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In: Metabolic, nutritional, and endocrine disorders , (1991)

Goal: Maintain testicular function and support recovery Approach: Begin HCG 1500-2000 IU every other day during final 2 weeks of cycle Continue for 2-3 weeks after last steroid dose Transition to SERM (clomiphene 50mg daily for 2 weeks, then 25mg for 2 weeks) Discontinue HCG when starting SERM Monitoring: Blood work at 4 weeks post-cycle Verify testosterone recovery before discontinuing SERM For additional context on recovery protocols, our guide on peptides versus steroids discusses differences in recovery requirements

C-peptide levels provide insights into residual cell activity, HbA1c reflects long-term glucose control, and exogenous insulin requirements indicate the degree of cell insufficiency [32,33]

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