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Thanks for the update, and I am glad you are still doing well. I look forward to your results, as I am starting Clomid Friday.

Any updates, Chins71?

Thanks, man. I did not mean to be petulant. I am SO thankful that both therapies exist. I was more saying I am taken aback by the rapidity of the change. Which leads me to think that, as you said, I need to take the whip off my back. I have got to let it go, as my brain is probably the larger...

Day 9: After getting 10 hours of sleep, I feel better. Managed to have sex twice today (out of three attempts), but I took 20mg Cialis to make it happen, when 5mg (2.5mg AM/PM) did the job before. The psychogenic aspect cannot be ruled out, as my confidence in erections has taken a beating...

Ah ha! Thanks for the info. I retracted my statements above, and cited talking out of my butt as reason.

Usually, blood draw on Friday, results returned Thursday. I had no idea that it was only going to NC.

Great points. I am in Upstate South Carolina.

Very well. I only had my latest experience to go on, but you have more experience. I did not think that it could be Labcorp, so I will see how it checks out next time.

Thank you, Dr. Saya. I am trying to find the middle ground between logging pertinent details vs. navel gazing. It seems, and perhaps it perception bias, us forum guys can be hyper-sensitive to a fault. I am mentally ready for the ups and downs and will soldier on. BUT I need to find a dose of...

It is pretty soon, but Melissa was concerned about my E2 from the beginning, so we planned for it when the Clomid starts, as she had a small amount of AI compounded with it, in order to be judicious and not drive it too low. She also prescribed separate AI to use if things got extra funky in the...

Day 8. Yesterday and today have taken a noticeable turn downward. Extreme mental blah. Emotions all over the place. Even with high doses of Cialis I am losing erections and have penile "numbness." All of these symptoms are ones I had before TRT, when my estrogen to testosterone was around 1to5...

For me, the troche is cheaper per MG than compounded capsules, so that is why I wanted to make sure if I did swallow it, it would still be absorbed. I ordered some Tadalafil from ADC last week, so that will be way cheaper.

That is what I kept telling the nurse and doctor, that the high initial spikes 24-72 hours post once-weekly injection was too much FOR ME. They were focused on getting a trough of 800-900, because that was "where he liked to keep his guys,"no matter the craziness and physical symptoms I endured...

Day 4 of HCG. Feeling really good so far. (Of note: my teticles are fuller than when I was only getting one HCG shot per week.) My sleep patterns last week were terrible, but that has finally leveled out. I think that had more to do with the perfect storm of coming off Test Cyp and an impending...

Do you allow these to dissolve as directed or swallow it whole? The tadalafil troche gives me a headache if I allow it to dissolve, but if I swallow it like a pill it does not. I assume it still works if one swallows it, because it passes through the liver like a pill?

Dr. Rotman, The general mood on most forums is that treating low T does not improve erections, while some doctors claim otherwise. What is your experience? Also, have you seen a clinical significant resistance to PDE5 inhibitors occur that is not tied to the further decline of the underlying...

Dr. Rotman, The general mood on most forums is that treating low T does not improve erections, while some doctors claim otherwise. What is your experience? Also, have you seen a clinical significant resistance to PDE5 inhibitors occur that is not tied to the further decline of the underlying...

Thanks for the reoly. Anyone else?

It is interesting that it increased so little. I had already lost 30 pounds by the baseline blood test, but I was drinking 4-5 alcoholic beverages a day, also, which I have since reduced to one. We shall see where it goes from here, though all future blood test will be LCMS.

I have searched Pubmed using every different variation of the above, and only a few studies pop-up regarding the effects of long-term use and building resistance. Some indicate that the body does not build resistance to PDE-5 inhibitors, while some speculate that is might occur. Some studies...

No, I never took one. I am interested to see what happens as I ramp up HCG for two weeks, and then hit the Clomid. That is to say, am I a hyper-converter or not. I plan to have a set of blood work done at the end of the HCG cycle, just to see what that does to my E2, Test, etc., and then have...

Day 12 without external testosterone. I have felt great the past week, but today is a bit dark, though I have not been able to sleep the past 4 nights, so it is probably a combination of hormones and sleep deprivation. I am going to use Ambien tonight, because I need some sleep.

Thanks. That is why I was willing to give a restart a try, because I feel that if it fails, I can transition to a sound protocol and great care.

I will update as more labs or significant changes occur. I switched to Defy Medical on January 11th for two reasons: 1) my doctor required in-office shots, which prevented dosages every 3.5 days; 2) he would not entertain the idea of multiple shots to prevent my 48-72hr spike that led to my...