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  1. R

    Low estrogen and DHEA ?

    I'd suggest asking your doc to test you for Hashimoto's thyroiditis. If your body is producing antibodies to your thyroid gland, even though you levels are not yet low, it would explain the aches to some degree. Your symptoms do seem to match up to being hypothyroid, but your numbers suggest...
  2. R

    Low estrogen and DHEA ?

    Your TSH looks good, but you seem like you have symptoms of Hashimoto's thyroiditis. That is, your body produces. anti thyroid antibodies that can accumulate in your joints and cause pain. you might want to ask your doc to check your free T 3 even though your TSH is not bad. Many with...
  3. R

    Better with high free T or total T or both?

    another thing you could check up on is your sleep. Sleep apnea can also drive erythrocytosis. It may well be just you reaction to the T, but if there is doubt on your end, it would be good to know if you have apnea. In my case, clearly it drove the erythrocytosis with the T. Since getting my...
  4. R

    In the search for libid, Started “”“””Addyi”””””

    Dr Khera has publicly stated they were the first to get approval from the FDA to do a study in men with Addyi. He also has said he doesn't think there is a lot of difference between men and women, regarding brain chemistry, as it relates to serotonin, dopamine, and norepinephrine. He's probably...
  5. R

    How damaging are prolonger erections (2-4 hours)?

    If you have a conversation with a doc who is trained in sexual medicine, they will tell you that not all erections are the same. Meaning there is a big difference between a hard but warm penis, vs. a cold hard penis. The difference is blood flow. If the penis is warm, there is still some blood...
  6. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    I am not planning on over use. Just more regular use. Branded Vyleesi, which is 1.75mg per dose, can be used up to 2 X per week, and 8 X per month.While the approval is for pre menapausal women, when dealing with brain horomones, we are not that much different than women. I am trying to see, if...
  7. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    Updating again my experience with compounded PT 141 or Bremelanotide from Empower. I had a very bad nausea event from Branded Vyleesi, including vomiting. I have not been that ill in a long time. But, this is hard to walk away from when you have as severe ED as I have, as the results when not...
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    Botox for your sexual health.

    As an update. I gave myself a washout period from the Bremelanotide or PT 141, I took as branded Vyleesi. Extreme nausea, was the reason I quite taking the Vyleesi. It worked incredibly effectively otherwise. I also did get body aches, and sinus congestion. But the sexual response was nothing...
  9. R

    Botox for your sexual health.

    I was wondering if you noticed any performance improvements at the 0.1 mg doses? The makers of branded Vyleesi claim not to use it repeated nights in a row and not more than 2 X per week, 8 X per month, but that's a much higher dose at 1.75 mg. I was hoping to try half that strength, but curious...
  10. R

    Botox for your sexual health.

    Can I ask, what dose of PT 141 do you use?
  11. R

    Botox for your sexual health.

    I did not know this, and attributed the additional length to just being effective at producing erections. And I have lost weight which helps too. However, I do think it has caused a longer "hang" even when not erect. it's really a great effect. Much more sensitivity, truly quick easy erections...
  12. R

    Botox for your sexual health.

    Missed your thoughts about trying low dose Pt 141. I used it three times, with incredibly good results and only a little nausea that was very mild, and only lasted about 20 minutes. then the 4th time I tried it, the nausea was severe. Upchucking several times and miserable. Had to have my doc...
  13. R

    Botox for your sexual health.

    I wanted to give an update on the botox treatments. So I have now had three treatments. The first one worked extremely well. lasted months, and gradually began to lose benefit. Exactly what my doc informed me of, and what was expected. It was truly a game changer. However, for some reason, my...
  14. R

    Botox for your sexual health.

    Sorry I didn't see the above questions regarding P shots until now. A P shot is an activated platelet/growth factor injection. the doctors who do this, will draw a large tube of blood from you, put it in multiple tubes, and spin it down in a high speed centrifuge. It's not a lot of blood, just...
  15. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    How has your response been to the lower doses? I read the earlier thread suggesting the reduced benefit with low multi daily dosing.
  16. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    This is an update to my earlier posts on Bremelanotide or branded Vyleesi. After taking three doses, with results that were honestly outstanding as described my previous posts. the 4th attempt at taking branded Vyleesi, was very difficult to say the least. In earlier posts, I discovered my...
  17. R

    In the search for libid, Started “”“””Addyi”””””

    I will add, Dr. Rachel Rubin also prescribes both Addyi, as well as Vyleesi. Her staff suggested their patients, both male and female seem to be getting a better effect from Vyleesi. However, Vyleesi does seem to have slightly more side effects, but works more quickly. Having been prescribed...
  18. R

    Trans scrotal testosterone cream application is a game changer

    I get mine compounded in a topi click from Anazao Health.
  19. R

    Trans scrotal testosterone cream application is a game changer

    Can't say with 100% certainty, but I would bet your DHT is much better. I have never been on the injections, but the cream has been fantastic for me. More expensive, yes, but all in all, I am doing really well. All I have to do is keep an eye on my HCT, and donate blood about every 3-4 months...
  20. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    I used the branded Vyleesi, because we are having trouble finding compounded Bremelanotide. it is only one dose, but I don't recall what is in the auto injector. Also, your doc can get you into a program with no insurance thru the manufacturer to reduce the cost to $25 a dose. Still a lot, but...
  21. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    I am adding an update to my post about Bremelanotide or branded Vyleesi. The spontaneous erections became less frequent, but lasted for about 34-36 hours after dosing the Vyleesi. I normally need to inject Tri Mix or quad mix, (both work about the same for me) to maintain an erection suitable...
  22. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    So I recently decided to try PT 141 Bremelanotide branded as Vyleesi. Incredibly good improvement in libido, but less in the first hour, much stronger in the 3 hour post dose increasing until about 6-8 hours post dose, and plateauing for another 4-6 hours. along with increased desire, came...
  23. R

    Orgasms on Trimix

    I have been using Tri Mix and quad mix for a few years now. They do produce really good erections, but the more or higher the dose of the prostaglandin, (alprostadil) the more likely I am to get some soreness or aching usually after sex. I find the lower the dose, the quicker I can get to...
  24. R

    FDA OKs Over-the-Counter Gel for Erectile Dysfunction

    Has been available in Europe for at least a year or two. Bottom line, didn't work as well as 5 mg tadalafil. Faster for those who do get a benefit. But the cost is high, compared to the benefit.
  25. R

    PT - 141 (Bremelanotide) for Improved Sex Drive (Libido) and Erections

    Does anyone have a suggestion on a good compounding pharmacy that supplies PT 141? Empower is still having problems with delays.
  26. R

    Any new discoveries on Low SHBG curse ?

    I have total T much higher than you suggest, and low shbg, and TONS of libido. Excellent lipid profiles, lowered A1C, and have lost 46lbs in two years. And I feel great. Perhaps for you, if you have not tried, a topical HRT, because it may well drive higher DHT and help your libido. But beware...
  27. R

    Botox for your sexual health.

    Don't give up! I am 65 and still going. I won't quite trying things until I have no other choices. I saw good results with shockwave too. And, they told me with shockwave and P shot's that it won't last forever, at some point you have to repeat them. it's called aging. I think they have all...
  28. R

    Is it true that an elevated hematocrit level on TRT does not require blood donation?

    What you mention is part of my point. Men die of cardiovascular disease all the time. If you are predisposed to it, I can see elevated HCT and HGB could play a role. You would think the physicians who cared for him, along the way would ask a few questions. Especially if he was on the young side...
  29. R

    Botox for your sexual health.

    $350 would be a real deal if you can find someone to do it for that. It's really simple, you can get either 50unit, or 100units injected all at once. They usually use ice or a numbing cream for you and inject about a third of the way out from the base of your penis on each side, and about 2/3...
  30. R

    Is it true that an elevated hematocrit level on TRT does not require blood donation?

    I was hoping there were some known case studies to support the idea that hematocrit or hemoglobin above a certain level, was known or shown to be a problem. I am not saying those against controlling these two parameters are right. I am just surprised given the many patients these days using HRT...
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