Not familiar with LDL+HDL total, perhaps you can help me and perhaps the following does not apply.
Cholesterol is too low, that needs to be fixed. Total cholesterol 160 and lower is associated with increased all-cause mortality. Cholesterol is essential to life, you just do not want it getting past the blood vessel endothelial cells. Cholesterol is the foundation for production of pregnenolone, progesterone, DHEA, T, E2 and cortisol type hormones; as well as vit-D3 which when converted to the active vit-D25 is a true steroid hormone that gets transported to cell nuclei where gene expression is affected.
Study this: http://en.wikipedia.org/wiki/Steroid_hormone
Cholesterol is not “great”, more like “lethal”. Ideal total cholesterol is thought to be near 180.
With increased animal fat, the liver will produce more cholesterol in response, above the cholesterol that comes with the animal fats. Most cholesterol is made in the liver, not dietary, but production can be in response to diet. When men loose DHEA, pregnenolone and T as they age, total cholesterol increases. When these men go on TRT, total cholesterol often falls significantly [with HDL not dropping]. So one can state that the body might be making more cholesterol in an attempt to foster greater steroid hormone production. Note that TRT without hCG leads to the testes shutting down, removing some progesterone and pregnenolone production, and then DHEA can follow pregnenolone down. TRT also increases/restores [some] insulin sensitivity and can lower blood pressure by correcting arterial wall muscle tone.
hCG activates LH receptors, some but small/little cross over FSH action, OK for fertility for some, but not good enough for those with some sperm count issues.
You have it figured out.
Both SERM and hCG lead to LH receptor activation. Too much of a good thing can desensitize the LH receptors. Then you are screwed. High dose hCG or high dose SERM can do the same thing. Combining hCG and SERM can be too much as well. IF one took smaller doses of hCG and SERM combined, that might be useful. I also suggest hCG with occasional switches to Nolvadex to keep things going.
For TRT, you need to look at low sustainable doses. Do some docs prescribe high dose hCG, yes, but bad news for long term use. So some docs prescribe hCG+SERM for fertility? That may be needed to get a pregnancy, but dangerous long term as it could reduce fertility [and T levels for those who are trying a HPTA restart.]
hCG has a ‘lobe’ that is exactly the same as the active lobe of LH. [not FSH!]
Both clomid and nolvadex are effective. Clomid has horrible estrogenic sides for some.
"That may be too much clomid, check E2 levels. AI may not be able to control E2. " E2 management is mission critical.
Do you have E2, TT, FT labs?
What is your iodine source?
Please send picture of wife ;}