Do you ever see Preg/DHEA turning out to be requirements for some of those patients? As in TRT alone wasn’t working for them and Preg/DHEA turn out to be the missing piece(s) of the puzzle?
I know for me without some combo of hCG/Preg/DHEA, I feel significantly worse than pre-TRT in a lot of ways; cognitive function is severely impaired, libido non-existent, complete anhedonia etc…
I’ve seen on labs a drop of over 60% for DHEA-S after starting TRT (confirmed over many labs) so in my case it’s pretty clear that’s the issue, but it doesn’t seem to be that common