HRT is usually for the rest of your life. Being suppressed isn't that unhealthy. There have been men that have been suppressed for over 30 years but are still very healthy. Its being suppressed and using high amounts which will cause problems. As long as ranges are kept normal it has many benefits. HCG can take care of the eventual atrophy that occurs in relativley low doses (250iu) Nolva/CLomid/Letro are used for anti-e effects and to control estrogen levels if need be. Some need it some dont. Its really not an exact science and one reason SWALEW like Androgel and Cyp because he can monitor levels and titrate when needed.