Derek (More Plates More Dates)

If you've done all the stuff that we kind of like talked about,

And you've ruled out pituitary adenoma, you've ruled out any sort of like, I don't know, like structural defects, and signaling is adequate, or even supra physiologic, and you're just not responding, like at that point, it's kind of like, okay, you're

We could try hammering you with some HCG and see if we can stimulate a satisfactory response with like a manual, like extra push at the lighting cell or use some, you know, some of these other like augmenting, you know, steroidogenic supporting things like Tomcat or whatever.

But if that's not working either, like your testes are cooked and you got to be on test at that point because you're just not responding to any natural stimulation whatsoever.

That is not typically the outcome of a lot of guys who end up on testosterone.

A lot of guys end up on it through like secondary, like hypogonadal symptoms through like the pituitary, either inadequate output or insufficient response to that output plus an insufficient amount coupled with it coming out of the pituitary.

There's not a lot of people that are literally showing up with like, your testes don't respond whatsoever.

In those individuals, it's kind of like, if you've exhausted all resources, you've tried the whole manual stimulation directly, because HCG is the way you would actually test that out, is you would actually look at, okay, if we actually hit your lighting cells directly with a signal, and we escalate that to the maximum degree,

And we use FSH too.

Exogenous.

It's like, if you're still not responding to that, like there's no saving it at that point, unless you have like such a significant amount of oxidative stress that you're just like not dealing with, but that would have been taken care of with the lifestyle stuff we mentioned.

So.

Primary hypergenital, like you're going to probably be on exogenous testosterone.

And it's literally like testosterone.

You can't fix it with N-clomiphene.

You can't fix it with HCG.

You can't fix it with HMG.

There's no other way around it.

Like you're taking the literal hormone because it's the only thing that will get you testosterone.

Like you can't produce it.