just curious...what kind of improvements are you expecting tos see or feel? Is this like a night and day difference in energy or sexual cravings or what?
HCG is an LH analog. LH acts on the testes to produce testosterone. When you take exogenous testosterone, your brain shuts down LH secretion from the hypothalamus/pituitary which causes testicular atrophy since they arent being used. HCG mimics LH and stimulates the testes. While this will increase his natural testosterone production, it will not stimulate his HPTA and when he stops the HCG the effects will go away as well. This is why he needs clomid. As a SERM (selective estrogen receptor modulator) it acts differently in different parts of the body. It does act centrally to stimulate the HPTA. Nolvadex at 20mg will do the same thing and some think it does a better job but either will work. Clomid can cause a secondary increase in SHBG but this is transient...nolvadex will cause a decrease in IGF-1 so pick your poison.
Regardless, if you want your natural testosterone back, you will need to pound the testes with HCG initially (how much and for how long depends in hard hard they are shut down) and either or both SERM for 3-6wks (again, depending how hard your HPTA is shut down).
just curious...what kind of improvements are you expecting tos see or feel? Is this like a night and day difference in energy or sexual cravings or what?
I was hoping for an improvement in energy and libido while keeping (or improving) my sperm count. Both are slightly better I suppose but it could be placebo-like reaction. I'll know more after my labs next week. Then another week or two I'll get my walnut sack jabbed with a needle to get a sperm count. I'm not really looking forward to that.
As Dr. Dave suggested, the Estradiol level is much higher than my doc would like to see. In my lab results packet there was also a prescription for Arimidex 1mg. I plan on calling my doc later today to ask about Clomid vs Arimidex.
only real update is that I feel a tad better, but not as good as I was hoping for. My libido seems to be improved, but I have no lab results to back it up yet, I believe I have an appointment in the next two weeks.
I'm currently getting 1ml/5000iu of hcg weekly and take 1mg of Arimidex every other day. Never got to the point where I needed a bro/manzere, but I did notice an increase in my chest prior to taking the Arimidex. Any enlarging has since subsided. Now it's just a matter of getting onto a treadmill and into the gym to shed the 20lbs or so I need to lose to get under 200lbs.
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