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However, I do occasionally receive complaints from men on injections, because injections start a man off at very high testosterone levels which then taper off to very low levels at the end of the cycle. HCG may be a possible solution for a man that has experienced a significant loss in testicular size from this phenomenon. Discuss with your physician.
2) Testing for Secondary Hypogonadism. Some knowledgeable doctors will actually test for secondary hypogonadism (low testosterone resulting from pituitary or hypothalamus dysfunction) using a short regimen of HCG. The idea is that, if HCG can stimulate the testes to produce testosterone, then more than likely the gonads are still functional and okay. Finding a doctor that will even care or bother to look for secondary hypogonadism is difficult at best, however.
Does HCG raise testosterone in all men? The answer is no and goes back to the mechanism by which it works. Again, HCG mimics LH (Leutinizing Hormone) and thus "tricks" the testes into producing more testosterone. Unfortunately, this does not work well with men who have primary hypogonadism, i.e. dysfunction of the Leydig cells in the testes. You can't "squeeze blood out of a turnip", eh?
HCG works best in this fashion with men who have some kind of issue with the pituitary or hypothalamus, rather than with the testicular cells that actually produce testosterone. This is why it is so popular with steroid users, who are most mostly younger males who have not yet developed traditional andropause and loss of testicular function. Almost all of the men on the Peak Testosterone Forum are secondary hypogonadal.
NOTE: It is important to find a good doctor when going on HCG. Too much HCG can lead to over-aromatization, i.e. too much testosterone converting into estrogen. Thus, solid experience and monitoring are in order. Extreme cases can eve result in a kind of burn out of the testicular production of testosterone.
3. Fertility. HCG is used by many fertility doctors to help with fertility. For example, look what this forum poster wrote: "Definitely look into clomid and/or HCG to recharge/super charge your fertility again... Clomid took my sperm count numbers from very low into the way high end, and it improved the quality. My urologist said HCG (which i'm on now) is even more powerful/good for sperm.."  Again, traditional HRT will almost always lower fertility, whereas HCG can boost testosterone and maintain or even improve fertility a little. (Check with your physician of course on something as important as fertility!) The reason for this is that HCG's LH-mimicking abilities kickstart the testes into action and sperm is generally increased according to some fertility docs and urologists specializing in the subject.
4. Correction (Someday) of Secondary Hypogonadism? Apparently, there are a few doctors that believe they can actually solve low testosterone in some cases using HCG as the initial protocol. Of course, this cannot work on a man with primary hypogonadism where the testes themselves are simply not functioning properly. However, secondary hypogonadism can in some cases be caused by extreme stressors, such as trauma and (some experts believe very strong) emotional events. Could the "switch" somehow be switched back on using an HCG protocol?
One forum poster outlined how this worked for him: 
"The first reading I got from him in the morning was 498. Keep in mind during this time I had been getting readings from other doctors and all of them were around 305-363 ng/dl and also in the morning as well. I actually got checked into the hospital for a severe depressed episode and had a very sympathetic psychiatrist test my testosterone at around 6pm and it came to 199 ng/dl ( hypogonadal for almost any lab and yes I felt every bit the part of those low levels that many of us on this forum have come to unfortunately know). So the doctor I'm seeing prescribed me a quick regimen of HCG for four weeks. My levels per his lab went from 498 to 699 and this reading was taken in the afternoon because my new job currently requires my early mornings and cannot schedule a morning draw."
My leutinizing hormone was rock bottom because the hcg supressed its secretion. Remember HCG mimicks LH in the body and will definately have an effect on the HPTA. After the HCG the doctor prescribed me nolvadex or tamoxiphene citrate (selective estrogen receptor modulator) at 20 mg per day for 4 weeks. Nolvadex is used to fight breast cancer in women but it also has an effect on blocking the pituitary from sensing any estrogen in the body and this in turn stimulates the hypothalamus to send messages to the pituitary to secrete LH. The labs taken after the nolvadex showed 701 ng/ml and again this was taken in the afternoon ( 4:30pm) where a man's levels are definately not peaked. The LH reading was slightly over the normal range and this was due to the nolvadex really getting the pituitary to work."
"Finally now after a month the doctor had another blood draw in the afternoon from me to see where the levsl were at after the nolvadex had left my system and the lab came to 625 ng/ml. This is very promising as the doctor feels it may be staying there and he thinks I might have a level around the high 700's or low 800's perhaps in the morning. I am definately not near as depressed and the libido has improved."
So, according to this poster, a month afterward, the treatment had "stuck" and appeared to have been successful. Does this mean that secondary hypogonadism can really be cured in some cases using these kind of "post-steroid recovery strategies"? Well, this user later lost his gains and ended back where he started from. But some steroid users have been able to heal post-cycle, so perhaps this will be possible in the future. Hopefully, some of the anti-aging and sports medicine physicians will test and develop strategies that can help some men with their secondary hypogonadism. Right now, though, it is much more "art than science."
5. HCG Monotherapy. Some men are just leaving out the testosterone altogether and sticking to just straight HCG (and Arimidex almost always). I discuss this option in my link on HCG Monotherapy.
Remember: almost all of these usages are off label and have little study work behind them. With HCG you are almost always relying on the expertise and judgement of your physician, so get a good doc with good experience. Remember that more is NOT better with HCG and the knowledgeable docs advocate low dosage HCG. If you go high enough with HCG, it is common knowledge that it can desensitize receptors.
NOTE: One interesting potential benefit of HCG is the adrenal connection. Leutinizing Hormone actually stimulates, at least in men with low adrenal function, the cholesterol to pregnenalone pathway and thus may help some men in later stages of adrenal fatigue. 
This is the protocol that my current HRT clinic uses and the pattern seems fairly common:
About 85% of the men at my clinic are on HCG and around half say that they feel some kind of significant positive effect. How much will HCG increase your testosterone? This is highly variable and varies between about 50-300 ng/dl according to the information that I was given. Of course, this does depend on the dosage you are given.
NOTE: HCG has a 24-hour half life and so this protocol only has significant HCG in your system for maybe 72 hours. However, this is enough to keep the testes alive and most men with shrinkage will see an increase in testicular volume from this.
CAUTION: If you have a medical condition or are on any medications, please discuss any changes with your doctor first. Certain supplements, foods and even juices can alter absorption rates of certain medications for example. Play it safe.
4) "AN UPDATE TO THE CRISLER HCG PROTOCOL", By John Crisler, DO
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