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Symposium on Lumbar Discogenic Disease American Academy of Orthopaedic Surgeons

This mechanistically supports the use of such vitamin antioxidant combinations for DR [44, 50]

Grammer TB, Kleber ME, Silbernagel G, Pilz S, Scharnagl H, Lerchbaum E, Tomaschitz A, Koenig W, Mrz W

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

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