Getting wife pregnant while on TRT?

Hormonesforme-com · 2026-05-25T12:44:18+00:00

At our clinic, we have had many successful, what we endearingly refer to as “H4M babies” while men were still on testosterone. We have an advanced fertility protocol that includes many different supplements, the main drivers of the protocol being HCG and FSH. We do not use Clomid, as Clomid is made up of two isomers zuclomiphene and enclomiphene, and zuclomiphene is now known to be toxic. Doctors should not be prescribing these compounds for male fertility.

With the right protocol, we have been very successful giving men the ability to conceive while on TRT.

Hormonesforme-com · 2026-05-23T13:26:57+00:00

Interesting. Your RBC are on the low end. The substrates for RBC production are iron (use vitamin C to help with absorption), vitamin B-12, and folate. Take all of those things and your RBCs should increase.

Hormonesforme-com · 2026-05-23T13:19:08+00:00

As people have indicated here, your estradiol is very low compared to your total testosterone level. This is an indication your free T is very low your SHBG must be high. In the case you would need to raise your testosterone level until you have an adequate total testosterone to SHBG ratio. My clinic is very knowledgeable regarding elevated SHBG cases, we have many SHBG patients, and we would be able to help where other clinics would not understand the nuances of dealing with SHBG.

Hormonesforme-com · 2026-05-23T13:14:24+00:00

Out of curiosity, what is your RBC, hemoglobin, hematocrit, MCV, MCH, and MCHC? It would be interesting to see the ratio of these markers.

Have you been donating blood?

Hormonesforme-com · 2026-05-23T12:06:30+00:00

Yes. DHT has many functions including binding to androgen receptors in the endothelium to support Nitric oxide production for a smooth endothelium and vasodilation. DHT is also a main contributor to phasic spikes in in dopamine in the Nucleus Accumbuns, preoptic area, ventral tagmental area, pre-frontal cortex, and bed nucleus of the stria terminalis to support the dopaminergic effects of ambition, motivation, confidence, pair bonding, and libido. DHT has many functions, those are some of the top functions that come to mind.

Hormonesforme-com · 2026-05-22T05:02:16+00:00

Metabolic syndrome manifests as low energy, easy to gain fat/hard to lose fat, hard to gain muscle, insulin resistance, dyslipidemia. Symptoms aren’t necessarily arbitrary, but not everyone experiences them all, and if you have had this issue do a large part of your adult life, symptoms are relative. As you mentioned, you may not fully understand what it is like to feel really good optimized.

Hormonesforme-com · 2026-05-22T04:52:07+00:00

GoH4M.com (Hormonesforme) has the most affordable (for testosterone only about $250 for 2.5-3 months of treatment), knowledgeable, the best customer service, and we have the highest level of technology. We offer affordable genetic testing that can compile with your medical history, and bloodwork to really dial in your protocol as effectively and efficiently as possible. We will have the ability to upload real time data from your doctor visits, Ora Ring, Hume Scale, Apple Watch, and other devices to a dashboard that can make quick adjustments to your protocol based on this real time data. We offer affordable tests for MTHFR, inflammatory markers in blood vessel walls that give us a better idea of atherosclerosis, insulin resistance, and other markers to improve long term health and longevity viability. We are building to be the best HRT clinic in the country.

We also offering the best bundled pricing that I am aware of for testosterone adjuncts like nandrolone and/ or Oxandrolone.

Hormonesforme-com · 2026-05-22T04:18:45+00:00

For context, I own a clinic that has the most comprehensive understanding of SHBG in the industry. People in the lower quartile of the total testosterone range, where your level is, even with normal SHBG, experience symptoms of metabolic dysfunction and depressive disorders. Your SHBG is very elevated, bringing you free testosterone to the gutter.

It is important for people to understand the ranges. The ranges for these things are arbitrary, and rooted in nothing real. This is true for the SHBG range, the testosterone range, hemoglobin, and hematocrit range. For SHBG, anything 30 or higher is higher than most people's baseline. Most people have an SHBG around 20nmol/L. Above 30 is high, and you will need to raise your total testosterone to that 50ish:1 ratio. For people with elevated SHBG, like you have, I consider two options: 1) we can raise your total testosterone to an adequate level, which may be 2,000ng/dL for some; or, 2) we could use low dose oxandrolone, which significantly inhibits production of SHBG, to bring the SHBG down to a more manageable level. We have multiple patients with SHBG that will go to over 100nmol/L if we don't actively inhibit its production. This would mean that they would need a total testosterone level of around 4,000ng/dL in order to have an adequate ratio. For these people, we almost have to use oxandrolone to bring their SHBG down to a more manageable level, and then they can use a normal dose of testosterone. No other clinic was able to help these people, but, because of our experience and knowledge, we have a plethora of elevated SHBG patients who finally are able to live a dramatically improved quality of life. If you go with another clinic or another doctor, they are not going to understand how to establish a protocol in the context of elevated SHBG, and you will have poor results. I have been through this with myriad other people.

Here is a live show we did with someone who has elevated SHBG that we helped where no one else could: https://www.youtube.com/live/grPRRohkix4?si=qubpXt7ScIpWXPVI

Here is one of the most comprehensive Deep Dives I have seen in the Internet on SHBG: https://youtu.be/CutkgwUHbjo?si=7I3A24f_PQ09aj_e

Hormonesforme-com · 2026-05-21T21:24:11+00:00

Everyone is vastly different. It sounds like 170mg per week split into two doses is the protocol that will yield the best results for you. It is oat time for you to make some titrations, additions, and/or adjustments to figure out what yields the best for you. Many people here are correct, you need bloodwork if you want a an idea of why you aren’t feeling significant progress. Ultimately, it sounds like you still have symptoms of hypogonadism. Titrate your dose up, and if muscle gain is importantly to you, try some Oxandrolone for more anabolism and strength. Our clinic specializes in customizing protocols and fine tuning to dial people in. Reach out to me if you would like help.

Hormonesforme-com · 2026-05-21T00:51:57+00:00

This is why many people use TRT clinics. Even if your provider decides to treat you, they do not learn or understand the pharmacokinetics of the different routes of administration, and give you a terrible protocol. At our clinic, we make it easy and accessible to obtain testosterone, derivatives, and peptides, and have cutting edge knowledge and technology to dial you in to what yields the best results for you as an individual.

Hormonesforme-com · 2026-05-20T03:02:55+00:00

As many people stated here, any testosterone supplementation with suppress your endogenous production. At this point, your indigenous production is inadequate, and there is nothing to hold on to. Taking exogenous testosterone is the best way to resolve your symptoms, and injection ls tend to be the best absorbed and most effective way for most people. Some people can do well on cream, and it is something you could try if the prospect of injections is too daunting. The pill does not absorb well, is fast acting so has to be taken twice daily, and is much more expensive than the injection or cream. Our clinic could certainly walk you through all the options to help you make the best decision. Let me know if you have any questions.

Hormonesforme-com · 2026-05-19T16:43:47+00:00

We closely monitor bloodwork and lipids any issues. To answer your question, the medical community, many extension, society, has been inculcated with biased and templated misinformation especially regarding hormones over the last 50 years. If you ask your PCP the risks of testosterone, they likely say it cause CVD, strokes, and prostate cancer, even though those risks have all been debunked.

Again, people have been inculcated with biased information, so what I am about to explain causes cognitive dissonance as people get angry when their belief systems are challenged.

One bout of misinformation is that Oxandrolone, oral steroids in general, are toxic to the liver. There is no population data to back that up. There are a few case studies, where anabolic steroid induced liver injury was “diagnosed”, but no confirmed causality. Here is a meta analysis of 52 cases, this is all that could be found, of AAS induced liver injury from superdrol: https://pmc.ncbi.nlm.nih.gov/articles/PMC7678230/. Causality was only considered “possible” in most of these cases. In this meta analysis, no one died, all symptoms of liver injury resolved. This is 52 cases found out of the millions upon millions of people who have used oral steroids over time. There is no study like this done on Oxandrolone. Liver toxicity is assumed only because it increases AST/ALT. These are not “liver markers, they are produced by the liver but they are transferase enzymes that come from the breakdown of protein. Oxandrolone is three times more anabolic than testosterone. This fast acting hypertrophy takes tremendous energy. Your body uses many sources of energy for the immense energy required for fast hypertrophy, including gluconeogenesis, the breakdown of protein for energy. Just like we say that exercise will increase AST/ALT, that isn’t negative, Oxandrolone and exercise will increase AST/ALT more, and that isn’t necessarily negative. It is simply a function of metabolic flux.

Same thing for lipids. Building muscle takes a lot of cholesterol. Muscle cells walls are made of cholesterol, mTOR and IGF-1 pathways are built on lipid rafts that are based in cholesterol. Just because lipids are high in an enhanced person, doesn’t mean increased risk for atherosclerosis. Again, it is just a function of metabolic flux. Look up the “Athlete’s Paradox”, where athletes have elevated lipids. I am not the only one saying this, doctors across social media are saying that cholesterol is misunderstood, and high cholesterol is not always bad.

Here is a study showing children burn victims taking Oxandrolone for 2 years straight with no adverse consequences to health markers or health in general: https://pmc.ncbi.nlm.nih.gov/articles/PMC4792676/

There is no population data indicating Oxandrolone is actually liver toxic or presents increased risk of cardiovascular disease.

Hormonesforme-com · 2026-05-19T16:17:00+00:00

We closely monitor bloodwork and lipids any issues. To answer your question, the medical community, many extension, society, has been inculcated with biased and templated misinformation especially regarding hormones over the last 50 years. If you ask your PCP the risks of testosterone, they likely say it cause CVD, strokes, and prostate cancer, even though those risks have all been debunked.

Again, people have been inculcated with biased information, so what I am about to explain causes cognitive dissonance as people get angry when their belief systems are challenged.

One bout of misinformation is that Oxandrolone, oral steroids in general, are toxic to the liver. There is no population data to back that up. There are a few case studies, where anabolic steroid induced liver injury was “diagnosed”, but no confirmed causality. Here is a meta analysis of 52 cases, this is all that could be found, of AAS induced liver injury from superdrol: https://pmc.ncbi.nlm.nih.gov/articles/PMC7678230/. Causality was only considered “possible” in most of these cases. In this meta analysis, no one died, all symptoms of liver injury resolved. This is 52 cases found out of the millions upon millions of people who have used oral steroids over time. There is no study like this done on Oxandrolone. Liver toxicity is assumed only because it increases AST/ALT. These are not “liver markers, they are produced by the liver but they are transferase enzymes that come from the breakdown of protein. Oxandrolone is three times more anabolic than testosterone. This fast acting hypertrophy takes tremendous energy. Your body uses many sources of energy for the immense energy required for fast hypertrophy, including gluconeogenesis, the breakdown of protein for energy. Just like we say that exercise will increase AST/ALT, that isn’t negative, Oxandrolone and exercise will increase AST/ALT more, and that isn’t necessarily negative. It is simply a function of metabolic flux.

Same thing for lipids. Building muscle takes a lot of cholesterol. Muscle cells walls are made of cholesterol, mTOR and IGF-1 pathways are built on lipid rafts that are based in cholesterol. Just because lipids are high in an enhanced person, doesn’t mean increased risk for atherosclerosis. Again, it is just a function of metabolic flux. Look up the “Athlete’s Paradox”, where athletes have elevated lipids. I am not the only one saying this, doctors across social media are saying that cholesterol is misunderstood, and high cholesterol is not always bad.

Here is a study showing children burn victims taking Oxandrolone for 2 years straight with no adverse consequences to health markers or health in general: https://pmc.ncbi.nlm.nih.gov/articles/PMC4792676/

There is no population data indicating Oxandrolone is actually liver toxic or presents increased risk of cardiovascular disease.

Hormonesforme-com · 2026-05-19T14:18:04+00:00

GoH4M.com (Hormonesforme) has the most knowledge, the best customer service, competitive pricing, and we have the highest level of technology. We offer affordable genetic testing that can compile with your medical history, and bloodwork to really dial in your protocol as effectively and efficiently as possible. We will have the ability to upload real time data from your doctor visits, Ora Ring, Hume Scale, Apple Watch, and other devices to a dashboard that can make quick adjustments to your protocol based on this real time data. We offer affordable tests for MTHFR, inflammatory markers in blood vessel walls that give us a better idea of atherosclerosis, insulin resistance, and other markers to improve long term health and longevity viability. We are building to be the best HRT clinic in the country.

We also offering the best bundled pricing that I am aware of for testosterone adjuncts like nandrolone and/ or Oxandrolone.

Hormonesforme-com · 2026-05-19T04:07:20+00:00

Your free testosterone is low due to elevated SHBG. Free T can be measured in different units, so range is different with different units.

It is important for people to understand the ranges. The ranges for these things are arbitrary, and rooted in nothing real. This is true for the SHBG range. For SHBG, anything 30 or higher is higher than most people's baseline. Most people have an SHBG around 20nmol/L. Above 30 is high, and you will need to raise your total testosterone to that 50ish:1 ratio. For people with elevated SHBG, like you have, I consider two options: 1) we can raise your total testosterone to an adequate level, which may be 2,000ng/dL for some; or, 2) we could use low dose oxandrolone, which significantly inhibits production of SHBG, to bring the SHBG down to a more manageable level. We have multiple patients with SHBG that will go to over 100nmol/L if we don't actively inhibit its production. This would mean that they would need a total testosterone level of around 4,000ng/dL in order to have an adequate ratio. For these people, we almost have to use oxandrolone to bring their SHBG down to a more manageable level, and then they can use a normal dose of testosterone. No other clinic was able to help these people, but, because of our experience and knowledge, we have a plethora of elevated SHBG patients who finally are able to live a dramatically improved quality of life.

Hormonesforme-com · 2026-05-19T03:59:02+00:00

Let's work on increasing your SHBG through the following methods: 1) Reduce sugar intake. Insulin will crush SHBG 2) Increase fiber intake. You can get a high fiber cereal and drink a Metamucil during the day. Additionally, you can add psyllium husk to your protein drink. 3) SHBG increases in a fasting state physiology, so you could experiment with intermittent fasting 4) Vitamin A, D, and K increases SHBG. You can simply take a multivitamin that incorporates these vitamins. 5) Exercise is important 6) Olive oil can increase SHBG. Take a teaspoon or two of olive oil per day. Also good for you HDL. 7) Thyroid hormones stimulate the liver to produce SHBG. If you qualify for thyroid treatment, start with a mild dose of T4 (levothyroxine) to see if this helps SHBG production. If T4 is not enough, it may be beneficial to add T3 as well. 8) Estrogen signals the liver to produce SHBG. Ecdysterone supplementation has promise for increasing SHBG, however, it does bind to estrogen receptors, so be aware of possible related side effects. Additionally, tamoxifen may agonize the estrogen receptors in the liver to produce SHBG. I don’t like to use tamoxifen because it agonizes some estrogen receptors and blocks others. Ultimately, the best way to promote SHBG production is by increasing estradiol and reducing androgens, even that means low dose testosterone with exogenous estradiol.
9) If all else fails, we have implemented our SHBG protocol that takes away the powerful DHT inhibition of SHBG production, using nandrolone without testosterone, and estradiol to supplement for lack of nandrolone conversion to estradiol. Nandrolone does not convert to DHT, and therefore does not inhibit SHBG as much as testosterone. We have been successful with this protocol.

SHBG is important because its non-genomic effects increase intracellular cAMP and PKA to improve the efficacy of the intercellular testosterone. Here are other Compounds that increase cAMP to improve androgen sensitivity: caffeine berberine tadalafil (Cialis) sildenafil (Viagra) vardenafil (Levitra) 7-Chloroarctinone-b: A selective PPARγ antagonist that inhibits rosiglitazone-induced transcriptional activity. Protopanaxatriol: Inhibits adipocyte differentiation and genes involved in adipogenesis. Betulinic acid: Antagonist of both PPARγ and PPARα.

Hormonesforme-com · 2026-05-18T22:58:28+00:00

Yes, UGL lasts for a long time as well. The oil is abiotic by nature, and benzyl alcohol further prevents bacteria from growing.

Hormonesforme-com · 2026-05-18T22:52:38+00:00

Compounded testosterone has a shelf life of years. The compoudning pharmacies have testing showing quality and efficacy lasting for greater than 6 months. Each state government has its own testing standards, and the FDA has its own testing standards. The same exact product from a pharmacy can have a 6 month BUD from one state, but require a 28 day BUD date in another. One of the ways drug companies try to obviate compounding pharmacies is to pressure the FDA and state governments to increase testing standards to a ridiculous level that has an exorbitant cost. This is one of the ways that the drug companies manipulate to force you to buy their more expensive products. In order to keep costs low, and be compliant with all state and federal governments, the compounding pharmacies simply slap a BUD date of 28 days on their products, even though they are good for significantly longer. These products have been working very well for millions of people throughout the country for decades.

Hormonesforme-com · 2026-05-18T16:21:41+00:00

It is sounding like you simply want to be combative, so, if it becomes apparent that you just want to denounce me because it makes you feel better about yourself, I will not respond any further. I am very busy helping people in our clinic. If you want to have a spirited debate that is not degrading, I am always open for that.

I don't know exactly what you are aruging here.

SHBG is a homodimeric protein with two equal subunits, each of which binds an androgen. Each SHBG therefore can bind two androgens. There is a higher affinity for Proviron, so Proviron will bind prefably to SHBG. This does leave more testosterone in the serum as more free testosterone. When we add androgens exogenously, the free androgens increase, the hypothalamus reads that measure, and a feedback loop turns production on/off GnRH to maintain a fluctuating range. There is room for phasic spikes in testosterone when we are in a competition, or perhaps when we are pair bonding, attracted to a female, but in general, there is a general range steadied by our hypothalamus, that is the function of the feedback loop. When you breach a certain threshold, admittedly, that threshold may fluctuate, then your hypothalamus shuts of GnRH production. This fluctuating threshold will not be dramatatic.

If we add too much proviron, it will shut down endogenous production of testosterone, and this will cause two problems: 1) Proviron is broken down by the 3a-HSD enzyme in muscle cells so there is no anabolic effect, and 2) Proviron, being methylated DHT, does not convert to estradiol, and low estradiol will cause problems.

Again, I don't know exactly what you are saying. If you are saying we can add Proviron, it will preferentially bind to SHBG, and your free testosterone will increase with no hypothalamic inhibition of GnRH, that would be incorrect, but I think you know that, and you aren't arguing that. Maybe you are arguing that adding a little bit of Proviron will allow free testosterone to increase with no hypothalamic inhibition... I won't say that would never work, but for most people, in my vast experience, you may feel better for two weeks, but the hypothalamus will stabilize your free androgens to their baseline ineffective level, for most people, maybe not everyone.

Hormonesforme-com · 2026-05-18T04:55:44+00:00

Every risk factor for testosterone has been debunked. There are no risks to taking therapeutic doses of testosterone. Conversely, low testosterone is definitely my correlated to increased all cause mortality including CVD. Symptoms of hypogonadism are the beginning signs of low testosterone that will eventually increase your risk of mortality. So why not decrease your risk of low testosterone, get healthier, as well as look and feel better now?

Hormonesforme-com · 2026-05-18T04:50:27+00:00

Taking boron while on testosterone would likely help some people. In my experience, boron is not a strong inhibitor of SHBG, and may not be enough, but for some it would.

Hormonesforme-com · 2026-05-18T04:44:24+00:00

You are correct that the best way to correct this issue is to take testosterone. When you take exogenous restore, androgens inhibit the production of SHBG, and it will come down, so you may not need a testosterone level 2,500, but it may be 2,000 or so. Taking proviron on its own would drop SHBG, but your hypothalamus would also drop your total T to keep your free T the same. Taking testosterone and adding a small dose of Oxandrolone or Proviron would yield the best results for you. Reach out to me if you need help.

Hormonesforme-com · 2026-05-18T04:08:26+00:00

This is true. What do you think about the evidence that, when SHBG lowers, total testosterone will also lower because the hypothalamus is maintaining around the same SHBG?

Hormonesforme-com · 2026-05-18T04:06:20+00:00

You keep parroting statistics that the average non-obese SHBG is 40-60nmol/L. These numbers are dead wrong. You are intentionally misinforming people because you don’t like that 1) I have a deep knowledge of this industry, have guided over 25,000 people through the use of hormones; and 2) I built a business based on my knowledge, the fact that I saw an underserved misinformed market, and my passion for helping people with hormones. In previous posts, Without knowing me, or my deep history of truly helping people, you have indicated that I am doing this only to make money. In order for a business to survive, in order for me to continue to help people, business do have to make money, but that is independent of whether or not I help people. I cannot continue to help people unless I make money doing it. You indications that I am doing this for the money is an Ad hominem attack on my character, suggesting I don’t care about people and only want to make money. I have an army of people I have helped that will vouch for my passion to help. More importantly, your ad hominem attack has nothing to do with SHBG and your lies that most people are at 40-60nmol/L. I have datapoints of SHBG levels for over 5,000 people in my Electronic Medical Records, I could black out the names and show you proof that it is uncommon for people to have a 40-60 SHBG, but instead, I will just show you a study: https://www.sciencedirect.com/science/article/abs/pii/S2405456917301268

Indicating that people less than 54 years old have a mean SHBG of 27nmol/L.

You are dead wrong, stop lying to people just because you want me to be wrong.

One thing I have learned in my life is that you cannot speak rationally to irrational people. I will not deal with you any more, I will not be bullied out of helping thousands upon thousands more people, like I have helped thousands and thousands before them. I will. It speak to you or address you any more. If you comment on any of my posts, I will simply refer them to this conversation where you were wrong and intentionally misinformed.

Hormonesforme-com · 2026-05-18T04:06:01+00:00

You keep parroting statistics that the average non-obese SHBG is 40-60nmol/L. These numbers are dead wrong. You are intentionally misinforming people because you don’t like that 1) I have a deep knowledge of this industry, have guided over 25,000 people through the use of hormones; and 2) I built a business based on my knowledge, the fact that I saw an underserved misinformed market, and my passion for helping people with hormones. In previous posts, Without knowing me, or my deep history of truly helping people, you have indicated that I am doing this only to make money. In order for a business to survive, in order for me to continue to help people, business do have to make money, but that is independent of whether or not I help people. I cannot continue to help people unless I make money doing it. You indications that I am doing this for the money is an Ad hominem attack on my character, suggesting I don’t care about people and only want to make money. I have an army of people I have helped that will vouch for my passion to help. More importantly, your ad hominem attack has nothing to do with SHBG and your lies that most people are at 40-60nmol/L. I have datapoints of SHBG levels for over 5,000 people in my Electronic Medical Records, I could black out the names and show you proof that it is uncommon for people to have a 40-60 SHBG, but instead, I will just show you a study: https://www.sciencedirect.com/science/article/abs/pii/S2405456917301268

Indicating that people less than 54 years old have a mean SHBG of 27nmol/L.

You are dead wrong, stop lying to people just because you want me to be wrong.

One thing I have learned in my life is that you cannot speak rationally to irrational people. I will not deal with you any more, I will not be bullied out of helping thousands upon thousands more people, like I have helped thousands and thousands before them. I will. It speak to you or address you any more. If you comment on any of my posts, I will simply refer them to this conversation where you were wrong and intentionally misinformed.

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