How to Use hCG and Testosterone Injections at the Same Time

Today I'm going to be explaining the use of HCG together with testosterone injections (Video Transcript)

Why Do Some Men on TRT Need hCG?

Men with a low testosterone test result need testosterone replacement therapy (TRT), either by getting a prescription from a doctor for a gel, like AndroGel, Testim, Axiron, Fortesta, or getting a prescription for testosterone injections, like Cypionate, Enanthate, or Aveed (testosterone undecanoate). There are many benefits of using testosterone to replenish or to increase your testosterone back to normal levels for your age. However, there are disadvantages. One of the disadvantage of using testosterone is shutting down your own body's production of testosterone. Your testicles basically stop producing testosterone. There are cells in the testicles called Leydig cells that go dormant when you start using testosterone gels or injections. This testicular cell shut down can cause testicular atrophy, meaning your testicles can shrink with time. Testicular atrophy can fortunately be reversed with the use of hCG together with testosterone injections, gels, pellets and other TRT options.

TRT can also cause your fertility and sperm count to go down.  This decrease in sperm count and quality may impair your ability to get your wife or girlfriend pregnant.

After long term TRT, some men may start feeling that TRT is not working as well when it comes to boosting their sex drive. Other men may feel that their penis is not as sensitive when performing sex. So, that's where Human Chorionic Gonadotropin (hCG) comes into play. hCG is a peptide obtained by prescription that it's legal and FDA approved in the United States for enhancement of fertility in men and women, and for increasing testosterone in men with hypogonadism (testosterone deficiency). hCG has had a lot of bad publicity due to its use in the “hCG diet”, which is not supported by clinical data and the FDA.  hCG has also been proven by studies to also improve testicular size when experiencing testicular atrophy due to TRT. And last but not least, hCG can  improve men’s libido and penis sensitivity.

How to Use hCG with Testosterone Injections at the Same Time

Most protocols used by different TRT clinics out there use two or three injections a week of hCG either under the skin or in the muscle. Along with hCG, they prescribe testosterone injections either once a week or twice a week. That protocol requires, when you add injections up, five injections a week. I don't know who likes to inject that much! Personally, I do not want to inject so many times per week as I'm really trying to simplify my life and to avoid what we call “needle fatigue”. We're all busy and yes, we want to have the best sex drive, the best mental capacity, the best mood, but not with that kind of commitment to multiple injections.  Therefore, I designed a protocol that will simplify my and everybody's life by using hCG together with testosterone injections only twice per week, with both products combined in the same syringe. I use a very tiny syringe- 27-gauge 1/2 inch.  These type of insulin syringes come in a bag that you can get online without a prescription.

How to Inject hCG plus TRT

You also need alcohol swabs to clean the vials and also your skin. And you obviously need to get a prescription of testosterone, either Cypionate, Enanthate or Undecanoate. This vial contains 200 milligrams per milliliter (or cc) for a total of 10 mL. Depending on the dose, so that you may need only 100 milligrams a week of testosterone, or only 200 milligrams. In severe cases of lack of TRT efficacy, the TRT dose can go as high as 250 per week. You can divide that dose in two injections. In my case, I use 100 milligrams of testosterone per week, divided by two, that's 50 milligrams twice a week. hCG comes in a vial of 11,000 units IUs (or other types of units depending on the compounding pharmacy). hCG comes in a powder and the pharmacies send bacteriostatic water with it that you have to mix it once it gets delivered to your place. The best way to do so is injecting 5.5 mL of bacteriostatic water it into the hCG powder vial of 11,000 IUs, which means basically every cc or mL will contain 2,000 IUs.

So, for 50 milligrams of testosterone Cypionate that comes in vials that contain 200 milligrams per mL, I need 0.25 mL for every injection, twice a week. The same thing goes for hCG. I need only 0.25 mL to inject 500 IUs per injection.   Some men seem to derive benefits from hCG with 250 IUs twice a week. There is debate about what is the best dose of hCG with TRT.

How Do You Know What hCG plus TRT dose is Right for You?

You'll know it within two or three weeks if your testicles are not feeling fuller and you're not feeling more sex drive.  For increased sperm count, it takes a while (8 weeks) to find out if it's working or not.

Take the top off each vial (testosterone and hCG). Use an alcohol swab to clean each vial top.  Then you can inject on my shoulders or glutes at 90 degrees, or subcutaneously under the skin in the abdomen.

I combine the two products in the same syringe. It's only 0.25 cc of each, so it's a total of 0.5 cc. Testosterone is an oil-based product, and HCG is water-based. So, they never really combine in the syringe. I'm just trying to save time and frequency of injections. Two injections of the combined hCG plus TRT per week.

So just pull the top off. I'm going to just draw a little air just so that I can push it into the testosterone vial. Just push it in, and then turn it around, and just very slowly because it's a 27 gauge very thin syringe, so just be patient.  Testosterone cypionate is an oil-based product. So, it basically flows very slowly. But it's not that big of a deal. It's only 0.25 cc, so the wait is only less than a minute. The same procedure for pulling hCG out of its vial.

Just tilt the vial over. Let a little bit more air out there, and then check the air, and pull the hCG out. hCG is water-base, so it flows really fast. So pretty much, there are two products in the same syringe. Just tap it a little to get air bubbles out. And then that's it. Basically, you're loading the syringe with two products, 0.5 cc total. Then inject that volume at 90 degrees in your shoulders. It doesn't hurt. It's really a tiny syringe, half an inch long. Like this. I didn't even feel it. And then push it in. As simple as that!

 I hope this helps. It's not easy to inject so much and so frequently. Everybody's busy. So hopefully this will help a lot of guys to adhere to and comply with the hCG plus testosterone therapy.