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So the only thing you can really do at that point, if your HRT protocol is not built around replicating manual signal, because that is a means that some people do, if you have adequate organ function, you could theoretically do that instead of TRT.
but if you're going to be on trt like you either replicate that natural signal or you sustain organ atrophy to the point of potentially some permanent likely deterioration all but likely not inability to restore fertility and it's very rare that i see guys who are actually like not truly fully hypogonadal like their testes still work they just hit inadequate signaling or something via like secondary hypogonadism
If those individuals maintain the signaling, you can retain the structural integrity for the most part of the testes.
And then if you want to get pregnant or whatever, you are either currently fertile still because you're manually stimulating it, or you could like, you can basically manually manipulate how fertile you are in real time, essentially.
So you could fully retain all fertility parameters, even push them to super levels if you wanted to.
I don't recommend it, but like,
You can maintain everything while you're on testosterone via that manual signaling of HCG plus recombinant FSH.
That's like the combo that basically replicates what would otherwise be the LH and FSH from your pituitary to your testes.
You maintain structural, the size, the functionality, sperm production, etc.
But then you also have to account for the extra testosterone you're producing that's stacked on top of your exogenous test now.
So now your dose might have to change.
and the amount of estrogen there's like local activity in the testes for how much aromatization happens and whatnot which is different than if you're injecting it like in your butt or something so you have to account for that differential too some people get highly estrogenic from hcg in particular which is like a female like literally in pregnant women's urine to stimulate lytic cells that's what it's like purified from um
And, you know, there's some speculation as to if HCG is like healthy to be on as a guy.
Like you're taking like an extract of like women's urine.
It's like a lighting cell stimulator similar to LH and seems to mimic the effects of LH, but it's still not LH.
It's HCG, which like human chorionic gonadotropin isn't what comes from your pituitary to your testes.
It's just something that stimulates the lighting cells.
significantly so do we see any like notable effects on like i don't know epigenetic modifications from hcg plus fsh mediated babies like not that i'm aware of not that i've seen any literature point to but it's worth noting nonetheless that hcg is not like a bioidentical gonadotropin for men that you would otherwise be using to shoot to your testes it's like a replacement for it
And recombinant FSH is like, it's FSH, but it's still like grown in a lab.
It's not from your pituitary.