We are holding off on HCG with this person because the metabolic pathways which are being down regulated could be from hyperinsulemia and also he past ADDHD meds. We are exploring deeper nutritoinal imbalance before implementing HCG because you could be shooting your self in the foot. If we find he is inuslin resistance then correcting this will help to rebalance the HPTA becuase he is so young. Then giving him hcg when the cause was from insulin resistance would be not taking care the cause of the issue. Yes it may take 3 months to see results, but the possiblity of him not resorting to any kind of TRT would be the benefit in the long run. If there is no indication of inuslin resistance then we look to see if the building blocks for the hormones are there in proper ratio. If you start hcg and your intracellular fats are low then you are just causing more havoc. Remeber DHEA, testosterone burns you cellular fat more so then your body. Increasing a testosterone in this case could induce further insulin resistance and more damage. DR's do not cover all basis they just back fill the hormones hoping it makes you better. This is where 80% of DR's are not educated in and it comes back to haunt them. You need to treat person from every aspect and back fill the holes (especially with proper nutrient balancing). Trust me after a days work my brain is literal fried from putting pieces of the puzzle together, going over labs, on phone with directors. People just think when you pay for an hour visit its alot, but if people knew how much work out side that office visit you really start to appreciate drs alot more. Being at office and then coming home and donating time on the boards. MY aol messenger is lite up like a christmas tree with people asking me all kinds of questions, then I have to answer emails, prepare labs for follow ups on top of working on getting PH.D and getting more ceritfications.. HAHAH its all worth