T Nation

Moving from US to Australia. How to Continue TRT and Get HCG + AI?


#22

@Chalk Dr Z tends to do the initial consult, a follow up two or three months later, and then every six months after that.


#23

Hey guys, I saw Dr Z today when he was in Melbourne (great doctor). I’ve been prescribed Primoteston every 5 days (125 per injection). Also been prescribed HCG, but he was somewhat vague about how to use it. At first he said I could use 1500iu twice a week ongoing with my TRT. I told him I couldn’t afford that, and so he said I could use it “whenever”. I mentioned that I’d read lower, more regular doses of HCG (250 twice a week for example) is better but he said it doesn’t really matter. Seems like a brilliant doctor but I’m still not sure about the best way to administer my HCG. My concerns are mainly fertility and testicular size. He wrote on the prescription 1 quantity every two weeks (one 1500iu injection every fortnight) but said that I could space it out to be every 3 or 4 weeks if I like.

I’ve read that anything over 500iu in one go can be bad (more e2, and damage receptors). My ideal method would be to have small regular doses of HCG, like what is recommended everywhere on the internet (250iu every 3 days), but the HCG only comes in 1500iu ampules I have to mix up, and the doc said it doesn’t keep well once mixed, so “may as well do it all at once”.

I’ve really been struggling to find consistent info on this. How do you guys go about your HCG in Australia? In the past I’ve tried cycling trt for 6 months with a 6 week HCG cycle, but this didn’t go well (lowered my testosterone and fertility).

I’m reluctant to use such high doses of HCG “when I feel like it” but really want to do whatever I can to preserve fertility and testicular function.


#24

Your doctor doesn’t have much experience prescribing HCG, you never inject more than 500ius at one time in conjunction with TRT, maybe to kickstart the testicles after stopping TRT, but not long term. 250iu twice weekly may not be enough to make a difference.

Standard dosing is 250iu EOD, 300-500 2-3 times weekly. You can even do 50-150 every day in the morning.


#25

I can dose it however I like, to some degree. He said I could just have a 1500iu shot every few weeks and that should be OK. Doesn’t sit right with me though. Whether I do 250iu every other day or 300 twice a week, my problem is actually to do with mixing it up, storing it without it going bad. Why is this so hard, I’m so sick of Australia being so far behind with this stuff!


#26

You need to find a real doctor that understands this TRT stuff, this one is clueless.

HCG has a half life of 24-36 hours, so now the protocols above make more sense. Doctors should know the half life of the drug they are prescribing.

I imagine you only have a handful of knowledgeable hormone specialists in Australia.


#27

You’re correct there mate! However This guy, Dr Z is meant to be the best, or one of the best in Aus. I’m just confused about the HCG fertility stuff. I’m aiming to do one of the doses recommended on this site for HCG, but I think the only way I can safely do that is by wasting most of the 1500iu dose?


#28

There are a few things doctors don’t even know about HCG, that it suppress the top half of the testicles while stimulating the bottom half which is why HCG monotherapy doesn’t work for a lot of guys. Then TRT is needed.

Also regarding E2 control, anastrozole can’t effect E2 inside the testicles, so if you find yourself increasing the AI and no change in levels… It also doesn’t cross over into the brain. You can add FSH and LH to a TRT protocol for fertility, but can be expensive.

Perhaps your doctor is the best there is to offer, he will learn. This stuff isn’t taught in medical school, everything is learned through clinical experience, trial and error.


#29

Primoteston Depot 125 every 5 days?

Since this isn’t covered under PBS, can I ask how much is it costing you and for how long did he prescribe it for?


#30

I’ll be on that indefinitely, until I want to have kids, and it’s about 30 bucks for a box of 3x250mg.


#31

I’ve finally got it sorted. Found a compounding pharmacy that deal with this for many others. Got my doc to fax them a script. I’ll be able to get a vial of 5000iu for $160 for doses of 250iu twice a week!