Brain fog is not a symptom worth trying to fix by altering your TRT. You’re not likely to get 100% improval of all symptoms.
I am sorry, but this is just your opinion JLWilson. You don’t know how bad his brain fog is or if it is a symptom worth fixing. In my case, I could not function due to the brain fog and was lucky/blessed that I was able to keep my job during that time in my life.
We all have to make judgement calls on how we feel, but if you are experiencing significant quality of life issues, then yes you should continue searching and trying things until you find what works.
I agree that there is a curve of diminishing returns and that it is impossible for 95% of people to truly be at 100% all of the time - but that also doesn’t mean that we should just settle for increasing from 25% to 50% functionality when 80% is possible.
HCG can help with Pregnenolone production which can possibly help with brain fog. Excess E2 can equal brain fog. Insufficient E2 can equal brain fog. It is a delicate balancing act. Plus there is a good chance that something else is also wrong. Most with Hormone imbalances also have problems with Thyroid and Cortisol.
External T = no natural LH/FSH production = less CHOL to Pregnenolone conversion = less Cortisol and less DHEA
HCG = mimic’ing of LH = hopefully more stimulation of ‘natural’ pathways.
also did you test for Vitamin D, Cortisol, ferritin, B12, DHEA-S, Pregnenolone, Free t4, free t3, etc?