Keeps the signal alive.
HCG mimics LH — the natural brain signal that exogenous testosterone shuts off. Your testes stay active.
HCG
Compounded by a U.S. licensed pharmacy. Ships as a reconstituted vial with insulin syringes. Stored in the fridge after mixing.
Active: human chorionic gonadotropin (HCG), 500–1,500 IU per dose typical maintenance.
Reconstitution: bacteriostatic water, included in the kit.
Inject
Reconstitute the vial with bacteriostatic water before the first dose, then store refrigerated for up to 30 days after mixing.
HCG mimics LH — the natural brain signal that exogenous testosterone shuts off. Your testes stay active.
Binds the LH receptor in the testes, keeping intratesticular testosterone production and Leydig cell activity going while you stay on TRT.
Men on TRT plus HCG typically hold onto testicular volume and fertility markers in a way TRT alone does not.
Add it to cypionate, enanthate, or cream — same training visit, same care team, no second intake.
Twice-weekly subcutaneous keeps the LH signal steady. Pairs naturally with split-dose injection TRT.
$49 to $89/mo depending on dose. No separate provider visit — your TRT provider manages both meds together.
Dry powder ships at room temp. Once mixed, it goes in the fridge. Plain packaging — nothing on the box gives it away.
Message your provider in-app to add HCG. If your labs are current, no separate intake required.
A U.S.-licensed provider reads your existing labs and fertility goals and prescribes HCG if it is the right call for you.
HCG dose (typically 500 to 1,500 IU twice weekly) is set based on your TRT protocol, age, and fertility goals.
Vial and insulin syringes ship alongside your TRT refills. Refills auto-renew on the same cadence.
Your TRT plan covers HCG the same way it covers your testosterone:
Exogenous testosterone shuts down natural LH production — that is what causes testicular shrinkage and fertility loss on TRT. HCG keeps the signal alive so the rest of your system stays online.
TRT alone is simpler and cheaper. Adding HCG keeps your testes signaled — protects fertility and volume. Worth it if children are on the table now or later, or if shrinkage would bother you.
Find my plan*TRT runs on one flat monthly price (from $129/mo, cancel anytime) covering medication plus ongoing provider care — no separate membership fee. Lab work may be billed separately. HCG is an add-on — TRT must be prescribed first. Compounded preparations are not FDA-approved by indication; talk to your provider.
1 HCG is compounded and prescribed off-label as a TRT adjunct. Known side effects include water retention, mood changes, and elevated estradiol. Talk to your provider about whether HCG is right for you.
Not required, but worth it if you want to protect fertility or hold onto testicular volume. A lot of men add HCG specifically for that — not for any feel-better effect.
Yes. Many providers start both together for men who care about fertility from day one. Others prefer to add HCG only if and when shrinkage or fertility becomes a concern.
HCG uses small insulin needles subcutaneously, twice a week. TRT injections are typically larger and weekly. HCG is lower volume and noticeably less sore.
As long as you stay on TRT. Stop HCG and you return to a TRT-only state — full LH suppression, testes go quiet again.
HCG sometimes plays a role in HPTA-restart protocols after stopping TRT, but that is a separate plan with separate dosing. Talk to your provider before changing course.
It can. HCG stimulates your testes, which produce some estradiol on top of testosterone. If E2 climbs with symptoms, your provider may add a micro-dose aromatase inhibitor — see anastrozole.