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Agree with the sleep comments above. At my age (54), if I am getting good REM sleep in the morning hours, I have solid nighttime and morning wood. If my sleep is choppy and restless, much weaker EQ. Being on TRT and 3mg Cialis before bed also has helped.

Best of luck on the start of your journey. It will take awhile, as you said, six month is a good time frame. However, make sure they monitor your key levels so you can get dialed in. Sometimes that is easier with shots. Hope it goes well!

If you address your thyroid issue(s), it might correct your Testosterone deficiency. Worth optimizing before you jump on TRT

I wanted to comment on this post... I have had HSV-1 (cold sores) my entire adult life (now 53). Historically, I would have one outbreak per year, maybe 2 based on the common triggers: stress, illness, sunburn, arginine etc. Since getting both Moderna Covid shots in April, I have had 3+...

If you are not getting regular morning wood or while you are sleeping, there is something physiological going on. However, are you under a lot of stress? Any signs of depression? That could be the "in between your ears" cause.

5 months is a very short time to develop tolerance for Cialis. Maybe you just found the right dosage now? Any other changes in hormones/health? Also, have you tried Viagra or Levitra?

Yes, my libido drops, erections suffer when I am over about 1200 TT and 40 sensitive E2. I am edgy and don't sleep very well. My sweet spot is around 800 TT, FT middle range and sensitive E2 in the 20's. All is good in that range. More is not always better especially with TRT

My doctor discussed the fact that some guys develop tolerance for the drugs and have to increase dosage to the point where its not effective anymore. His opinion is that those men continue to have vascular deterioration or plaque build up which ultimately renders the drugs less effective...

Fair concern. What is your age? I have been taking 3mg daily for 5+ years, but I use as part of an overall approach to boosting NO, along with being on Test therapy. Do I have a dependence on it? Perhaps, but I believe it has contributed to restoring the overall health of my penile tissue...

I know I would feel lousy at those numbers, as I have been there.

Here is a study that was completed here in my hometown of St. Louis by Washington University and BJC Hospital. I think most of the guys on this forum will find it interesting. Low testosterone in men linked to more severe COVID-19 | Live Science

Nope, no real effect on mine. They might have even improved a bit

Yet another reason not to get COVID!!!

Definitely a major symptom that should be discussed ASAP with your doctor. It may have nothing to do with your hormones. It could be bladder or prostrate related. Get it checked out.