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Do not change the dose or stop taking this medication without your doctors approval

If you live in an excluded state, you will need to look at alternatives

Portion control, high protein and digestive health are the most important areas, but there are implications of GLP-1 usage that are less obvious (the side-effect known as Ozempic face, for example, could be addressed with beauty-from-within claims)

Goal: Maintain testicular volume and function during TRT Approach: HCG 500 IU subcutaneously every other day (3x weekly) Begin same time as testosterone therapy Continue for duration of TRT Monitoring: Baseline testosterone, estradiol, LH, FSH Recheck at 6 weeks, then quarterly Adjust based on estrogen response Expected results: Maintained testicular size Preserved fertility potential Possible slight testosterone boost above TRT alone Protocol for fertility restoration on TRT Men on TRT who want to conceive face a decision

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