Dr. D and Ryan already stated some good thoughts. I'll just add that M1T being as harsh as it is, I wouldn't even attempt to use it longer than 2 weeks at the beginning of a cycle, so if you take that into consideration, and are running a short PH cycle, I don't believe it's worth the sides. Obviously if M1T is used as a kickstart to a long 8+ week cycle than hcg would be necessary regardless.