HCG acts like LH and tells the cells the LH cells in the testis to make Testosteone but most men on HCG only starting with 100 IU's / day don't feel as good as men doing both TRT and HCG. Men starting on TRT gels will find most do better on 10 grams and adding HCG 250 IU's every 3 days keeps there testis working.
If you know your Secondary try Clomid 12.5 mgs this will get your brain to send it's own LH and FSH to your testis and keep you able to make a kid.
Dr. John C and Dr. Shippen have started to use this for there Secondary men read this cut and paste and link.
http://www.**************.com/forum/showthread.php?17612-For-My-Guys-Who-Have-Failed-the-HPTA-Restart&highlight=Clomiphene
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For My Guys Who Have Failed the HPTA-Restart
After a long Skype session a week ago with Dr. Shippen, I am rethinking the HPTA-Restart.
A number of my patients have responded well to the clomiphene challenge. This shows the HPTA is indeed intact. Yet when the SERM-class drug was withdrawn, testosterone levels once again plummeted.
With the proven benefit of low dose clomiphene, at 12.5mgs (1/4 tablet for convenience), or even less, I am now willing to maintain treatment, long term, on same.
Those who did not enjoy the subjective benefit of the on-treatment testosterone increase may have been sensitive to the estrogen agonism (mimic) half of the clomiphene, or zuclomiphene. Others experienced a sharp increase in SHBG (again, from the estrogen half of the drug), and so would have needed incredible--unattainable--gains in T just to produce bioavailable androgen levels sufficient to make them feel good.
Others simply have too much estrogen, either way.
For the latter example of therapy failure (by subjective report), we will add in aromatase inhibition, to hinder the conversion of T to E. For those with elevated SHBG, we can add in some oral Danazol to lower same. Once resultant dosages are titrated, we should be able to include all in the same cap, to save the patient money.
In my talks with Dr. Shippen, and well as Dr. Anna Cabeca (Functional Medicine physician extraordinaire) it is my belief residual toxic insult is the culprit behind resumption of the hypogonadal state once clomiphene stimulation of the HPTA is withdrawn.
Anyone who experienced good increases in T with clomiphene, without persistence upon drug withdrawal, is now welcome to go on clomiphene long-term. Depending upon the case, we may add in anastrozole and/or oral Danazol.
Keep in mind, "success" in previous restart attempt is defined merely as sufficiently increased testosterone production. Whether you felt better at the time or not is not reason for deferment. We can adjust estrogens and SHBG as necessary to yield positive subjective response.
My guys will tell you I have always been happy to try a restart. For those with failure to restart (meaning the system did not keep running once we stopped the clomiphene) we can try the new protocol. It would be great if we could NOT use TRT to restore health and happiness. Just call Renee, tell her what you want, and make an appointment. We'll get started right away.
Last edited by Dr. John Crisler; 04-04-2011 at 05:30 AM.
in this case.....what about a product like HCGhenerate...............my problem to begin with was like 0 LH and FSH so my testis were not getting the signal to produce Testosterone, u think that would do the trick, maybe if i stopped the gel?