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Interesting that mouthwash and antacid stops NO from occurring.

Agree with Gene on the health benefits of having a daily orgasm. I don't believe there will be any change to what your Testes are going to do in regards to the CYP though which is the original question

Every Male

Need the ranges for each of those tests since each lab has a different set of ranges they work off of.

SHBG, Sex Hormone Binding Globule

Did anyone find an ED Specialist in Northern Virginia?

Welcome Alex.

someguy - Your last line is correct, behind all three. Under just refers to basically looking at it from the Doctor's POV as you are laying down being examined and not south of the nipple.

If the code from your results is a labcorp test it is a sensitive, not ultra-sensitive and is immuno-assay based and as Nelson points out over stated for a male

Very interesting read especially the results paragraph at the end. Do we know anyone who has used this in these lower doses to free up bound T?

Gene - Did you mean Hypothyroidism can and will cause secondary hypogonadism?

Great read and yes I do suspect someone is looking into excess PDE5 deep under cover in order to patent the treatment whatever they determine it is.

Those last three sentences are key in this process. I will work with the doc in January, might need to find a ED specialist soon in Northern VA area, since this is my GP but we will see what he says.

Yes most likely standard dose and it sounds like I will be getting it adjusted, so I have the better ridigity I am looking for. Any idea why the Phentolamine was .5 versus the standard 3 you referenced?

Mine shows tri-mix 10mcg/30mg/0.5mg/ML injectable, doesn't break down which is which. but I would say it is probably: Papaverine - 30 mg Phentolamine - .5 mg PGE - 10 mcg Seems like I will need to ask for an adjustment when I get next set, this is the second of two I got last time and left...

So does any good Tri-mix Doctor help you dial in the hardness part? My current Tri-mix while giving a long erection 30 + minutes with a 1 hour slow return to flaccid, doesn't seem to be up to snuff on the hardness side. I didn't even know that there was a way to adjust that part.

I don't know about others, but I am on 90 2x/week, so my total is 180 per week, and it seems to work great for the Testosterone side of the picture. Still working other challenges, but that number works great for me. I am sure others who use 100/week will chime in and let you know.

Coast - others will comment too, but 100mg/wk is a low starting dose which is good, but your doc in my opinion is moving very slow, I would have thought she would have raised your dose to say 150/week and retest in 6 weeks, but that is just me. I am sure between what you can learn here and...

Welcome to ExcelMale Coast.

There is a possibility you are a fast metabolizer(sp) of Testosterone, but I still stand by the above, where you need to get to weekly or twice weekly injections, and then see how you feel. Once every two weeks even with the increased dosage is not going to stabilize your blood serum levels, so...

Welcome tbone

Yes, it will help even out the hills and valleys to a more constant serum level.

No. If you are using Test-Cypionate, the half-life is 72 hours, so the increase will only create a greater drop at the same point in your two weeks.

Matt - Can you give the ranges with all of those labs, really helps in trying to see where your numbers sit compared to the range.

Nelson - I too have noticed a fullness or heavy feel to my testicles, when I am doing daily Cialis and HCG. Interestingly I do HCG M-F and on weekends there is not the same full feeling.

Great. I will reach out.

Be really careful with the Anastrozole, I am not sure you even need it. Definitely want to schedule up that Therapeutic phlebotomy.

Nice write up, do you have others for different peptides?

OP = Original Poster IMO = In My Opinion

Hal, HCG only works as injectable. So given that I would say given your travel schedule, get a set of all of your injectables, leave one in NH and the other in Germany if you have permanent places in both addresses, otherwise you will have to deal with taking them with you. its not really that...

Check with another blood center, I had to look around to get one who would allow the doctors Rx for a therapeutic phlebotomy to be done and ended up with one that didn't cost me anything. So yea make sure you ask about cost if any, when they say yes they will do the therapeutic.