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TRT · Article

HCG on TRT: When You Need It and How It Works

HCG mimics LH and keeps your testes working while you're on testosterone replacement. Here's when it's worth adding.

What HCG does

Human chorionic gonadotropin (HCG) binds the same receptor as luteinizing hormone (LH). When TRT shuts down the brain's signal to the testes, HCG can replace that signal directly. Keeping the testes producing testosterone, maintaining their size, and preserving sperm production.

Who needs it

Men on TRT who want to preserve fertility now or in the future. Men who notice meaningful testicular atrophy and want to reverse it. Men who feel a 'flatness' on TRT alone that improves with HCG (this is reported but not universal).

Dosing

Typical protocols are 250–500 IU subcutaneously two to three times per week. Selvara prescribes after the practitioner reads the intake.

Cost

$349/month at Selvara. Compounded from a state-licensed pharmacy.

Frequently asked questions

Is HCG required on TRT?

No. Most men do not use it long-term. Those preserving fertility do.

Can I cycle HCG?

Yes. Common patterns include 2 months on, 1 month off, but practitioner guidance is individual.

Free intake. Practitioner review in 24 hours.

No card on file until a licensed Selvara practitioner has approved a protocol, and you have approved it.

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Selvara measures biomarkers associated with hormone health. We do not diagnose, treat, prevent, or cure any disease. Any prescription decision is made by a licensed practitioner after reviewing your intake. Compounded medications are not FDA approved. They are prepared by state-licensed pharmacies for individual patients based on a prescription from a licensed practitioner.