I think alot of what determines that is what preexisting levels where at as far as estrogen goes. If your pre-existing levels were in the shitter, say below 200, and your not dosing any more than say, androgel 5 or maybe test at 100mg per week, you May be able to get away without an anit estrogen, at least for awile.
But if you like your balls, and want to keep them, your going to have to use hCG. and with hCG use, especially combined with any Test, your going to need an anti-E anyways.
Aside from that, as you age, say past 50, estrogen will probably become an isssue anyways. Blood results is the best indicator.
Bottom line - hCG is a cool little drug anyways, why not jump in
IThe question is would this person get increased estrogen production (from aromatization of test) and require anti-estrogen trt if at the high range of normal test levels for a male of that age?
I found an answer to the above question after searching a little:
“Many on HRT will not develop an estrogen problem. The only way to know is to do the TRT and then watch for effects as well as doing blood work that also includes estrogen levels.”
It makes sense that this would be relatively random since developing an androgen deficiency is not exactly predictable either.
I suppose the next line of questioning would be would there be any need for HcG if someone on TRT did a cycle or would it all be pointless since the baseline of test would always be maintained?