TRT and fertility advice

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28 Jan 2020 09:52 - 28 Jan 2020 12:34 #220951 by 00pump
Replied by 00pump on topic TRT and fertility advice

vojago wrote: No dice. My wife is seeing a doctor as well as she is worried there might be a problem on her side. Tests show I am fertile.

I've been off the Clomid for a few months and felt great, but it is starting to wear off. I was able to go every day, but now even every other day is becoming a problem. It seems the factory is shutting down again.

Clomid is not an option any more. The first few months were awesome but at some point anxiety and sleep became a real problem. My next blood tests are scheduled in Feb, so we'll see where I'm at and then consider options.

I'll definitely look into Menopur. Thanks bud.


I have just finished with my endo last week, he doesn't use SERMs at all for his treatment anymore. Way to oldschool approach. You are fertile which is great, for me being on TRT and wanting another child now the protocol is 5000iu of hCG split 3 times a week (higher doses of hCG) he said signals large FSH spikes and then Arimidex 0.5mg 4 times a week, the only blood I need to keep and eye on is testosterone profile, not LH or FSH as he needs no reassurance that this protocol works. So I'm guessing in your situation with levels that are already satisfactory a low dose of an AI is all you need to elevate your testosterone levels. Remember my protocol is for fertility and having come off year round test treatment. He said any AI and was happy if I decided on Aromasin but I opted to stay on the Arimidex as I've been using it and I already have blood results of my estrogen levels while running 0.5mg twice a week. He also said Letro works, just stated it's more difficult to dose, but I guess with being able to use something like LP its allot easier as you can use x amount of drops. I asked about IVF route and using FSH drugs and he said if I wanted to go that route we can (then we would be testing FSH) which is currently non existent but its and expensive route to go when the protocol I posted above does the job and I just need to be off TRT for 3 months in total for my wife to conceive. She is also working with him and he has her balanced on her own treatment plan. I'll update what my bloods look like in 2 months when he wants me to look and if we had been successful. Once this process is completed and successful I'll write a new article on a PCT protocol for long term AAS users wanting to recover properly.

"Whether You Think You Can or Can't, You're Right"--Henry Ford
Last edit: 28 Jan 2020 12:34 by 00pump.
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31 Jan 2020 06:51 #220974 by Wayne
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00pump wrote:

vojago wrote: No dice. My wife is seeing a doctor as well as she is worried there might be a problem on her side. Tests show I am fertile.

I've been off the Clomid for a few months and felt great, but it is starting to wear off. I was able to go every day, but now even every other day is becoming a problem. It seems the factory is shutting down again.

Clomid is not an option any more. The first few months were awesome but at some point anxiety and sleep became a real problem. My next blood tests are scheduled in Feb, so we'll see where I'm at and then consider options.

I'll definitely look into Menopur. Thanks bud.


I have just finished with my endo last week, he doesn't use SERMs at all for his treatment anymore. Way to oldschool approach. You are fertile which is great, for me being on TRT and wanting another child now the protocol is 5000iu of hCG split 3 times a week (higher doses of hCG) he said signals large FSH spikes and then Arimidex 0.5mg 4 times a week, the only blood I need to keep and eye on is testosterone profile, not LH or FSH as he needs no reassurance that this protocol works. So I'm guessing in your situation with levels that are already satisfactory a low dose of an AI is all you need to elevate your testosterone levels. Remember my protocol is for fertility and having come off year round test treatment. He said any AI and was happy if I decided on Aromasin but I opted to stay on the Arimidex as I've been using it and I already have blood results of my estrogen levels while running 0.5mg twice a week. He also said Letro works, just stated it's more difficult to dose, but I guess with being able to use something like LP its allot easier as you can use x amount of drops. I asked about IVF route and using FSH drugs and he said if I wanted to go that route we can (then we would be testing FSH) which is currently non existent but its and expensive route to go when the protocol I posted above does the job and I just need to be off TRT for 3 months in total for my wife to conceive. She is also working with him and he has her balanced on her own treatment plan. I'll update what my bloods look like in 2 months when he wants me to look and if we had been successful. Once this process is completed and successful I'll write a new article on a PCT protocol for long term AAS users wanting to recover properly.


Hey pump...I am about to embark on pct in a few weeks...was going to do the usual clomid, HCG, nolva..pct 2. Now, what's the better way to go?

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31 Jan 2020 07:51 - 31 Jan 2020 07:53 #220976 by 00pump
Replied by 00pump on topic TRT and fertility advice
Hey Wayne, remember when Doctori wrote that PCT, he said this is the minimum recommend. Send me an email and I'll let you know who he is as I don't want to publically post details about the endo, but the best of the best. And I'm going to go with what he said and run the hCG 5000iu split into 3 weekly injections and run the Arimidex at 0.5 4x a week and do the bloods that was asked in 2 months. I personally feel we might all be running our PCT a little to short. He just does not agree with mixing of a SERM and a AI regardless if its aromasin, but I'm sure PCT 3 but run for another month would be sufficient. He also doesn't believe is waiting out the drugs half life as he said the Ovidrel or Pregnyl run during / riding out the half life speeds up the recovery. I don't want to be off TRT for long, so going to trust his approach as he has taken all my bloods which represented all highs or lows on my results to slap bang in the middle.

Also the interesting thing he stated was running much higher doses of HCG as it ramps up FSH when run higher than the 500iu we normally use. He also said the testes do not become desensitized to LH when running HCG for long periods of time which is contradictory to the information everyone keeps relaying from old.

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Last edit: 31 Jan 2020 07:53 by 00pump.
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31 Jan 2020 13:32 #220981 by Wayne
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Not sure if I still have ur mail...been a long time...will check and drop a mail. So...HCG needs to be run at higher doses, for how many weeks?

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31 Jan 2020 14:02 #220982 by 00pump
Replied by 00pump on topic TRT and fertility advice
I would guess until you recovered

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04 Feb 2020 08:05 - 04 Feb 2020 08:06 #221016 by 00pump
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Just not to start a new thread and keep this discussion on TRT and Fertility.

I am around 3 weeks of no TRT injections, was using a protocol of every 5 days. I am now using hCG 5000iu split to 3 times per week and Arimidex at 0.5 4 times a week plus 5 clicks of Norditropin. My libido is through the roof, this has been the smoothest transition I have ever had after running Test and other compounds year round. I was expecting a major crash. Energy levels are high, no nasty side effects I experience when using SERMs, and I can feel my testes feeling large / full. I'm very excited to do my bloods in 5 weeks time and see what's happening and hopefully to conceive a month after that. My energy in the gym is great and an all round sense of well being. Recovery from the weights is a little slower (leg day on Sunday) and today they still aching.

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Last edit: 04 Feb 2020 08:06 by 00pump.
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04 Feb 2020 08:07 #221017 by 00pump
Replied by 00pump on topic TRT and fertility advice
vojago hows things going your side?

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05 Feb 2020 09:47 - 05 Feb 2020 09:47 #221047 by vojago
Replied by vojago on topic TRT and fertility advice
Trying as hard as I can...

The missus is seeing a specialist to try and determine why she is not getting pregnant. Being on birth control for many years wreaks havoc and age might be a contributing factor.

My libido only started to drop noticeably in middle of January but it is more than adequate at the moment and I feel decent.

Good to hear you're feeling great on all the HCG. Your testosterone must be going crazy.

Keep us up to date, and 'swys vinning raak.'
Last edit: 05 Feb 2020 09:47 by vojago.

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05 Feb 2020 11:48 #221048 by 00pump
Replied by 00pump on topic TRT and fertility advice
Is the missus ovulating every month, or unsure?

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06 Feb 2020 11:08 #221058 by vojago
Replied by vojago on topic TRT and fertility advice
There was a problem with ovulation in the beginning, but the doctor sorted that out.

A little test kit shows ovulation, so as far as we can tell that is fine.
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17 Feb 2020 15:23 #221201 by vojago
Replied by vojago on topic TRT and fertility advice

00pump wrote: Just not to start a new thread and keep this discussion on TRT and Fertility.

I am around 3 weeks of no TRT injections, was using a protocol of every 5 days. I am now using hCG 5000iu split to 3 times per week and Arimidex at 0.5 4 times a week plus 5 clicks of Norditropin. My libido is through the roof, this has been the smoothest transition I have ever had after running Test and other compounds year round. I was expecting a major crash. Energy levels are high, no nasty side effects I experience when using SERMs, and I can feel my testes feeling large / full. I'm very excited to do my bloods in 5 weeks time and see what's happening and hopefully to conceive a month after that. My energy in the gym is great and an all round sense of well being. Recovery from the weights is a little slower (leg day on Sunday) and today they still aching.


You're at about 5 weeks in. How are things going?

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17 Feb 2020 18:56 - 17 Feb 2020 19:26 #221205 by 00pump
Replied by 00pump on topic TRT and fertility advice
Hey vojago

So far so good. I feel a little niggle in my shoulder, it's an old injury but without the test and possibly the Arimidex it's there but faint. I just need to be smart with the way I'm training. I have had quite the dip in strength but in the same breath I have cut down calories in a massive way. I'm now exactly 20kgs down since last year, but again this is also out of choice. I want to feel lighter and loose, having a great time playing with my daughter like this. I have cut down training to twice a week full body on those days, so just over an hour session. I feel overall very good, no dip, no depression, libido not as high as it is on the test but still very good. Normally by now it would be the last thing I would think of. I actually feel all round calmer, quite focused at work. I'm very gyno pro and I thought the large HCG doses a week would be flaring things up and it hasn't, I feel like it gets close but then it goes away, so I feel to be on the perfect balance of estrogen suppression while using HCG. I'm very eager to see my bloods in 3 weeks to have accurate readings for my e2 and what my testosterone profile looks like. I should be starting to make active swimmers by now, but all the endo is interested in is the e2 value and testosterone profile, that's enough for him to know where I'm at. He said the whole process would be around 3 months and my wife should be pregnant. She is heading to him I think on the 26th to make sure everything on her side is sharp. This by far is the best recovery I've ever had.

Other things to note, my blood pressure is extremely good now, my last reading was 116 over 68, my cardiologist will be very happy, he says the new research shows if you can have that BP just touching under 120 you increase your life span and protect the kidneys.

My resting heart rate is very good too, around 53 this morning. It does increase when I stand, but I have a funny condition that when I stand (it happens to everyone but much more in my case) it jumps around 20 to 25 beats then comes down to around 64.

I don't have joint issues like I do when I over cook the Letro, so I don't think my estrogen is totally suppressed, then again if it was I would have no libido.

Another thing that I've been thinking about, is I wonder how many other people do not get the same graphs that the medical science states the half life of the different steroids last. I started on every 2 week shots then down to every 7 days after bloods and then it was still not where he wanted my test levels so moved it to every 5 days and said my body doesn't care for the half life as the bloods don't lie. But it's also similar to concerta, when I take it, my peak drops way before its intended to do so, so I used to take it twice a day. And if that is the case, how many peo9le are starting their PCT a little late and may have dipped a bit to far, this literally has been such a smooth curve with no yoyo effect what so ever.

"Whether You Think You Can or Can't, You're Right"--Henry Ford
Last edit: 17 Feb 2020 19:26 by 00pump.
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18 Feb 2020 05:50 #221212 by Wayne
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Hey Pump, glad to hear its going well. How did you manage to get your bp right down there? I am mostly still 140/90...have not checked bp in a bit. Wife blood sugar was high, doc has given meds, so been testing that only...lol. btw...the email i had of yours, doesnt work anymore...

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18 Feb 2020 10:08 #221214 by 00pump
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Wayne wrote: Hey Pump, glad to hear its going well. How did you manage to get your bp right down there? I am mostly still 140/90...have not checked bp in a bit. Wife blood sugar was high, doc has given meds, so been testing that only...lol. btw...the email i had of yours, doesnt work anymore...


My BP was corrected by a procedure called renal artery denervation (RDN), it's an extremely expensive procedure which costs around 200k and still in clinical trials. You need to be drug resistant to hypertensive medications and take more than 3 types including a diuretic without success in their ability to stabilize your BP. The procedure uses a spiral catheter in two chambers in both kidney, using radiofrequency oblation, it brings down sympethetic activity which results in lower blood pressure and heart rate. It was a very success procedure. The success of the treatment is based upon the skill of the person doing procedure and what type of catheter used.

As for the PCT I'm on, if my testosterone levels return to normal after 3 months then I may reassess the whole TRT ordeal and possible stay off gear for quite an extensive period of time. I'm really enjoying how I feel now and my bodies vitals are looking good too because of it. It means I will not have to worry about hemoglobin which was elevated in my previous blood results and needed an additional blood let and then just focus on everything else life has to offer.

Hmm, as for my mail address, that account is still active as far as I'm aware.

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18 Feb 2020 16:32 #221217 by Wayne
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Glad to hear it was a success. Keep us updated please. I am doing pct 2 at the moment and taking herbals (saw your post about new pct after I had already got my pct 2 goodies) only thing i did was start pct 2 weeks after my last pin...how long after the pct do you reckon i wait before going for bloods?

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18 Feb 2020 19:39 - 18 Feb 2020 19:41 #221231 by 00pump
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Wayne wrote: Glad to hear it was a success. Keep us updated please. I am doing pct 2 at the moment and taking herbals (saw your post about new pct after I had already got my pct 2 goodies) only thing i did was start pct 2 weeks after my last pin...how long after the pct do you reckon i wait before going for bloods?


I would say a few weeks after PCT, my endo however has me on the PCT until my bloods show the levels he intends (I never asked him what we expecting it to be), neither do I know that if your reading is sitting at X while using a SERM etc it might drop by Y. Then again it is all very expensive but then in the same breath maybe if you looking at being off for awhile it might be worth your while to run at least the SERM another month. You have been on and off for so many years that I'm guessing you need a little more than what is the norm. I personally feel if I had recovered properly and had not been on 154 pmol/L free test and 7.4 nmol/L of total I would not have been jumping back on cycles so often because 'normal' would feel good. And those bloods had been after PCT 3. So I think when I get all the bloods done it will be useful for those or even if it's just an eye opener to reinforce what senior members on the forum preach, that PCT is as important as the cycle, if not more.

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Last edit: 18 Feb 2020 19:41 by 00pump.
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14 May 2020 13:31 #222225 by Empire
Replied by Empire on topic TRT and fertility advice

vojago wrote: Trying as hard as I can...

The missus is seeing a specialist to try and determine why she is not getting pregnant. Being on birth control for many years wreaks havoc and age might be a contributing factor.

My libido only started to drop noticeably in middle of January but it is more than adequate at the moment and I feel decent.

Good to hear you're feeling great on all the HCG. Your testosterone must be going crazy.

Keep us up to date, and 'swys vinning raak.'


which birth control has your Mrs been on for many years? does she have a family history of type 2 diabetes? PCOS? anything like that? is she overweight? i have had a few female clients that don't actually eat correctly for their hormone cycle, and their birth control they are using, and they end up getting it all ass-backward. I have 3 clients that I have had in the past go from having PCOS and being on Glucophage, to falling pregnant within 3 months once we got their nutrition right etc. so i am very very interested in this topic and I am sure that we can put her in the right direction in regard to get ting that right.

00pump and I have chatted about this at length with regards to his Mrs and PCOS etc.

as for you,

I see in another thread that you lost all your strength during a cut. What was your calorie intake and your macro split, your training levels, and cardio? what is your sleep like? stress levels? what is your currently calorie intake and macro split now that you are off the cut?



also list your supplement plan too.

if your cut is too long and too drastic metabolic adaptions happen, also if there is a lot of missing elements in your diet you can plummet your test levels. i want to see all the elements so we can get rid o the metabolic adaptions and help get you going.

also what guys seem to forget when it comes to fertility is if your test levels are bottomed out, you have the issue with not enough testosterone to produce healthy sperm, so even going on to TRT can make you more fertile, so bear that in mind.
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19 May 2020 12:16 #222280 by vojago
Replied by vojago on topic TRT and fertility advice
My wife was on Ortho Evra patch for about a year since our daughter was born. She's been off for almost two years now. No T2 diabetes as far as we know. She had issues with irregular periods and ovulation, which necessitated switching doctors as the previous one was an idiot and either lied, or was not competent enough to sort out the problem. She is seeing her regular doctor who was not available at the time. He's been treating her and he is now confident she should be able to get pregnant.

I had a semen analysis done last year after a month on Clomid and it indicated very healthy numbers across the board but I suspect I am the issue now. Two home tests only showed the control line (not sure how accurate they are) so I might have a problem. Om te meet is om te weet, I should go for a proper test.

My wife convinced me to start TRT because she doesn't like what this is doing to me. Got some HCG and testosterone planning on following a low dose HCG and TRT protocol which studies have shown might work to maintain fertility. But I decided to put it off due to the lockdown and used the last few tablets of Clomid to keep the tools going, but geez, at first its great but it claps you after a while.

The cut was unintentional. With the high creatinine and low test results I got a bit of a skrik and dropped all supplements. I switched to Keto to manage energy levels but did not limit food intake. I eat more than hunger dictates, and still way more than anyone else I know, but no calorie tracking. Just healthy veggies and animal proteins. From 4500 calories per day this was quite a relief. Once the six pack showed I decided to see where this goes.

Sleep is not great, which doesn't help hormone levels. While on Clomid I slept better than I had in probably a decade.



Now that you mentioned pump, I wonder how he is doing?

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19 May 2020 12:57 - 19 May 2020 12:59 #222281 by Empire
Replied by Empire on topic TRT and fertility advice
Ok, so I am throwing this out in the dark I could be wrong based an assumption but here goes.

So Ortho Evra is a combination of birth control, containing both estrogen and progesterone.

Your female hormone cycle consists of 28 days, the first 14 of those days are called the follicular phase and around day 14 you get a little blip in testosterone which causes ovulation, and then progesterone becomes the dominant hormone. Now estrogen in females is a good hormone, mobilizes fat, makes them feel good, and all those great things. Progesterone is the bitch hormone, it increases insulin resistance, drops circulating magnesium levels(hence the craving for chocolate) blocks aldosterone receptors so you retain more water, fights for cortisol receptors which makes them more stressed etc. Testosterone in women also increases insulin resistance too.

So now that is down, we need to figure out if she is overweight or if she gains belly fat quite easily if so that can be from an increased amount of androgens, which will also have a myriad of other effects on the hormone, eg thyroid levels being compromised, estrogen levels being up and down, etc, On average women who suffer from PCOS have impaireds insulin sensitivity due to increased testosterone and raised progesterone and lowered estrogen, hence why man women who suffer those effects are put on to 1.) Glucophage to lower insulin resistance, and 2.) Minera 35 birth control due to being an estrogen base and contains an androgen blocker.

So let's look do this. Get her to download fat secret, or myfitnesspal and track everything that goes in her mouth, barring water and well and thing that gives you oral pleasure, for 2 weeks.

So what we want to do is number 1 establish her current calorie intake, and then we can also break it down to see what her macronutrient split is currently. The majority of women eat lower amounts of protein and fats and are usually carbohydrate monsters, so if she has any impairment to her insulin sensitivity then this isn't going to aid her at all. She will need to weight herself every day for 2 weeks too, so we can correlate her caloric intake with her weight if we are eating in a surplus, maintenance or deficit.

You then add all the calories up, get the total, and divide by the number of days to get an average of daily caloric intake. once you have done that, then you need to alter macronutrients to meet her hormonal cycle :

Baseline protein intake, 2.2g of protein per KG of lean body mass. which will stay constant the whole time.
So from the day that her period stops the day 14 in her menstrual cycle she will need 25% of her calories from fats and then the balance from carbohydrates

From day 15 to 28 she will need her baseline protein intake of 2.2g of protein per kg LBM, and she will need 35% of her calories from fats, and the balance from carbohydrates.

This mimics the natural hormone cycle and allows for the insulin resistance caused by the progesterone and blip in testosterone.

Her carbohydrates need to follow a hierarchy and I would suggest that 50% of her carbohydrate intake comes from levels 1 and 2, and the balance from levels 3 and 4.
1.) veggies
2.) fruit
3.) starches
4.) sugars.


So fats are needed for healthy endocrine function, and women are shit scared of it, she will need to take in 6g of omega 3 a day. And she must not be scared of animal fats etc.

Women tend to shy away from red meat so I would suggest that you have 3 portions a week to keep heme iron levels up.

Then I would suggest getting her on to a GDA from a company called, SKN Care called Sliontrol, it contains 500mg magnesium per 2 caplets, and r form alpha lipolic acid and cinnamon extract, which will help with reducing inflammation, improving insulin sensitivity, control blood sugar levels. Magnesium has been known to be low in many women, and that is a big problem especially when progesterone is dominant or elevated.

As for you :
ashwagandha at 600mg daily this can lower cortisol and increase testosterone levels quite a lot.
Boron 10mg daily to lower SHBG and estrogen.
Tribulus at 500mg daily which has been known to increase sperm volume
Mucuna Puriens at 500mg daily which also has been able to increase testosterone too, this may be hard to find, but it does help.
Also Stamino gro as a daily multivitamin

limit to training to 4 days a week, try and increase sleep where possible, and this would all benefit you with lowering stress and increase testosterone.

That would be my port of call for you and your wife based on what you are dealing with.

hopefully, this does help.
Last edit: 19 May 2020 12:59 by Empire.
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20 May 2020 08:44 #222286 by Empire
Replied by Empire on topic TRT and fertility advice
sorry, I had a client come and see me so I had to rush the rest of my response.

I don't know what your test levels are and SHBG levels are, so let's look at this for the time being on an assumption basis.

If your test levels are low your SHBG levels are high, this could be potentially due to your keto dieting, I have written a prior response to someone on the forum here, so excuse me if i paraphrase for this example.

think of basic human survival in cave man-day, when food is low(winter months) the hunters would become lethargic and do not much hunting and working as they are there to survive, and that is generally because fruit and carbs and excess of fatty meat wasn't available (winter and snow would make animals scarce, and fruit would die in the cold) so what would happen is your their hormone levels would drop, just to maintain basic survival. so if you are trying to survive and you are barely eating enough to do so, testosterone levels would diminish, thyroid levels would diminish as the body is trying to conserve as much energy as possible.

However, Come to the change of seasons, food would become more plentiful so when eating in abundance again would bring the body out of survival mode, and start becoming fully nourished again. now when foods are higher, especially based carbohydrate foods, insulin is secreted, and we know that higher levels of insulin have been known to lower SHBG. So here comes the logical thinking of this point... When food is higher, and your body is fully nourished, your hormones come right, and when in summer that is MATING season, so when that happens and hormones are at their highest, the FRUIT OF THE LOINS is more desirable.

But, I see you have said you have done a keto cut, and I am assuming that you did the traditional keto type of cut where you didnt really do any carb ups or if so, very minimal.

The benefit of the ketogenic diet is that insulin is low, and the growth hormone is high, and testosterone can be elevated. However, you do this a long enough time, and there are adaptions to the metabolism. Thyroid levels start to drop as most people are scared to bump up calories to where they need to be from time to time. This is why carbohydrate spiking in a keto diet to me, is incredibly important. Now with insulin levels being elevated during these carb up periods, as from above, SHBG levels will decrease, allowing for testosterone levels to be spiked higher, etc. We all know that higher testosterone combined with higher insulin levels is a magical response for gaining muscle, but if you aren't depleted enough, gaining fat too.

Back to the example of if your calories are too low during a cut and with traditional Keto dieting.

Look at anorexic women and highly undernourished women for that matter, the first thing they lose is their period, as their reproductive system shuts down as they aren't eating enough food to survive themselves, how are they supposed to support growing a human inside of them when caloric needs would be even higher than normal. Same thing here, when not eating enough your hormone levels are going to plummet. Anyone who has been through a drastic contest prep diet/Cut will attest to at about 8 weeks out, www.youporn.com goes out the window and you tend to go to www.foodporn.com .

remember the body is designed to survive. When food is low, your body wants to hold on to as much stored energy as possible (body fat) so what it does it starts lowering your energy so that you burn less, and store more for the long term survival. so how does it lower your energy requirements?

Well, thyroid levels decrease and you become lethargic. Your body starts to sacrifice muscle, as the more muscle you have the more energy you burn and that's a no-no at this stage! So body also shuts down the reproductive system lowering testosterone, so that you can survive, not procreate, as well as be energetic when it comes to combat. So looking at survival, your body may need 2000 cals to Survive, and you may need 2800 to MAINTAIN healthy hormone function so your 2300 calories are enough to survive and still keep hormones functioning for a period of time before leptin drops and your body realizes you aren't taking in that maintenance calorie level, or even over nourishing the body to keep your body thinking of the summer months like in the caveman days.

So the standard diet these days for people is a HIGH protein, Low fat, and high carbs as a rule, however I see some retardedly low amounts of saturated fats on most people that fuck with healthy endocrine function as I stated for your Mrs above.

So for me, my suggestion would be to sort out your diet, that they is between 25% and 30% fat intake in your diet, your protein is at about 1.25g per LB(2,5g/KG) of LEAN BODY MASS. Fill the balance of calories with carbs.

Your diet should be at about 100 calories more than maintenance at the current level to allow for your body to be SLIGHTLY overnourished.

As From above, you want to use some adaptogens to aid and assist you with what you want to do.

Ashwagandha at 300mg 2x daily. Studies have shown that Ashwagandha can raises testosterone levels and lower cortisol levels.

Boron at 10mg a day have had some studies say it will lower SHBG and estrogen, and some studies that have said it isn't the case, for the cost? throw it in, rather be sorted than not.

Tribulis at 500mg/1000mg a day. Old school sexual stimulant, and if you dont want to BANG then you arent going to have kids. Just saying, its apart of the process...thank me later ;)

Mucana Puriens has been to raise dopamine levels and lower progesterone levels which can also raise the feel good hormones and help balance any hormone imbalances there are.

Staminogro has an insane profile for helping with fertility, you will need to pay with your 3rd unborn child for it, but it is great.

3 other things that I didn't mention: ZINC, MAGNESIUM, CBD

Zinc is known to be deficient in many people, and aids with many metabolic functions.
Magnesium lowers inflammation, and aids with healthy hormone function, and improves insulin sensitivity.
CBD has also been known to lower inflammation, cortisol, and many other cognitive functions too.

This is a shameless plug for a mate of mines product here, but Wild Leaf Infusions make a CBD HOT COCOA, that is infused with Magnesium, Zinc, AND 20mg Of CBD per serving. That combined with a simple sugar that will spike insulin somewhat and aid you with sleep, it is the perfect product for assisting you with what you are going through. It's not badly priced in comparison to most other CBD products, most 200mg tinctures are going to cost you R400 roughly, so this container has 200mg total for R229.95 as it is locally manufactured, can get from www.wildleafinfusions.com

limiting training to 4 days a week will let you recover Better, less inflammation, still allow for you to gain muscle, and have time with family. I don't know if you are currently training in a gym set up due to this POES lockdown but if you are then awesome!

anyway, sorry I didn't get to a full response here yesterday. I am making assumptions of what you are dealing with, and I am shooting in the dark big time, but hey, don't know if you don't try, and gotta try and pull that shotgun approach and hit every topic possible.

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  • vojago
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22 May 2020 14:47 #222303 by vojago
Replied by vojago on topic TRT and fertility advice
Empire, thank you for the very generous response. It is certainly a lot to digest. I have a large shopping list as a result and will be looking at a lot of the supplements over the weekend and will work through the rest. Lockdown or not, work is keeping me super busy so I haven't had time to start yet.

I would like to comment of a few of the easy items in your posts.

Testosterone deficiency was identified prior to me switching to Keto. I am very weary of introducing carbs at this time, even as I agree with your analysis, carbs shut me down for days. I have a job to do and a family to look after and it is bad enough that I cannot function. Without my support staff it is a bit more of a challenge than usual.

Regarding training, I've been working out from home for the last few years and we've managed to put together a modest gym with all the equipment we need in my gym, however, the broken rib cost me three weeks of training. Interestingly enough, I discovered I can chop wood without debilitating pain. I have so much chopped wood now I will probably be good for the rest of the year. And it is one helluva workout... It is definitely very therapeutic in this situation these commies have put us in. I plan on easing into my workout routine from Monday, can't wait.

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  • Empire
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03 Jun 2020 13:56 #222497 by Empire
Replied by Empire on topic TRT and fertility advice
Vojago, sorry i missed this part in your response : I am very weary of introducing carbs at this time, even as I agree with your analysis, carbs shut me down for days.


what evidence of this do you have?

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  • Muscleaddict
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03 Jun 2020 14:34 - 03 Jun 2020 15:09 #222499 by Muscleaddict
Replied by Muscleaddict on topic TRT and fertility advice
Adding carbs will not lower your testosterone levels in a healthy diet. Impossible. If anything it could slightly increase your testosterone coming from a keto diet
Last edit: 03 Jun 2020 15:09 by Muscleaddict.

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  • LesDoctor
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03 Jun 2020 15:10 #222500 by LesDoctor
Replied by LesDoctor on topic TRT and fertility advice
I'll try to find the study but it showed that high carbohydrate intake (70 to 80% of calories coming from whole food carbohydrates) stimulated testosterone secretion and decreased cortisol.

Physiologically this might be explained by the fact that eating low GI carbs cause a steady level of blood sugar levels without any crashes in blood sugar one could expect after eating refined carbohydrates or too much saturated fat (surprisingly). Sugar crashes stimulate hormones responsible for increasing blood sugar such as cortisol and glucagon. Cortisol then inhibits testosterone production.

This may or may not be correct but that's how it makes sense to me.

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  • Empire
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03 Jun 2020 15:53 #222501 by Empire
Replied by Empire on topic TRT and fertility advice

LesDoctor wrote: I'll try to find the study but it showed that high carbohydrate intake (70 to 80% of calories coming from whole food carbohydrates) stimulated testosterone secretion and decreased cortisol.

Physiologically this might be explained by the fact that eating low GI carbs cause a steady level of blood sugar levels without any crashes in blood sugar one could expect after eating refined carbohydrates or too much saturated fat (surprisingly). Sugar crashes stimulate hormones responsible for increasing blood sugar such as cortisol and glucagon. Cortisol then inhibits testosterone production.

This may or may not be correct but that's how it makes sense to me.


i would love to see the study.

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