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Trigger point injections are a non-surgical pain relief treatment administered by injection into the targeted trigger points in a patients muscles in various areas across the body, including the neck and back

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Goal: Maintain testicular volume and function during TRT Approach: HCG 500 IU subcutaneously every other day (3x weekly) Begin same time as testosterone therapy Continue for duration of TRT Monitoring: Baseline testosterone, estradiol, LH, FSH Recheck at 6 weeks, then quarterly Adjust based on estrogen response Expected results: Maintained testicular size Preserved fertility potential Possible slight testosterone boost above TRT alone Protocol for fertility restoration on TRT Men on TRT who want to conceive face a decision

For our patients, this means faster recovery times and better outcomesespecially important in the context of surgical interventions and pain management

This is how we deliver care with intention, accountability, and a higher standard than transactional telehealth models

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