I would reduce hcg since alot of guys are not benefiting from it and its just raising your e2 which was already high to begin with. One patient had e2 of 24 on TRT, nothing changed added in hcg 250 ius 2 times a week e2 went to 80 !! His symptoms were also supporting the blood work. Stop the HCG and he is doing much better even if you have small nuts to some its not worth the emotional and physical side effect.