question from a user
AlphaMD's Answer
There is no "one answer fits all" to this question, as so much about starting TRT as well as coming off of a medication, has to do with the individual's goals of care. Analyzing each patient's regimen, dosage, and goals of care, an experienced provider will work with each individual patient to create a care plan that addresses both the initiation of medication and the cessation of it.
That said, most men would benefit from pharmaceutical assistance in reactivating their HPTA axis through use of one or more medicines. hCG and a SERM like enclomiphene are commonly used. Typically a tapered dosing protocol is used, often over 6 or more weeks. hCG is typically used before cessation of TRT, while the SERM is used after.
This is somewhat related to a question that guys sometimes ask: Is this for life? The answer is, if you want it to be, yes. If you don't want it to be, no. We've had men join the program and then hop ... See Full Answer
It depends on your timeline. If there is any rush, the fastest route to fertility is quitting TRT. However, it only takes the majority of men 90-120 days after initiating hCG to their TRT protocol to ... See Full Answer
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