I believe there is a wide range of what doctors are willing to prescribe, based on probably not much actual data, and their own biases.
Yeah, but is it yours? 
Apparently not all doctors measure up or are up to date. Also, some of the best most knowledgeable leading TRT doctors in (managed healthcare) reside in Texas.
Sorry @DFWDave but your 10 year protocol is standard kitchen sink protocol. Too much Test so we will prescribe an AI to offset the overdose. Let’s throw in some unnecessary HCG for a 60+ year old because of testicular size…? I don’t like it at all but your urologist sounds worse.
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The guidelines usually get in the way, insurance based healthcare has very rigid treatment protocols. Take the NHS for example, a more extreme case, doctors can’t think for themselves, or adapt because the guidelines replace analytical thinking and the ability to adapt.
The guidelines are the problem, not so much the doctors.
DFWDave’s protocol is partly a bodybuilding protocol and has no resemblance of a modern “replacement protocol”. The 1mg AI every other day, this is a protocol for bodybuilders or women with metastatic breast cancer.
Other than the full 1ml of Testosterone Cypionate per week, this kitchen sink was the prevailing dosage being discussed here on T-Nation as TRT back in 2015. I think the suggestion was for 100mg/wk but after monitoring my T levels for months, we had upped it to 200mg/wk and that seemed to produce the libido results I was looking for. And the HCG was at my request after I saw what happened when I discontinued it.
I don’t see how. We do not have patients come in to the office to get injections. Besides, the testosterone injections the women use are not the type of injections you seem to be referencing.
Nice try though.
Sort of…
Nah, never mind.
That doesn’t make it right and FWIW I don’t recall that at the time. KSman was still advocating for 100mg T Cyp accompanied by 1mg Arimadex if I recall. Don’t know why everybody listened but he was convincing to new guys including myself.
If you tried a lower dose first though that makes more sense. Did the AI mess up your HDL?
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I was actually being serious with you, but if you think you know everything and have nothing left to learn, by all means, give it a pass.
You being a doctor and all, I figured you’d more than be more than willing to see what all those experts in the field of TRT are talking about.
Maybe I was wrong to think that.
Serious? Really?
What makes you believe I think I know everything? Because, many times over the years, I point out when you are wrong?
And all? Another attempt to piss me off?
An expert should be smart enough to know they are not an expert.
I’m sorry, but I’m finished playing with you. We can argue TRT stuff, disagree, etc., but when you imply I’ve fathered children with the wives of my patients, call me arrogant, and say I have an inferiority complex, you’ve crossed the line. Those are insults in apparent attempts to piss me off. I am not interested in playing that game.
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Apparently you don’t know when people are joking or being serious, or you’re just playing dumb and have no sense of humor. One post had nothing to do with the other, yet you mixed them up together to make your point.
You finish what you started, good for you! 
OK, you get part credit. You’re correct, zero sense of humor when it comes to jokes regarding sexual misconduct, particularly lame ones.
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I take 120 mg/wk and 750iu hcg 3x week. I was off it for a year but got on and am fertile now (semenalysis). I had ED problems on trt alone but this solved it. Sperm count and testicle size is still lower than before hcg unfortunately so I definitely feel like I hurt myself not taking it the whole time. I will take hcg as long as I’m on TRT.
so 250 iu each injection total 750 per week?
no 750iu each time, 3x per week
I see. Isn’t that too high dose?