Hi, I am new here from odessa Texas. I have been on trt for about three years. Been on pellets and injections. My level has been as hi as 2300 ng/dl on pellets my hemoglobin was over 18 and I was tired and sleepy all the time with headaches estradiol was high also. Is this from hemoglobin or should I check something else. I noticed I was was waking up at night with high pulse rate when levels were high.

Hey Dr Ty, I know you mentioned HCG use as mostly for fertility. But I was wondering what you think about using it at all times together with your testosterone (which is what I'm doing). I hadn't had much success with testosterone only - HCG improves libido/erection quality significantly. I'm pretty sure there has to be some mechanism in action here. I'm wondering if having functioning testicles is very important not only for fertility, but for libido/erection quality, and also, one thing I notice my downstairs is way more sensitive to HCG, so in short, on testosterone alone, I lose some sensibility. I'm pretty sure intra-testicular testosterone/estrogen is important to have this system fully working. I also heard in one of the podcaster which was really into medicine and biology, that pretty much TRT only obviously shuts down the testicles, and with enough time, scar tissue builds up inside the testicles, and blood flow down there drops significantly - which then if you want to have a child or even stop the TRT (I know you shouldn't) significantly harder or even impossible. So, would it make sense to add HCG to preserve testicular function? I know I'm not alone with what I experienced, HCG being necessary for optimal libido/erection quality/sensation - plenty of people experienced the same if you visit Reddit, for example.