Issues with Test Cyp/HCG therapy

[One Way Step]

Hello all,

I figured this would be a good section to seek some advice.

I have been on hormone replacement therapy since I was 13. I was given testosterone cypionate to get me through puberty and then was given hCG to maintain healthy hormone levels. I stopped taking all medications around the age of 19 and got through any problems with erections using cialis or viagra.

When I turned 21, my doctor and I decided that I needed to go back on hormone replacement therapy again. We spent about two years trying to find a proper dose. This ended up getting as high as 1,000mg of test every two weeks (which just left me bloated and without a sex drive). After this dreadful two year period I finally had found a regimen that worked for a while. It was 400mg-450mg test and two shots of HCG every two weeks. However that soon needed to be changed due to sleep issues and facial swelling that arose.

I presently take 200mg test and one shot of hCG per week, and my sex drive isn't anywhere near where I want it to be. I do not have morning erections and any erections I get while viewing porn or using my imagination aren't as strong as I want them to be and often go away quick.

What am I doing wrong here? I know its unreasonable to expect teenager nonstop erections, but I'm practically dead down there. Should I lower the test dose? Any tips or suggestions would be greatly appreciated.

Thanks
One Way Step

 

[SF1025]

Are you taking an AI?...If not the issue probably lies in high estrogen...Do you have bloodwork? If so post up the values so that we may determine the issue

 

[One Way Step]

I'm not currently taking an AI. I was taking amiridex for a while but my Doctor took me off of it because of concerns with it causing osteoperosis.

I don't remember what my numbers were (free test, estrogen, etc). Will ask Doctor next time I see him.

 

[SF1025]

If I had to guess I would bet your e2 is high...I was on trt for 3 1/2 years before I did a restart it took a while to find a sweet spot but I found 200mg test/every 6 days, .5mg anastrozole 5 days a week and hcg at 200iu EOD was perfect for me but it's diff for everyone...get your labs done so that you can be sure it's your e2

 

[One Way Step]

Thats a good routine. Any reason you only take anastrozole five days a week and not every day? Do you have 1mg tablets and split them?

Being as my general libido isn't where I want it to be while using 200mg test and one shot of hCG per week (I don't know how to convert the hCG dosage but it is 1/4 of a standard vial of 10,000 units).

Obviously, I have two options when it comes to the test; go up or go down. When I add anastrozole, I wonder if I should lower my weekly test cyp dose to 150mg or up it to 250mg.

Also does your cycle cause any facial or chest swelling? I imagine the hCG and anastrozole help prevent that. Anything else you ever add if you've had this problem?

-One Way Step

 

[SF1025]

Thats a good routine. Any reason you only take anastrozole five days a week and not every day? Do you have 1mg tablets and split them?

Being as my general libido isn't where I want it to be while using 200mg test and one shot of hCG per week (I don't know how to convert the hCG dosage but it is 1/4 of a standard vial of 10,000 units).

Obviously, I have two options when it comes to the test; go up or go down. When I add anastrozole, I wonder if I should lower my weekly test cyp dose to 150mg or up it to 250mg.

Also does your cycle cause any facial or chest swelling? I imagine the hCG and anastrozole help prevent that. Anything else you ever add if you've had this problem?

-One Way Step

The reason I only take anastrozole 5 days a week is because if I take it 7 days a week it drops my e2 too low and I got libido sides from it. Yes I had 1mg tabs and split them. I found that taking hcg every other day or even everyday keeps estrogen low so you don't get a huge spike which causes libido issues....To reconstitute the hcg put 5ml of bac water in the vial with the 10000iu of hcg. Now every ml is 2000iu of hcg. To get 200iu just pull the hcg up to the 10 mark on the insulin syringe. If you add anastrozole I would keep the test at 200mg a week. The reason for your facial swelling is from the spike in e2 that is coming from the hcg and the test aromatizing. If you get your e2 under control the facial swelling will subside

 

[One Way Step]

Thanks for the response.

I got anastrazole this morning from my Doctor and took a dose of 0.5mg (split the pill). Will probably take that dose every other day. My doctor had suggested taking 1mg every day but in past experiences that hasn't been entirely helpful.

I don't have much facial swelling now but tend to get it when I increased my test dosage. When I took 400-450mg every two weeks it would swell a little. When I was on 1,000mg every two weeks my face and chest got very bloated.

Any other medications you've taken that are beneficial towards maximizing a HRT cycle?

 

[SF1025]

Thanks for the response.

I got anastrazole this morning from my Doctor and took a dose of 0.5mg (split the pill). Will probably take that dose every other day. My doctor had suggested taking 1mg every day but in past experiences that hasn't been entirely helpful.

I don't have much facial swelling now but tend to get it when I increased my test dosage. When I took 400-450mg every two weeks it would swell a little. When I was on 1,000mg every two weeks my face and chest got very bloated.

Any other medications you've taken that are beneficial towards maximizing a HRT cycle?

Yea man no prob...yea I think your right 1mg anastrozole sounds like overkill, I know it crashed my e2 when I took that much, your plan sounds good...As far as other meds I've taken to maximize hrt I've taken several and loved adding in peptides(ie ipam and cjc) with my hrt regimen... I found on hrt the best course of action is find ur sweet spot for libido and then just hard training and good quality food