Gonadorelin vs HCG For Testosterone Therapy: Alternative to HCG
High-quality, legal HCG in Miami and throughout the United States is getting harder to obtain by the month due to regulatory changes by the Food and Drug Administration (FDA). We examine Gonadorelin vs HCG as an alternative to HCG.
The FDA’s shift has left testosterone replacement therapy (TRT) patients and providers looking for alternatives to HCG to achieve the same benefits of elevated testosterone levels without compromising their overall hormone health. This includes elevating FSH and LH levels, which may drop when TRT is performed incorrectly.
At TRT Miami & HCG Diet Miami, the leading hormone replacement therapy (HRT) provider in Florida, we have turned to Gonadorelin, a potent gonadotropin-releasing hormone agonist (GnRH agonist) that — unlike HCG — is still widely available to American patients.
Let’s explore the testosterone-boosting benefits of Gonadorelin, how it supports overall hormone health during TRT, and why it is the ideal alternative to hard-to-source HCG.
The FDA Banned HCG: Now What?
As we previously reported, the FDA has made significant changes to its regulatory schemes covering HCG in the past year and a half. The effects of these changes, while not outright banning HCG, have been that:
- Most compounding pharmacies have stopped producing HCG due to legal fears
- Supply lines of HCG have evaporated
- HCG costs have risen rapidly
The bottom line: it is now clear that we need an effective, safe, available alternative to HCG, which brings us to Gonadorelin.
What Is Gonadorelin, How Does It Work and What Are Its Medical Uses?
Gonadorelin mimics the actions of a gonadotropin-releasing hormone agonist (GnRH) due to their shared, identical chemical makeup. As a universally safe and effective drug for most patients, doctors have used Gonadorelin for multiple purposes for over 4 decades since it first hit the US market.
The molecular structure of gonadorelin
The key highlights of Gonadorelin:
- Comes in injectable solution for intravenous (directly into the blood supply) or subcutaneous (under the skin) administration
- Relatively short half-life of roughly 15-35 minutes
- Multiple pharmaceutical firms worldwide produce the synthetic hormone under trade names Gonadorelin, GnRH Serono, Cryptocur, Fertagyl, Cystoréline, and many more
- An adult dose is typically 0.1 mg
How Does Gonadorelin Work?
The hypothalamus (a small region of the mid-brain) releases naturally-occurring GnRH into the bloodstream. From there, it travels throughout the body to interact with the hypothalamic-pituitary-gonadal axis (HPG axis), which includes the male and female reproductive systems (gonads). The HPG axis directs normal physiological development, the aging process, and, most importantly for our discussion here, sexual health.
The HPG axis
GnRH acts as the “master hormone” or trigger for the hormonal cascades of the HPG axis. Because of its GnRH-mimicking effects, Gonadorelin triggers greater release of the following hormones:
- luteinizing hormone (LH)
- follicle-stimulating hormone (FSH)
- testosterone (specifically, as we will explore, intratesticular testosterone)
These benefits are critical for men receiving TRT because of the negative impacts therapy can have on FSH and LH levels without proper steps to prevent them:
“Testosterone (T) replacement therapy causes suppression of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) that can lead to decrease in semen parameters and possible infertility. Different T formulations may have varying suppression on FSH and LH.”
The bottom line: Gonadorelin is an essential tool for optimizing hormone health during TRT, including acting as a powerful stand-in for the FSH and LH-stimulating compound HCG.
How HCG Works and Why Gonadorelin Is the Ideal Alternative
In addition to spurring fat-burning via the HCG Diet, HCG also supports hormone health for men receiving TRT.
As we discussed earlier, TRT without complementary hormone care can trigger falling LH and FSH levels (called “gonadotropin suppression”) which, in turn, can lower testosterone – particularly the type most important for fertility, intratesticular testosterone (ITT).
HCG therapy in conjunction with TRT can prevent those unwanted side effects.
HCG, even at low doses, keeps LH and FSH levels high and, in turn, prevents ITT levels from dipping:
“Relatively low dose hCG maintains ITT within the normal range in healthy men with gonadotropin suppression.”
Source: The Journal of Clinical Endocrinology & Metabolism
So, all of that begs the question: does Gonadorelin deliver the same testosterone, FSH, and LH-supporting results as HCG?
Yes. Gonadorelin, which exactly matches naturally-occurring GnRH, produces the same results:
“GnRH results in the expression and release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the anterior pituitary gland.”
Furthermore, Gonadorelin has a lengthy history of clinical use to treat issues related to men’s sexual health and hormone imbalances. For example, the conventional uses of Gonadorelin include treating:
- delayed puberty
- hypogonadotropic hypogonadism (Kallmann syndrome)
The bottom line: Gonadorelin used during TRT protects:
- testicular size
- LH and GSH levels
- testosterone levels (by preventing later losses due to LH and FSH deficits and their impact on the HPG axis)
Bonus: Gonadorelin Balances the HPA Axis For Optimal Metabolism
In addition to working on the HPG axis, Gonadorelin is also an essential component of the hypothalamus-pituitary-adrenal axis (HPA axis), a “complex system of neuroendocrine pathways and feedback loops that function to maintain physiological homeostasis.”
“Physiological homeostasis” is medical jargon for “normal function” – which includes maintaining a healthy metabolism for optimal energy levels, body composition, and fat burning.
The HPA axis is responsible for regulating the immune system, digestion, mood and mental health, and metabolism (energy storage and use), which is essential for fat-burning.
The HPA axis
The HPA and HPG axes, in addition to acting within each set of feedback loops, also interact with each other in a mutually dependent, reciprocal relationship:
“There exists a reciprocal relationship between the hypothalamic-pituitary-adrenal (HPA) and the hypothalamic-pituitary-gonadal (HPG) axes wherein the activation of one affects the function of the other and vice versa. For instance, both testosterone and estrogen modulate the response of the HPA axis, while activation of the stress axis, especially activation that is repeating or chronic, has an inhibitory effect upon estrogen and testosterone secretion.”
Therefore, maintaining the proper function of both the HPA and HPG axes is essential for anti-aging health (including keeping metabolism and fat burning high), which is why we focus on these important hormone feedback loops at TRT Miami.
Recover Your Hormone Health For Superior Physical Performance and Mental Wellness With Gonadorelin and TRT
For more information on the benefits of Gonadorelin in combination with TRT, contact TRT Miami to schedule a personal consultation with an expert endocrinologist.
Through our unique, science-based approach to hormone therapy, we’ve helped thousands of patients recover their T counts for improved athletic performance, mental health, and overall quality of life.
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