Lecture Notes on HCG Monotherapy and Testosterone Replacement Therapy (TRT)

Introduction

• Discussion on a case of a 29-year-old with testosterone levels.
• Total testosterone: 500, Free testosterone: 13.
• Doctor suggested HCG monotherapy for six weeks.
• Re-evaluate testosterone levels four weeks after stopping HCG.
• If low, start TRT.

HCG Monotherapy Analysis

• HCG Monotherapy:

  • Used as an attempt to kick-start testosterone production.
  • Proposed as a halfway approach before starting TRT.

• Concerns with HCG Monotherapy:

  • HCG is suppressive of gonadotropins.
  • Functions as an analog of luteinizing hormone.
  • Suppresses body's own luteinizing hormone when administered.
  • Post-HCG, body remains in a suppressed state.

• Recovery from Suppression:

  • Requires the use of a selective estrogen receptor modulator (SERM) like Tamoxifen.
  • Necessary to kickstart pituitary function after stopping HCG.

Recommendations

• Diagnosis:

  • Importance of diagnosing whether hypogonadism is secondary, tertiary, or primary.
  • The presented case lacks gonadotropin level data.

• Advice on Protocol:

  • Criticism of the halfway approach suggested by the doctor.
  • Suggests reviewing the provider’s understanding of the protocol.
  • Recommended to not follow the suggested HCG monotherapy.

Further Assistance

• Encourages reaching out for more detailed discussions if needed.
  • Indicates availability for a detailed 30-minute consultation.
• Provides link to website for more information and contact.

Product Mention

• Reference to Mizumi as a leading acne solution for those on TRT.
• Suggests checking products via a link in the video description.