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To be honest, academics don't really care about us. The society doesn't really care about us, so we're considered a fringe element, and people that did this to themselves.
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Hello friends, welcome to the fourth and final episode of my series on how to restore testosterone production in the body and restore one's fertility after the use of anabolic androgenic steroids, which will be called AAS in this family. I'd like to alert you to the fact that there is a blog post linked down below in the description. I highly recommend that you read it. It will be clearer than this video, and there will be some things in the video which you'll probably want to review later on.
Now, with that said, this video will come in two parts. First, I will tell you some of the observations that I've made from experience, and second, I will describe to you my protocol that I developed for my own rehabilitation, and in detail. So, let's begin.
First of all, my observations come from over 15 years of experience in power sports, as well as over ten years of experience with energy androgenic anabolic androgenic. There was a, yes, I hate saying that phrase. Anyway, I have a lot of experience with it personally, but I was actually involved in the anabolic androgenic forums since I was 16 years old or so, so since around 2004 or 2003, and I've learned quite a bit over the years and seeing a lot of things come and go. And that's one of the reasons that I don't make many videos on anabolic androgenic steroids for you guys, is because not only do I think it's, there's some dangerous elements of it, but that's not the real reason. The main reason is because it bores me a little bit because I've been involved in it for so long.
With that said, I've learned some things along the way, and let me tell you what they are in regards to restoring function of the HPG system, the hypothalamus pituitary gonadal system. So, first of all, what I've noticed is that most people who use anabolic androgenic steroids for over a year in a row, or who have done several cycles of steroids, tend to stay on some form of exogenously sjostrom for life. Most people, I mean, it is extremely rare that you see somebody that you, yes, for a significant amount of time and totally stopped. Very rare. Usually, if they do stop, they go back on testosterone after a while, and they say it's just TRT, and it may even be just TRT.
Now, let me know it that, okay, I won't say anything about this guy, but anyway, TRT is not, if you're on TRT, you, and you've used steroids for a long time, you will actually end up looking like a slightly more muscular than average person. You'll still be a bit more muscular because, as we know from personal experience as well as from clinical studies, that there are permanent changes to the muscle tissue after years of anabolic androgenic steroid use. But they're not such big changes that you will look like you're on steroids when you're not. Just like, just because I'm on HRT 148 G's a week doesn't mean you should be. Ask your doctor. Like somebody that also produces YouTube videos in a very angry fashion that I've noticed says uses 140 milligrams of testosterone a week, which is not all he uses, for sure. However, with that said, sorry to go a bit off-topic, but the point is, most people do not go completely off. Even if they do go on TRT and stay on that, which often happens, people over the age of 30, 35. I know a lot of people in power swing world, stuff like that, that they stop, but they don't want to live a high pole going out of life forever. And they also have this kind of thing they tell themselves, like, it's good for me, low testosterone is bad for my health, this is for longevity purposes, for quality of life. Which, by the way, it may be for quality of life, it's definitely not for longevity purposes, but it may be for quality of life. And there is some slight evidence that shows that having very low testosterone levels in men may be unhealthy in some specific parameters only. However, the point is, very few people go completely off.
And because of that reason, not much is really known about how to actually recover from steroid use. There's not much known. People have posa co therapies that last two weeks to a month and a half, but not much can be done in two weeks to a month and a half. Let me tell you that from personal experience, as well as from experience of clients and from friends, as well as from the clinical. To really recover your systems function, you need to be on a, if you've used high doses or long, or you've been on stairs for a long time, you need to use a program that lasts for over six months. Six months to two years of using different tools to recover your system. And often recovery doesn't come in a year and a half, even. It takes two to three years. So don't, don't think that those post cycle therapies are something that are recovering your, your HPG system. In fact, what they're doing is still a good thing because they're making sure that you don't lose it because you didn't use it. They're still getting your brain, your pituitary to release some luteinizing and follicle stimulating hormone. They're telling your testes to produce a bit of testosterone. They're doing a little bit, and it's better than nothing. But don't think that that is a therapy. It's not. It's a jump start, a little jumpstart, and then you go, and then people go back on steroids. So it's still good, but it is, that's not the way it really works. And this is the reason why people don't realize the significance of what you gotta do to be able to recover from steroids.
Now, excuse me, with that set, another thing I'd like to point out to you guys is the difference. Now, in clinical studies, there is some speculation, okay? So, what is the speculation about recovery from, from steroid use? East Asians are shown to recover worse. It is speculated that the more variety of animal anabolic androgenic steroids are used, the harder it will be to recover. It's speculated that the higher doses are harder to recover from, and it's speculated, and is almost completely sure, that the longer the duration, the harder it is to recover from.
Now, with that said, from personal experience, let me tell you, and also let me tell you another thing from, from clinical research before I say that is that they have noted that the size of the gonads is a very good indicator of how likely a protocol may be to recover natural testosterone production and sperm, sperm at spermatogenesis. So, the size of the gonads in clinical literature are used as a heuristic measure to tell how likely. Porter caused me work.
Now, from personal experience, let me tell you some additional things. What you'll notice if you use anabolic androgenic steroids for serious, you, you spy do it. Just to be clear, anybody who does not use, anybody who goes off for any significant amount of time in a year, does not get very strong or very big. That doesn't happen. Those people who are very big or very strong stay on most of the year. If they are health conscious, they may go off long esters, which, by the way, stay in the body for over six weeks anyway, including testosterone unfit. But they'll go off those, the steroids they're on, for about a month to a month and a half a year. That's all. They don't go off for four months because if you do that, you took two steps forward and now you take one and a half steps backwards. It doesn't work. So, and unfortunately, when I was younger, we did, we didn't really know this. We thought that you could cycle a certain amount a year and stay off, and you keep your gains for a longer time period. That that doesn't work.
Now, you do have changes to your body that are permanent. So, for example, the muscle, the muscles change, the muscle fibers change, the shape of the muscles change, the ease with which you can gain muscle changes. But there are other permanent things that, you know, I mean, we don't need to get into this video, but we've talked about before and how the video called "How Peds Change Your Brain," as well as I mentioned in an earlier video that testicular fibrosis that occurs in has been seen in post-mortem bodybuilders, which means scar tissue in the, in the testicles. Now, a lot of permanent changes. And to be honest, they don't really know how the extent of these permit changes because, to be honest, academics don't really care about us. The society doesn't really care about us, so we're considered a fringe element and people that did this to themselves. So people don't really know.
But the point is, you need to be able to become very big or very strong, you have to be on anabolic androgenic steroids for an extended time period, and generally these people don't go off very often. But when you've been on a cycle for an extended time period, what you'll notice is that you're going on size will change during the cycle. Sometimes you're gonna be very, very small, and sometimes there will be slightly below what they used to be when you weren't on steroids. That change reflects how impaired your HPG system is. The smaller the gonads, the more impaired it is at the moment, which probably means the more estrogen or the more androgenic feedback, as well as the more estrogenic feedback, your brain is getting to turn off the gonadotropin release, gonadotropin-releasing hormone from the hypothalamus and the gonadotropins from the pituitary.
Now, what I've noticed personally, as well as from the experience of clients and friends and so on, is that the harsher androgens like trenbolone will cause a disproportionate decrease in the gonadal size from like the same dose as for example testosterone would. I've also noticed that mega doses of testosterone will have a similar effect. So, taking 3,000 milligrams of testosterone will cause dramatic gonadal atrophy, whereas 500 milligrams will not do the same thing. I've also noticed that the longer someone uses the steroids for continuously, the more long-term gonadal shrinkage exists, as well as it seems to be of a different nature. It doesn't, if you stay on for long enough, the fluctuations don't come off, come around as often, which means it seems to indicate to me that there is a sort of permanent testicular damage to the area. And indeed, there very well may be. It seems to be that there is evidence that there is oxidative damage to the testicles, as well as, as we discuss, testicular fibrosis and so on.
So, these are the observations I've made. Let me be clear, it is not clear that everyone can recover their testosterone production full. Now, it is hard to tell all the time because most people did not do accurate blood tests right before they began anabolic androgenic service. So they don't really know what the testosterone levels were. And most people, when they go off the steroids, have passed a number of years in which case there, that's what this also would have decreased anyway, and they're not even aware of it. So it's not completely clear.
Now, I will tell you another thing. There are some people who go off AS that claim to have testosterone levels at the US metric of 900 or so. And some people that do this, I know, I have a very strong suspicion, are currently using HCG and judging their testosterone levels according to what their results are after using HCG. While you use HCG, the testosterone levels will always be higher. So that's not really, it's a bit misleading. What we would like to know is if someone's testosterone levels six months after they finish their protocol completely, or a year afterwards. That's more interesting. Like, for example, for me, I don't use HCG at all. I don't use Clomid, and I don't use anything. And that's the kind of testosterone period level where we're curious about.
Now, now let me get into the protocol. What I wanted to tell you guys. So, my protocol is a little bit different from the other protocols in the community. Dave Palumbo and Boston Lloyd, who I very much respect and admire, both have efficacious pregnancy protocols. They are somewhat similar. I think that the both recommend, well, the differences between them is this. So they both recommend HCG, HMG, and Clomid, which is clomiphene citrate. However, Palumbo recommends a lower dose of HCG than Boston Lloyd, and they, they both recommend a similar amount of HMG. I think it's 75 IU, I'm not sure. And they recommend, I think, 50 milligrams of Clomid. But there's another difference, which is that Boston has noticed in his clients that people who are using testosterone replacement therapy tend to recover better. So he sometimes recommends that people stay on testosterone replacement therapy, which, by the way, is not completely crazy or anything like that. It may sound like that, but in fact, there is some clinical reason evidence from clinical literature to think that at least doctors did think that people may respond better to, for example, our FSH versus recombinant FSH when they're on testosterone replacement therapy. Although this turned out not to be the case.
But my protocol is a little bit different because while they both say to stay on their protocol for as long as it takes to make a baby, my protocol is mainly, see, I haven't been trying to make a baby. My protocol is mainly focused on how I can recover my function naturally. So my protocol has duration estimate, and it has differences in the desirable tools to be used. So, for specifically, I highly recommend a recombinant FSH instead of HCG, and I also recommend, but this is speculated because I've not done it myself, EC, which is enclomiphene citrate, over clomiphene citrate.
Now, with that said, and also, I, I recommend a combined use of an AI and a SERM as opposed to just using a SERM. And I recommend a titrating doses of HCG and HMG as opposed to just using a stable dose. So, to be specific, what I recommend is this. I mean, this is a recommendation for myself, and it's for educational purposes only for everybody else. But let me see, and I'm gonna talk for educational purposes as if I'm recommending this to myself. So, with that in mind, so what I do is this. For the first three weeks, I use a low dose of HCG, 1000 units, taken every other day subcutaneously. For the first two to three weeks or so, during this period, at the three week mark, we, of course, beforehand, you should, a person should measure their blood testosterone levels as well as their semen parameters before they start anything. But after three weeks, measure again the blood parameters of testosterone and get an idea of how it's reacting to 1000 units every other day. Now, in the first few weeks, it's a monotherapy. It's only HCG at a very low dose.
Next, the next phase lasts about five, five months or so. The next phase takes us from three weeks to six months. In that phase, what we do is we increase the dose of HCG from 1000 units to up to 3000 units every other day. Additionally, we increase the dose from 1000 units of HCG to 3000 units every other day. Additionally, and we titrate that dose, by the way, according to blood, let blood testosterone levels. So we continue to do blood tests and see how the testosterone levels are reacting, and we find a dose that works up to 3000 units every other day. Additionally. Now, we include two more tools, which are the AI, anastrozole, at 0.5 milligrams every day, and enclomiphene citrate, or clomiphene citrate, in either case, at 25 milligrams every day. Now, we may raise the clomiphene citrate or the AI depending on how high the blood testosterone levels react. We don't want the estrogen to be too much more significant as a communicator than the testosterone. But generally speaking, 25 milligrams and 0.5 milligrams. What I, what I went for myself, what I would go for after six months.
Now, I introduce a fourth tool, which is the recombinant FSH. In the case that one cannot absolutely cannot get recombinant FSH, one may use HMG, although it will be much less effective, I think. Although comparisons, clinical comparisons have not been done, and there are no studies on it, but I strongly believe so. By the way, I should mention something. There is some reason, one other reason, even though they haven't compared HMG and our FSH in clinical studies, there's a very good reason people prefer a recombinant FSH. There's a chance to get Creutzfeldt-Jakob disease from HMG theoretically, which is the same disease that cannibals get from eating brains. So it's a concern. But anyway, the third phase, what we do is we introduce recombinant FSH at 75 units every other day, and we over the next period of time will increase that 75 units every other day up to at the absolute maximum 500 units. Sorry, 400 units every other day. Now, on the way, we will titrate the recombinant FSH according to semen parameters of sperm count, sperm motility, and sperm morphology. With that said, we will also increase the HCG from 3000 units a day up to at maximum father, sorry, 3000 every other day up to at maximum 5000 units every other day. So it's easy, you will be at 5000 up to 5000 units every other day, and recombinant FSH will be up to 400 units every other day. Anastrozole will be kept at 0.5 milligrams unless we need to raise it because of the testosterone estrogen ratio that is told from blood tests. And the clomiphene citrate, or enclomiphene, ideally, will be raised from 25 milligrams daily to up to 75 milligrams daily. And in fact, it could be raised to 100 milligrams daily, but you know, you have to use judgment with this.
So, basically, this, and of course, this all depends on us, you know, sperm parameters that are analyzed from this, from the scene, from the semen, as well as testosterone levels in the blood test. But the way you can think of it is this. There's an initial phase that's testing the waters, seeing how we respond to HCG. Then there's a phase in which we take HCG to a medium level, and we introduce an aromatase inhibitor and a SERM, clomiphene citrate, or enclomiphene. The purpose of this phase is to get the intertesticular testosterone to be working in the testicles. We're not trying to differentiate and mature the sperm yet, but we want the testicles to be working as well as they can be before we max out our use of the HCG in the next phase. In the next phase, we introduce recombinant FSH or HCG, HMG if you can't get recombinant FSH, and we titrate that up over the next, I'll get into time periods in a little bit, but we titrate that up up to a maximum dose, and we titrate the HCG up to a maximum dose, and we take the clomid up potentially to a maximum dose of 100 milligrams, and we keep the AI at the same level to maintain a good ratio, or we raise it to 1 milligram from 0.5 milligrams.
How this works is that the first phase lasts for about two or three weeks. Then we have a phase that's about six months long, and for some people, that will be enough. They will recover. And then, particularly people interested in fertility, will continue for another six months to a year and a half, and potentially longer in the full version of the therapy. Now, for me personally, I had to use the full version to get a good result, and I do feel that I got a good result. I retained now the energy, and you know, it's hard to tell what one was like before when used androgenic steroids because even, for example, when you're on steroids, your voice changes. So my voice is very different than it used to be. But I can't tell if it's different than it used to be originally, or whenever when I was on cycle, but not on cycle, when I was just on them. I wasn't doing cycles that much, although I did, I did actually do cycles many years ago, a couple of cycles, and I recovered very well from them. I should mention, well, I'll mention that some other time.
But the point is, this is the way it works. You have to use something that lasts over six months, ideally a year or so. You know, I see a year and a half or longer, but that's for difficult cases that they really want to develop fertility, and they probably will never recover fully. By the way, even they may, they may get children, but they'll probably never recover fully. Those kind of people. But for normal people, it's really a long therapy, and you really need to think of it like there's, it's at least gonna take you a year. And so you need the money to budget for that. It's gonna be more costly, possibly more costly than your actual testosterone use previously was. Dependent.
But anyway, thank you guys so much for watching this video. I hope it was helpful. I hope it gives you some ideas to work off of, and it gives you some ideas of the, the necessity of titrating. And by doing a lot of these things, come from clinical research. I have some citations in the for articles I produce, although I tried to keep the citations low because I knew that you guys probably are watching this are not interested for academic reasons or for creating new theories of your own. But there's like 35 citations or so. Much of what I came up with here, the titrating nature, the length, the preferability of our FSH, the preferability of enclomiphene citrate, the combination of AIs with SERMs, these all come from clinical literature and academic literature, and not just out of my own head. I'm, it's not that I'm creative and I try this on many people. To be honest, I don't know anyone that, no one's ever asked me to help them with coming off permanently. So I have not even helped someone else. It's just been myself and reading the clinical literature. But I hope this may be helpful for you to get an idea of what's going on there, and also to get an idea on how to judge how badly your HPG system is being affected by whatever you're doing currently, by my observations made earlier.
So anyway, thank you guys so much for listening. I hope this series benefited you, and look forward to my next series, which is on serotonin. It's already being developed. It is already more detailed than the series on choline. It will be extremely informative and extremely useful, and I hope to see you guys next time. Thank you so much.
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You.
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