Personally, I wouldn’t do the HCG, unless you think you are primary hypogonadism. HCG, to me, seems to be a challenge to see if your testicles will work at all. Your goal is to get your HPTA going again, so I’d go straight to SERM+AI as you suggest. If your restart fails, you can decide on SERM+AI for life (if you did get relief during your restart) or pinning for life.
I think 2 weeks should be sufficient, but everyone is different.
Bloodwork timing looks good. 4 weeks seems to be a good time to see if changes have taken effect.
@gonadthebarbarian thank you so much brother. Did you see my bloodwork in the link i posted?
The reason I ask is because I think secondary hypogonadism might be the case, i dont know about primary.
If i do my bloodwork after 4 weeks and everything comes back normal, does it mean that my HPTA and testicles are functioning properly? Or are my hormone levels temporarily normal due to the AI+SERM?
One can do labs during the SERM phase to see what is going on, but that has a cost. Two weeks is not much time for recovery to testes. So even if HPTA becomes un-stuck, T levels might improve from there. So early labs can miss that and there might be then some transistional SERM effects too.
The HPTA restart sticky explains many issues that you have asked about.
Running any T cycle risks damaging your HPTA further.
Truth be told, my HPTA is already fucked, so I have been tempted to run a cycle too. I have no source and an aversion to needles, so it’s unlikely to come to pass.
What do you know about prostaglandin e2?
I read that marijuana causes too much production of prostaglandin e2, could this lead to loss of libido?
I dont think i have secondary hypogonadism as all the cases I’ve read about have both low FSH as well as LH - while my LH is normal, and only my FSH is low.
Sorry im asking so many questions, im just really worried about this, especially since i started the hpta restart a week ago and havent seen my libido return yet
I say this to a lot of guys, when your T is restored, you will feel much less anxiety.
I dont think i have secondary hypogonadism as all the cases I’ve read
about have both low FSH as well as LH - while my LH is normal, and only
my FSH is low.
Sometimes it’s hard to tell, LH comes in pulses. Time of test can have a lot to do with it.