The testosterone replacement medications at Low T Nation are never a one size fits all prescription. We evaluate each patient individually and treat that patient based on his individual physiology, health history, lifestyle and goals.
An example of a standard program consists of:
- 100MG-200MG of Testosterone per week. Usually cypionate delivered via IM injection.
- 500 units of HCG divided into 2 shots per week
- An estrogen blocker if required. Usually every 3.5-7 days. Many men do not need this component of the therapy.
- Clomid is added to the prescription if the patient is currently family planning
This plan is a generic example of a a basic starting point. After about 2 months, the patient will come back in and have his lab work and symptom relief evaluated again to determine how well he is base lining with the initial prescription.
Explanation of the drugs utilized by our practitioners
Testosterone Cypionate is great vehicle to deliver the hormone because of it’s long-lasting half life. The half life is about 7-8 days which suits our weekly injection schedule perfectly. We only utilize bio-identical hormones from only the best compounding pharmacies with the highest accredidations. This testosterone will have a man optimized in less than 7-8 weeks.
Human Chorionic Gonadotropin (HCG) with Testosterone Replacement, is absolutely mandatory for all of our patients. It maintains and optimizes testicular health and the output of testosterone. If a patient is using a protocol which does not utilize HCG, that patient most likely is suffering from testicular atrophy and shrinkage and quite possible will suffer long lasting damage to his overall testosterone production capabilities. HCG prevents any testicular degradation, optimizes a man’s natural production and therefore reduces the amount of the exogenous prescription required to keep him at an optimal level.
Estrogen blockers are sometimes given to patients when their estradiol levels get out of hand. We do not give this to most patients because estrogen is very cardio-protective in men. We only use the estrogen blockers when a patient has a surplus and we then try to carefully and slowly dial it back so as not to bottom out the man’s levels. This should by performed by a doctor who has been trained in managing male hormones.
Clomid is also added as well whenever a patient is currently in the process of active family planning. Normally, testosterone replacement therapies will reduce a man’s sperm count dramatically. With Clomid, however, a patient’s sperm count (in conjunction with the HCG) will actually optimize and increase his sperm count and hopefully help him achieve the desired pregnancy.
Our overall philosophy is to first optimize a man’s own natural testosterone production, then to supplement with bio-identical testosterone replacement medications from that level to his optimal level. Optimal levels are always determined by symptomatic and lab work evaluations. We keep an eye on important blood work values to ensure all systems are working well together. We monitor estrogen and PSA as well to make sure that if the patient begins to show any side effects at all, we know exactly how to manage that.