I’ve been off HCG for about 1.5 years and we’re ready to start trying to add one more to the family.
Because of this, I had my hormones checked (7 days of no dosing) and surprise:
Test Level: 411
Free T: 9.2
E2: 5.6 (Range 7.6-42.6)
I was under the low range and made sense as I was feeling numb down there and not sure how the fuck I crashed it.
My clinic is recommending the following protocol:
Fertility protocol below:
Testosterone 0.5cc (total per week), ideally 0.25cc 2x/wk
Anastrozole 0.5mg 2x/wk
HCG 50 units (on an insulin syringe) 3x/wk.
This is no different other than no HCG.
Since I first started TRT I was heavy and carrying a lot of fat. Now I’ve dropped significant amount of BF% and leaned up. I’m an avid runner and putting in about 20-30 miles per week.
I’m a bit nervous about the AI considering how low it got. Since I’ve dropped it during testing, libido has sky rocketed again and all seems well.
Any thoughts or recommendations?
These Test and HCG dosages don’t compute. So again, how much testosterone and HCG is your clinic recommending?
1CC = 200MG of Test Cyp. So they’re recommending half of this.
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Assuming this is international units, this is a laughably low dosage that isn’t going to accomplish anything for your intended purposes.
Typical dosages for the purpose of fertility for HCG is 500 IU 2-3 times per week or 250-300 IU every other day. This isn’t the first time I’ve seen protocols like these from private clinics and I’m left wondering who taught these folks fertility protocols…
I believe your recommendation is what she was trying to say. It doesn’t add up the way it’s written but I assumed the recommendation aligns with yours.
Regarding the T dosage & AI vs Blood work…What is your opinion on the recommendation and AI?
BTW, thanks for the quick reply. The knowledge share on this site has been great.
Insanity is the first thing that comes to mind. I don’t think this clinic understands how powerful anastrozole is for a male patient. Half this dose will likely tank your levels after only one dose!
This is one reason why compounding pharmacies have 0.050 and .125 mg dosages and even these minuscule doses are enough to tank a guy’s E2 if particularly sensitive to prescription medication.
I couldn’t even handle a 10th of 0.050 anastrozole without intense bone pain in hips and knees. Simple actions such as sitting down in a chair caused pain.
Any clinic that prescribes an AI right off the bat without so much as a single symptom of high estrogen is a red flag that these doctors have no clue how to manage male hormones.
And I agree with you. I’ve wanted to switch clinics for some time but I haven’t made the effort to look for a new one. The last month has been interesting and the extremely low E2 number confirmed why!
I’m going to hold off on AI for now until I go through a new set a blood work with a new clinic in a month or two. Just need to find a good, reputable one.
Thanks again, systemlord.
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Not saying that you shouldn’t worry about low E2 and didn’t read past your OP, but we constantly hear treat symptoms and not numbers. Problem is that statement is usually said to guys who feel normal and got high numbers E2, as soon as you reverse the situation and all of a sudden people here want to treat numbers. In my case, and some others here we don’t care what T level we are we just can’t even handle E2 over 30. I was steered the wrong way so many times reading these forums reading claims that even say “your E2 is too low for your T level”. Give me an E2 of 18 instead of 38 any day of the week. If you see you feel better going higher E2 do so if you dont then stop that route asap. And in that sense don’t try to hit some arbitrary number, maybe you will feel better having 15? Maybe 20? Maybe 30? Maybe you won’t? Just don’t try to raise it and raise and raise it because X member on this forum walks around with a level of 70 and feels like god.
Literally you can find posts here people actually complaining of damn symptoms but they “only” have a E2 of 35 and get told well that’s not high at all considering your T level, and then some guys wonder why TRT never worked for them listening to that nonsense.
I hear you and I agree with you but my E2 tanked real low and that is concerning.
I’m going to let it “stabilize” and add or continue with AI per what my feeling and the numbers say. When I first started TRT, my E2 was super high without AI but that was also because I was holding a ton of fat. Now that the fat is 80%+ gone, I need to watch my E2 numbers.
Extremely low E2 caused me to have tension headaches (still lingering) and random bags under my eyes. I work in front of a computer all day so that didn’t help the tension pressure either… So I’m hoping I get the numbers up by next week.
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