Swale's PCT protocol

[Da Bull]

Swale's pct protocol posted by jbigdog69 @AR

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Here is the pct protocol by Swale who is a Doctor who is a HRT specialist.


My PCT Protocol
Since I've been hanging out here a bit lately, I've been getting quite a few emails from guys wanting individualized advice on their cycles. In the first place, I cannot design cycles, nor do I prescribe steroids (just ancillary medications). That would be a violation of my Oath as a physician, and DEA law to boot. Also, obviously I cannot afford to give away free Consultations. So, I'll post my PCT Protocols here, for anyone who may choose to use them.

Also, I'm just running to catch a plane for Las Vegas, attending the American Academy of Anti-Aging Medicine International Conference. I guess they are supposed to publish an article I wrote on how to administer TRT for men. Wish me luck!

Here it is:

I advise my AAS patients to use small amounts of HCG (250IU to 500IU) two days each week, right from the beginning of the cycle. This serves to maintain testicular form and function. It makes more sense to me to keep the horse in the barn, so to speak, then to have to chase it across three counties later on. I am also a big fan of maintaining estrogen within physiological ranges. Both therapies have been shown to hasten recovery.

Any more than 500IU of HCG per day causes too much aromatase activity. Some feel aromatase is actually toxic to the Leydig cells of the testes. You are then inducing primary hypogonadism (which is permanent) while treating steroid-induced secondary (hypogonadotrophic) hypogonadism (which is temporary--hopefully).

If 250IU or 500IU on two days each week isn’t enough to stave off testicular atrophy, then I recommend using it more days each week (as opposed to taking larger doses). In fact, I wouldn’t mind having a guy use 250IU per day ALL THROUGH the cycle. Those that have tell me they thus avoid that edgy, burned-out feeling they usually get. They also say they simply feel better each day. Subjective reports, to be sure, but they are hard not to appreciate. Especially when HCG is so inexpensive.

The testes are then ready, willing and able to again produce testosterone at the end of the cycle. LH levels rise fairly rapidly, but endogenous testosterone production is limited by lack of use. I also want to make sure a SERM, such as Clomid or Nolvadex, is at effective serum dosage (around 100mg QD for Clomid, 20-40mg QD for Nolvadex) when serum androgen levels drop to a concentration roughly equal to 200mg of testosterone per week. That is when androgenic inhibition at the HP no longer dominates over estrogenic antagonism with respect to inducing LH production. Of course, if the fellow has been doing Clomid or Nolvadex all along the way (and I now prefer Nolvadex over Clomid, due to the possibility of negative sides from the Clomid), he is all set to simply continue it at the end (no need to switch from one to the other). BTW, I see no evidence of any benefit in using BOTH SERM’s at the same time. I used to think a couple of weeks of the SERM was enough; now I like to see an entire month after the last shot of AAS (and migration of long to short esters as the cycle matures). Tapering the SERM is probably a good idea during the last week, as well.

I want my patients to stop taking HCG within a week after the end of the cycle. The testosterone production it induces will further inhibit recovery, as will using Androgel, or any other testosterone preparation, while in recovery. There is no escaping this, as there is no such thing as a “bridge”. Just because you are not inhibiting the HPTA for the entire 24 hours does not mean you are not suppressing it at all. IOW, you can’t “fool” the body—it is smarter than you are.

I like Arimidex during the cycle (in fact, consider use of an AI while taking aromatisables a necessity) but it ABSOLUTELY should not be used post cycle (even though it has been shown to increase LH production) because the risk of driving estrogen too low, and therefore further damaging an already compromised Lipid Profile, is too great (this also drives libido back into the ground—and we don’t want that, do we?).

All this is meant to get my guys through recovery as fast as possible (the real goal, yes?). So far, all of them who have tried it have reported they are recovering faster than when they have tried other protocols.

	CLomid

	Nolva

[Da Bull]

Now this man brings uo an issue I've had for quite some time.I've read many articles with docs saying adex isn't recomended for pct.I've personally spoke with 3 HRT docs myself about this issue.
There's some bros on the boards that will argue to death saying l-dex is neccesary at pct.But all I get from them are opinions,not facts.
Can anyone here put up solid facts or studies saying l-dex is mandatory at pct like it is preached on several boards?

	Nolva

	Dex

[einstein1905]

It'll mostly all be indirect literature, but there's great evidence for it IMO.
Coming off of a cycle, our estrogen levels will still be slightly elevated, and SHBG levels will be high. We will start producing very little test, and that test is just as susceptible to being bound to SHBG as if we had tons of test....the same holds true for aromatization. it's very clear that AIs lower the rate of aromatization and also lower SHBG levels, so this effectively makes the test we ARE producing effectively magnified (less is aromatized and less is bound to SHBG)= more free testat the time it's needed most.

Those who preach against using an AI for pct take the studies out of context IMO.......we're not talking about an AI-only pct....we have clomid and nolva in the mix too. The real argument against an AI for pct is lipid effects and suppressing estrogen levels too low.....but wait, we're using nolva, so the lipid effects are effectively countered, AND nolva provides estrogenic effects at most relevant/important tissue types (bone and liver).


The main thing for me is the higher % of free test, which maximizes our endo test production when it's most needed

	CLomid

	Nolva

[jbigdog69]

I for one use adex for bloat...Peace