question from a user
Why is HCG impossible to get in certain states. We can’t get it in Arkansas. They don’t or won’t compound the medicine. Do y’all prescribe HCG or what do you prescribe. What is an alternative to HCG for now and it appears it’s getting harder to get HCG anywhere. What will take the place of HCG to prevent the boys from shriveling up Cross post to Trt sub incase you didn’t see one or the other sub question
AlphaMD's Answer
The rules regarding hCG production were changed in 2020. This rule effectively caused many pharmacies to stop it's production. Due to the rules of supply and demand, the supplies dropped significantly while demand has only increased recently, hCG costs have skyrocketed.
Gonal is a similar medication but it is also very expensive. The only reasonably prices alternative option to "prevent the boys from shriveling up" is clomiphene or enclomiphene. These are cheap, but not typically taken while on TRT, and have several side effects like decreasing IGF-1 production.
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