Long term use of HCG safe?
- 08-09-2007, 07:18 PM
Long term use of HCG safe?
Hello, all, I am new on the board and have to say this is by far and away the most mature board on this subject I have seen, especially with the contributions of Dr. John with whom I am planning on arranging a consultation through my PCP.
That said, I am curios about the use of HCG as an adjunct therapy to TRT.
I have heard many different schools of thought ranging from doing it once (or more) a week to a month long cycle every few months and in lieu of testosterone during that period.
My total T at age 36 is only 425 and I'm symptomatic) I want to make sure I understand the nuances, as I have heard that HCG can cause cancer (???) and I believe my congenital anamoly increases my chances for same.
Also, if anyone knows, is the long term use of arimidex safe? Are these two adjunct therapies commonly used long term for HRT?
Thanks in advance!
- 08-10-2007, 12:21 PM
Human Growth Hormone, HGH,
I have cancer, liposarcoma.
Some cancers are promoted by HGH, my cancer is within that group, I will not use HGH.
All this is rather cutting edge, hard to find definitive information.
Lately there was a thread on Sermorelin.
Sermorelin..better than HGH?
Sermorelin induces body to produce its own HGH.
It is going to be tougher and tougher to figure out.
With your TotalT=425 you have little choice, you have to use testosterone.
You do have certain amount of choice about HCG.
If you do not care about preserwing fertility, do not use HCG, your testis will shrink but that is cosmetics at this point.
Make sure that you get more thorough test than just testosterone, usually people who have low T shortly find out about other problems that they have.
Start with good blood test. Use mine list here, post #44.
You may want to peruse the whole thread.
Jan's BloodTest April13/2007
Often people start on Tgels, creams etc. Transdermals do not work for certain group of people. For some they work.
Try to spend as liitle time as possible on transdermals.
If you find they do not work for you go ASAP for injections.
Make sure they are SubQ 31ga needles, rather than big nails.
Here usualy doc may want to give you only smal dose of Testosterone, no HCG and se if that would work.
After your testis are shrunk, they make attempt at reviwing them, give you script for HCG.
I wish I could have started with higher dose of T and HCG righ away.
On my thread:
Jan's BloodTest April13/2007
I figured out how to get to proper injected T-dose quicker.
You need to have SHBG value to figure that out.
When time comes I can help you figure out your initial dose.
Make sure you do long blood test, will save you tons of grief.
- 08-10-2007, 12:26 PM
"Sermorelin induces body to produce its own HGH.
It is going to be tougher and tougher to figure out"
I wonder if this will make you exempt JansZ, and safe to use.
Your total QOL will go up drastically with a proper IGF-1 level. This is as big of a piece to the puzzle as T and E.
08-10-2007, 02:21 PM
Here's what I had then, I am calling Dr. Crisler today:
TESTOSTERONE, TOTAL: 455 (400 - 1080 ng/dl)
TESTOSTERONE, FREE: 111.3 (47.0 - 244 pg/ml)
TESTOSTERONE, % FREE: 2.4 (1.6 - 2.9%)
SHBG 18 (11-80 nmol/L)
TSH 3.12 (.35 - 5.50 uIU/mL)
HGB A1C 5.5 (0 - 5.9%)
PSA .74 (0 - 4.00 ng/mL)
PSA, FREE 0.31 ng/mL
08-10-2007, 06:13 PM
08-10-2007, 07:06 PM
08-12-2007, 08:32 AM
Jansz: You stated above that HCG causes your testes to shrink and hampers fertility. Is that right? I thought exogenous Test would cause this and HCG (LH) would keep the testes going throughout. In fact, one doctor recommended androgel for low test coupled with repronex (FSH/LH) to keep fertility high. An expensive propostion.
08-12-2007, 09:09 AM
The other possibility may be that my glass with Merlot was little to big, then may be your glass was big.
When making such statements it is good to first provide quote and link where that quote came from.
When I was on Androgel only, for few years, my testis shrunk to nothing, as expected.
I started HCG in feb 2007 and within a month size of my testis came back.
I started HCG E2D 250iu in Feb 2007.
Since 6/19/2007 I am on 500iu E3D, possibly two days free of HCG makes my testis fluctuate hardness wise. They are newer as hard as they used to be in my hey days.
But the pines works all right, so I do not worry too much.
08-12-2007, 09:28 AM
I think that is what he said.
I do not use HCG as I have no need for fertility and can live with some testie atrophy, but I have seen some increase in size and ejaculate volume using USPLabs PowerFULL. It proported to raises test by stimulating LH. It has made an improvement in mood and sense of well being.
08-12-2007, 11:22 AM
08-12-2007, 11:23 AM
Anything that stimulaltes a release of LH will prevent testicular shutdown.
There are a few products that come to mind.
One is tribulus, Another is resveratrol. I was always under the impression that neither is strong enought to equal hcG.
Another question - Are you fertile on T without hcg? This would be a nice side bonus to many if one became infertile.
08-12-2007, 11:35 AM
In the case of secondary hypogonadism, if fertility on a long-term basis is desired but on a short-term basis it is not, is it better to run to run hCg while on test or not?
08-12-2007, 11:36 AM
I cannot say that it equates to HCG but anecdotally I am responding with improved testie size, scrotal volume and ejaculate volume.
My LH was diminshed weeks after beginning TRT. I have not since had any bloodwork for LH with TRT or PowerFULL.
I was fertile before TRT and have no idea after. I also have a vasectomy.
PowerFULL (NEW!)(90 caps) By USPLabs
08-12-2007, 12:38 PM
5150, did you get any blood work done while using PowerFULL and what were the results of that?
08-12-2007, 03:19 PM
08-12-2007, 03:39 PM
my one friend said long term use of HCG can make you look like a cavemen, like big head and changes the way you look in a bad way
08-12-2007, 03:43 PM
08-12-2007, 04:08 PM
08-12-2007, 04:58 PM
haha 5150, I guess it would help for me to read more thoroughly, eh?
thanks, I may try this stuff out and see how it works
08-14-2007, 08:17 AM
So the general consensus is that, with TRT it's better to use HcG continually throughout the treatment as opposed to sporadically?
Why? Can anyone point me to some articles/med journals?
08-14-2007, 12:36 PM
I just can't see not doing HCG it to me is not about the size of my testis it is about LH receptors not working without HCG.
08-14-2007, 03:41 PM
08-14-2007, 10:59 PM
Phil, that is an excellent point about HCG stimulating other LH receptors. Never thought about that but it makes sense.
To answer the original question, most of us are using HCG all the time while on T replacement. We have not found any credible evidence that I know about that it may cause cancer or any other problems. Jsut keep your dose low. The lower you can get away with the better because if you dose too high your testicles will eventually become desensitized to it. The max dose is 500 iu per day but most are doing a lot less than that. Dr. Shippen started me on 300 iu three times a week. If you start there you can adjust your dose up or down depending on lab results.
08-15-2007, 07:26 AM
That would be a max 500iu /day, every day.
That is how I understood dr John's
I am doing 500iu E3D
so my hcg shots coincide with my T shots, for convenience.
Previusly, until june 19/07 I was on E2D 250iu
I see fluctuations in consistency/hardness of my testicles now.
The E2D was better for testicles but since I do not worry about fertility and my testicles are not producing T (I think), I let the convinience part decide on my schedule.
08-15-2007, 08:58 AM
FarmerJohn: Thanks for an answer. It's been a long road just in getting to the testosterone question. Now I find out there's about a dozen more I need to consider!!
Did the HcG do anything for you other than help with testicular function? i.e. did it improve your mood?
08-15-2007, 09:00 AM
Let me ask another "subquestion":
If one wanted to try to increase his own natural test production in such a way as to not have to be on exogenous testosterone for the rest of his life, is there a protocol for that? Like doing a course of HcG along with HGH to try to stimulate/grow Leydig cells? What would that look like?
08-15-2007, 01:55 PM
If hcG was inneffective in such situation we would see no response in teste size.
Something is going on, albiet we do not know how much of a t response.
Dr John has pointed out various times about LH signals being scattered throughout body. It is this rationale why hcG is more important than hmG. hmG is basically artifical FHS. FSH is only within testicals, so rationale is that it has little effect in grand scheme of things outside of fertility.
08-15-2007, 04:13 PM
08-15-2007, 04:33 PM
250ius hcg every 3 rd day works good..now we just have to wait to see it does with my e2 SIGH !!
I do notice my muscle getting fuller and harder looking could this be the e2 coming in check from being so low ?
Can any one find credible evidence that fish oils lower shbg ?
08-15-2007, 04:51 PM
When I see my doc for my first follow up next month I am going to bring him Dr. Johns papers about HCG. I know Dr's. in general hate it when you do that, but I don't feel like he is helping me because he doesn't even know what effects E2 have on the male body. When I asked him about it he gave me the "deer in the headlights" look. I just can't switch Endos because I am in the military and it took a year to just get this far. So, I want this guy to help me, but I don't want to P*** him off because he is the only chance that I got and at least he has me on test cyp. I can get the Arimidex myself (I got some on the way just in case), the HCG is not necessary, but it would be nice.
08-16-2007, 07:56 PM
does any1 have solid proof or even a study indicating that overdoing hcg can damage Leydig cells in humans? Im gonna need something to show my doc if indeed its true.
typical protocall here are hcg 3x1500iu / week and he says he has guys who been doing this for years. Guess they use it as sole trt.
08-16-2007, 10:16 PM
The HCG did not effect me in other ways that I am aware of. That said, I did not have any depression problems before HCG. I guess I was cranky while on low T but I was on androgel for 4 years before I switched to HCG so I can't say if it helped my mood I guess. I know many men do have depression and other emotional issues when T is very low so your question is very valid but for me it was not an issue. Also, I should say that even though HCG by itself does not work for me, I feel best on the 4 days a week I take HCG. I take T cyp on Wed and HCG on Sat thru Tue.
Good question also above about any studies on HCG desensitizing leydig cells. I have taken this for gospel since I have read it so many times and Dr Shippen has told me this but I do not know of studies. There may not be any and this may be anecdotal evidence from Dr Shippen and other pioneers in this area. Actually if there were studies to show this I doubt the ASCE guidlines for HCG protocol would call for such high doses as it does.
In any event here is the argument to use with your doctor. You always want to take the least dosage possible of any drug as long as it works for you. Why take any more than you need. In the case of HCG, according to Dr. Shippen, if your dose is too high the result is your E2 rapidly rises while your T only goes up marginally from the extra dose above the optimal level for your particular body.
08-17-2007, 01:22 AM
08-17-2007, 08:21 AM
Here is my overarching question about TRT and HcG in general:
1. You have low testosterone so you start testosterone therapy.
2. You feel good for a while
3. The added testosterone supresses your HPT axis, causing your body's production to lower.
4. You don't feel so good anymore.
Don't you almost have to use HcG or add more test or something at that point? How does that all work?
Also, has anyone here used Nebido? There's a great article about it Muscular Development this month as a means for TRT in hypogonadal men. It talks about a German study in which men had success and said estradiol levels did not increas much on the drug because it was evenly released or something like that.
08-17-2007, 08:33 AM
When I started my TotalT~300
At first it was very good, then in (I think) in few months it started going downhill.
Also during that time my balls disappeared.
I did not knew about balls at that time so I was not reay payng attention to that.
But it took long time, say six monts for them to be gone.
It took 30 days on HCG to get the balls back.
As far as I can tell, I do not have any sensation, benefits or otherwise from using HCG.
I am using Novarel.
I am using it until it is gone.
I do not see any difference (balls size etc) when I am starting fresh vial or when I am on the end of the vial, in 80 days or so latter.
08-17-2007, 08:53 AM
conclusion is not
Correctness or incorrectness is in eye of beholder.
There is always adjustment period.
When ones goal is to reach stable condition ASAP, one should use HCG at the start of therapy
and testosterone shots at the very start. And I am talking about tiny, did I said tiny 5/16" long, needles for both T+hcg shots, not the 1.5" long nails driven into tender flesh that hurt next 2-3 days.
Just looking at those needles one thinks of everything else, gells, tcream, anything but those needles, and forget about frequent injections.
There are always other considerations.
1. one is done with steroid cycles and would like to come back to more normal life
2. newer used steroids, but is hoping that there is a way to make his balls work
3. one likes to know if hi is primary or secondary, like if that would give him some gain or other satisfaction.
4. desires to father child is only valid excuse in my book.
But here doctors unnecessarily put men thru hardship and deppressive state of mind due to low T. One can be on T shots plus HCG and be fertile, when problems arrise add HMG for a year. There is no need to drive testosterone down in mean time. Somebody attempting to be a father needs all the energy he can muster. Fatherhood is big job for the next couple of decades, at least.
5. there are other variants, most notable, uncooperative doctors, or doctors who want to experiment to broaden their expertise, that I can understand, little choice, except stating you goal to doctor and telling him of no desire for much experimentation.
08-17-2007, 12:37 PM
08-17-2007, 12:43 PM
[QUOTE=JanSz;961595], one should use HCG at the start of therapy
and testosterone shots at the very start. [QUOTE]
This type of thinking is extremely incorrect.
One should NEVER start HRT right away with hcG.
We need to establish a baseline value on how a individual person will react to exogenous testosterone being administered.
Everyone is different, we simply cannot guess on how a person will react. This is why we start with one thing at a time. The testes will be perfectly fine without hcG for the first month, and you won't necessarily "crash".
Once we get a baseline reading for BW after T has been administered, and we have a feeling how the person has been reacting, especially TT and E2 wise, and we make adjustments in exogenous T and AI, THEN we add hcG. The theory is, and I STRONGLY agree with it, that once T and dose of T being administered, and E and AI stuff is in line, adding hcG won't upset this delicate balance.
If you add in hcG right away at the start of therapy it will throw everything off.
And JansZ you know my feelings on why a person should start with a transdermal first.
08-17-2007, 01:09 PM
I've got a couple of questions for you, Plymouth:
1. If you think transdermals are the way to go, do you recommend the brand names or a compounded gel? What %age/dose to start?
2. How do I get my PCP to prescribe a compounded product?
3. What about Nebido? Good article in M/D this month. Seems to raise everything gradually, although they were suggesting follow up shots could be at 9 weeks versus 14.
08-17-2007, 01:17 PM
2. Physicians are sympathetic to their patients monetary issues. I suggest you go the money route. Simply explain to him/her that you can get your T for much cheaper via compouding pharmacy. Find compouding pharmacy in your area via google. Print out page listing prices and show him.
3. My issues with Nebido are the same with all injects - they completely ignore the daily "Pulses" and rythym of natural testosterone production. T is supposed to be highest at beginning of day and drop down at the end of the day for circadian rhythm. For these process, transdermals simply cannot be beat, hands down they are superior, even to nebido
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