First look into why this is Post Cycle Therapy? Well, firstly (and obviously), the introduction of exogenous hormones leads to an imbalance in the body, the existence of which is not too comfortable. The body, of course, to a certain extent the system is self-regulating, but it would be nice to help him, not waiting when he will cope with the task. Secondly (and this is so obvious no longer seems to be), PCT can help to save "earned back-breaking labor" — that is to say muscle mass recruited during the course.
Well, in that case, if something other than water retention, you managed to gain. Why it's the "second" doesn't seem obvious? For this we need to turn to the Queen of Sciences – mathematics. Suppose your course consisted of 500mg of testosterone enanthate per week (smaller numbers, I do not see, because they believe that only a very small number of people can expect a serious return on, say, 250 mg of testosterone enanthate per week).
So, we have 500 mg of testosterone enanthate per week. The enanthate ester weighs about 150 mg of the 500, that is, the pure testosterone remains 350 mg. If you take the half-life of enanthate a week, we get 175 mg of testosterone. Remember the figure? Now we calculate how much of the testosterone in a week "develops" the average man.
Normal daily secretion is considered to range from 4 to 9 mg. Take the top figure (although nowadays bad environment and poor General health of the population, this is clearly not the most common figure), multiplied by 7 (the number of days in a week) and obtain 63 mg. Well, what do you think, dear readers, will you be able to 63 mg to keep it up to 175? The question, in my opinion, rhetorical... of Course, this calculation is not quite correct, but the overall picture reflects quite accurately. However, 63 mg definitely more than nothing...
When and where to start?
As you know, the best treatment is prevention, so you want to start. This can offer two solutions that I think are quite logical and reasonable: first, any course containing drugs with progestogenic activity to accompany a concurrent administration of drugs on the basis of cabergoline (dostinex, agellates, bergolak).
It will definitely protect against unwanted side effects related to prolactin and facilitate the recovery course. It is enough to take one half of tablet 2 times a week. And secondly – if you use drugs, significantly reducing the level of endogenous testosterone (the list will not lead – it is too long will be), do every second week of the course 2 injections of gonadotropin at 500 IU each. This will help and degeneration of the testes to avoid, and recovery of testosterone after the course will be fun.
Especially would recommend this to those athletes who have plans to procreate – although confirmed cases of sterility from taking AAS no, the restoration of normal spermatogenesis after several years of taking steroids – the problem for many is not easy and takes a lot of time – the author, for example, took this about six months in this situation. And that's a good result.
Well, let's move on finally to PCT – how long can you go "around and around". Don't know about you, readers, but I think it's clear that the recovery will start only when the amount of exogenous steroids in the body will be quite small. There are two options – if your course was built solely on "long-lived" esters, you'll have to wait a certain period – say two weeks, after which it makes sense to start PCT.
Option definitely not the most successful during these two weeks, the level of catabolic hormones will skyrocket. Therefore it is more logical to finish the course on drugs with short esters, then after a couple of days to begin the restoration. Ideally, if you don't want, so to speak, to move, to touch, better to pass some tests and based on their conduct vosstanovitelnye events.
Here's the list:
But, unfortunately, all our life is far from ideal and to whom, the same tests can be simply not available for one reason or another. In this case, it is not necessary to be clairvoyant or hereditary magician, to claim that after a course of LH and FSH from you is likely to be low, and other indicators from the list above the established reference values. Our objective is to achieve normalization. In fact, this task can be divided into two: the restoration of normal levels of testosterone and reduction of cortisol.
The restoration of normal testosterone levels.
The task, actually, not so trivial often enough – it is known that the secretion of testosterone GGA head axis – the hypothalamus — pituitary – testes and suppression can occur at all levels. The most favorable case when the suppression level of the hypothalamus not pronounced enough to lower the level of estrogen and secretion of testosterone, the adaptive feedback will increase. Apply here either antiestrogens or their combination with aromatase inhibitors. As for specific recommendations – if it's anti-estrogens, or tamoxifen 20-40 mg per day, or clomid 100-150 mg a day.
In addition to blocking the actions of estradiol, estrogens promote secretion of LH by the pituitary gland. The addition of IA, as a rule, is not so necessary, but if the estrogen level is off the charts, they wouldn't be here.
From aromatase inhibitors, preferably exemestane (aromazin) – it has lesser side effects in comparison with "classmates" and its activity at combined application with estrogens is not reduced. The only point that I would like to pay attention – if the course was used arimidex or letrozole, aromazin for some unknown reasons after they did not work. If you have been taking cabergoline for the duration of your course with a progestogen, prolactin issues you should not occur. Although a small percentage of men, even the introduction of exogenous testosterone can lead to increased prolactin. It will help all the same cabergoline.
To avoid hormonal "pit" and not to fall for the beautiful half of humanity during recovery can help Proviron, although with prolonged use it can reduce testosterone, as essentially an oral form of dihydrotestosterone. He can reduce the level of SHBG.
The use of gonadotropin after a course can be justified if long courses with significant doses of strong androgens – in such cases, the testosterone suppression deep and tropic regulation by feedback principle may not work.
That is a decrease in estrogen levels in itself will not lead to an increase in testosterone.
We can help and preparations from the Arsenal of sports nutrition. Tribulus, which has long been almost a mandatory attribute of the PCT, the results of all modern researches, the level of LH does not affect, but only able to increase the level of DHT with a much better job than Proviron. To replace him, as a kind of "headliner" came D-aspartic acid (especially its methylated version). According to studies, D-aspartic acid when taken in quantities of 3 grams per day increased testosterone levels by 42% in 12 days.
This, or a little higher dose and it is necessary to take the PCT. Help us in our difficult task, and vitamin-mineral complexes. But one mineral is worth a special mention – zinc regulates the number of androgen receptors in the body, in case of deficit, the level of testosterone falls. Better to take it in the additive called ZMA a combination of zinc with magnesium and vitamin B6 enables it to better absorb.
In conclusion, as a bonus for those who have the patience to read the article to the end, here is the Protocol of Dr. Michael Scully, recognized by the American Association of endocrinologists is effective for the treatment of hypogonadism. Its effectiveness has been confirmed by the experiment, which was attended by 19 people ranging in age from 23 to 57 years. They underwent a 12-week course of testosterone cypionate and nandrolone decanoate. Average level of LH before the course was 4.5 mu/ml, immediately after a course is 0.7, and after going through PCT – 6.2 mu/ml.
Here is the Protocol:
1-16 day gonadotropin 2500 IU a day
Day 1-30 clomid 50 mg twice a day
1-45 day tamoxifen 20 mg per day.