Bentiger07
Member
Hey ExcelMale,
I was wondering if anyone knows of SKILLED docs in or near New York for Erectile Dysfunction (arteriogenic dysfunction confirmed during penile doppler scan) and libido issues. I don't mind traveling a few hours if needed. Based on past experiences, I have no interest in visiting any random local doctor without doing research. After doing research, I became a patient of Dr.Saya thru telemedicine. He has me on tadalafil and is treating low T to combat ED/low libido. Together, both definitely helped the plumbing and libido to some degree. He’s knowledgeable and I only have good things to say about him. Even so, for something I need to be committed to for probably the REST of my life, a 2nd opinion from another skilled doc can't hurt and can only help. With a 2nd opinion from a local doc, I can:
1. Go over current protocol and get opinions on other ways to treat ED that may only be available locally. I've only recently heard of shockwave therapy. The little I read so far sounds promising. I read about it on Dr. Michael Werner's website (Anyone try him?). I'm also a low SHBG guy, so I’m only willing to inject more frequently if there’s no other better solution.
2. See if doc can help find the cause for arteriogenic dysfunction in a young male, and rule out any serious issues that ED is a sign of like heart disease/atherosclerosis. While I believe Dr. Saya ruled out some causes, the cause remains unknown. Knowing cause can help figure out best solution. The cause may/may not be related to 4 other health issues I have (none of which bother me as much as ED):
-Despite being active and eating normal, my cholesterol is often on the high side since I was a teen. Maybe genetics. For me, eating a low fat plant-based diet lowers these #s greatly, and eating a low-carb ‘paleo’ diet raises the bad/good cholesterol greatly. I realized the thought of having to eat a restrictive diet for rest of my life is almost as depressing as ED. There’s pleasure in eating variety of foods socially. I think plant-based diet helped my ED a bit, but made me feel weaker. Low carb made ED worse, but made me feel stronger. Now I just eat mostly clean without restricting food groups. Exercising and eating clean without restrictions is hard enough for most people, so that’s as far as I prefer to go diet-wise.
-2-3x a week or so, stool is loose. I had a colonoscopy done that came back fine. Just benign polyps. Doc thinks cause depends on what I eat and suggested an elimination diet, starting with eliminating gluten. I believe to confirm celiac. I think diarrhea’s a sign of not absorbing food properly which can cause many health problems. While I tested eliminating some food groups, I wasn’t thorough. It’s on the list of things to do. For now, I’m testing if eating more probiotics and fiber helps. I believe it’s best to add more healthy foods that may target the problem to see if that helps enough, instead of going straight to restricting healthy foods you love. I also just started testing out a serving of psylium husk daily to combat diarrhea AND lower cholesterol!
-Moderate pains all on the left side of my body (leg/core & neck/eye region). Right side of body is perfect. L5-S1 disc herniation and mild levoscoliosis was found which may be the cause of left leg/core pain. Not much was found with neck/eye, except 1 chiropractor mentioned arthritis seen in an x-ray. As part of exercise, I’ve been strengthening/stretching for years. Maybe helps to stop pain from getting worse, but doesn’t help much to get it better.
-Occasional eczema
Thanks for any help.
I was wondering if anyone knows of SKILLED docs in or near New York for Erectile Dysfunction (arteriogenic dysfunction confirmed during penile doppler scan) and libido issues. I don't mind traveling a few hours if needed. Based on past experiences, I have no interest in visiting any random local doctor without doing research. After doing research, I became a patient of Dr.Saya thru telemedicine. He has me on tadalafil and is treating low T to combat ED/low libido. Together, both definitely helped the plumbing and libido to some degree. He’s knowledgeable and I only have good things to say about him. Even so, for something I need to be committed to for probably the REST of my life, a 2nd opinion from another skilled doc can't hurt and can only help. With a 2nd opinion from a local doc, I can:
1. Go over current protocol and get opinions on other ways to treat ED that may only be available locally. I've only recently heard of shockwave therapy. The little I read so far sounds promising. I read about it on Dr. Michael Werner's website (Anyone try him?). I'm also a low SHBG guy, so I’m only willing to inject more frequently if there’s no other better solution.
2. See if doc can help find the cause for arteriogenic dysfunction in a young male, and rule out any serious issues that ED is a sign of like heart disease/atherosclerosis. While I believe Dr. Saya ruled out some causes, the cause remains unknown. Knowing cause can help figure out best solution. The cause may/may not be related to 4 other health issues I have (none of which bother me as much as ED):
-Despite being active and eating normal, my cholesterol is often on the high side since I was a teen. Maybe genetics. For me, eating a low fat plant-based diet lowers these #s greatly, and eating a low-carb ‘paleo’ diet raises the bad/good cholesterol greatly. I realized the thought of having to eat a restrictive diet for rest of my life is almost as depressing as ED. There’s pleasure in eating variety of foods socially. I think plant-based diet helped my ED a bit, but made me feel weaker. Low carb made ED worse, but made me feel stronger. Now I just eat mostly clean without restricting food groups. Exercising and eating clean without restrictions is hard enough for most people, so that’s as far as I prefer to go diet-wise.
-2-3x a week or so, stool is loose. I had a colonoscopy done that came back fine. Just benign polyps. Doc thinks cause depends on what I eat and suggested an elimination diet, starting with eliminating gluten. I believe to confirm celiac. I think diarrhea’s a sign of not absorbing food properly which can cause many health problems. While I tested eliminating some food groups, I wasn’t thorough. It’s on the list of things to do. For now, I’m testing if eating more probiotics and fiber helps. I believe it’s best to add more healthy foods that may target the problem to see if that helps enough, instead of going straight to restricting healthy foods you love. I also just started testing out a serving of psylium husk daily to combat diarrhea AND lower cholesterol!
-Moderate pains all on the left side of my body (leg/core & neck/eye region). Right side of body is perfect. L5-S1 disc herniation and mild levoscoliosis was found which may be the cause of left leg/core pain. Not much was found with neck/eye, except 1 chiropractor mentioned arthritis seen in an x-ray. As part of exercise, I’ve been strengthening/stretching for years. Maybe helps to stop pain from getting worse, but doesn’t help much to get it better.
-Occasional eczema
Thanks for any help.
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