GOOD WORK! So glad it worked out the way you were hoping. Sounds like you were left with almost a blank check on your dosing regimen, which seems both freeing and a little intimidating. Maybe Sta-kool will have useful thoughts on that. In general, I think you would probably want to go with the lowest total dose that works, but I don’t know how you’d gauge that, especially when you don’t expect overnight results even with a correct dose. I do think I read that high dose hCG over an extended period can cause primary hypogonadism. I don’t recall what levels they were talking about - but probably higher than what you are considering.
Your approach to dealing with doctors sounds about like what I shoot for, but I think it helps if (1) you have a liberal doctor, and (2) you have enough of a relationship with your doctor to be able to read each other pretty well. In my case, I’m not sure about the former yet, and I working on building the latter.
Once again: WELL DONE!
Ideally, I would have wanted to see a doctor that really knew what he was doing and where I did not have to do any research myself, but I don`t think he exists up here. The doctor said he had given HCG and clomiphene to earlier patients, but when he was about to prescribe it, he had to ask me about brand names, dosing and such and appeared a little surprised when he learned it was injections. I think it`s the first time he does it, but he wants it to appear otherwise.
Let`s hope things turn out well for you as well. :)
Excellent news! There are some dosage recs in that Shippen post, point 4 in Shippen’s email to the poster. He also suggests following up with labs for Test and E2 after 2 to 3 weeks while setting dosage. So good call on trying to get in for labs a little sooner rather than later.
I am doing 250 on Mon, Wed, Fri, Sat. Was supposed to do it EOD, but too dumb to keep track, so doc said “what the hell just inject on these days.”
“The ONLY protocol that should be used is Dr. Shippen’s HCG protocol. Dr.
Shippen’s protocol calls for low dose shots (about 300 to 500 IU) at
bedtime, 2 to 5 times a week depending upon your responsiveness. This
protocol more closely mimics the body’s natural physiologic rhythm of LH
With 5 times per week, that is 2500 IU.
That would be a maximum and based on other sources I`ve come across, some place around 1500-2000 is ideal. Too large doses can cause leydig cell desenzitation over time and spike estrogen.
There is however more differing opinions with regards to injection frequency. I read that Dr Mariano prefers daily doses, but other places I read that because of the half-life of HCG, it is better to spread out the doses. At least every other day. Supposedly, that is less suppressive of the HPTA, since it allows the body to still produce some LH and FSH. It makes sense to me.
I think I will start out with 3 times per week like you, but possibly 500 IU per injection.