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Goal: Increase testosterone naturally without TRT Approach: HCG 1500-3000 IU weekly, divided into 3 injections Example: 750 IU Monday, Wednesday, Friday Adjust based on response and symptoms Expected results: Testosterone increase of 40-80% above baseline Symptom improvement in 50-80% of men Maintained fertility Limitations: Ceiling effect, can't achieve supraphysiological levels May not provide adequate testosterone for all men Requires ongoing injections Who should and shouldn't use HCG HCG offers significant benefits for appropriate candidates but isn't suitable for everyone

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Journal of Pain Research, 12 , 13411351