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I know this stack is being suggested for vasodilation and erection quality. However, for those presuming that this will enhance their workouts, is there any evidence that a better pump leads to more strength or muscle gains? I hear the jury is still out on that issue...

I agree with what folks are saying about clomid (except for the supposed visual issues, which I'm still skeptical about). I spent months trying clomid at different doses with little to any perceived benefit or side effects, even with "good" total and free testosterone levels. The best I've...

Three words - Time Under Tension. It seems none of these dimwits have ever heard of it. There is a fellow at my gym I like to call "Stacks". He walks up to any given machine, loads the maximum amount possible, and then moves it in any odd way he can manage to move it. He's at the gym all...

Bumping in case somebody wants to take a stab at this... I've tried everything to improve my sleep, which is critical to how I feel. I frequently have bouts of insomnia in the middle of the night that last for an hour or so, and rarely wake up feeling refreshed. I take melatonin...

I have heard it touted that TRT may improve sleep quality. Has this been proven by research? And what is it about TRT that might lead to better sleep? Thanks, paco

Many thanks to the good doctors for discussing these issues publicly! This is how patients become better educated and empowered, which leads to more HEALTHY people. Who can argue with that? ; )

Kallu, Sorry to be so terse, but I don't believe you are educated on this issue. There are plenty of healthy, fresh foods with moderate and even high amounts of fat in them which should be included in one's diet. Low fat diets and many of the resulting modifications have done more harm than...

Hey Dave, I was wondering the same thing, and Gene Devine gave a very helpful answer here: https://www.excelmale.com/forum/threads/699-Transdermal-vs-Injections-of-Testosterone Maybe others can jump in to share their personal experiences if they have tried both. Good luck! Paco

This is one place where I think Defy is falling short. As I understand it, they customarily use the "regular" estradiol test rather than the sensitive test, with the rationale that they are saving their patients money. That's well-meaning, but given that the regular test tends to overestimate...

Glad to hear you're feeling better about things, Marshall. Do you know which estradiol test was done by your previous doctor when you got a reading of 95? Was it a "sensitive" estradiol test or the same one they use on women? If it was not the sensitive test, there are some like Dr. Crisler...

This same topic is being discussed here: https://www.excelmale.com/forum/threads/646-2-questions-about-hcg-mono

Nelson and Gene, I'm loving the site! After many months of trying clomid monotherapy, then clomid plus HCG, then HCG mono and never feeling better, I'm just about ready to start TRT. I'd like to be better educated about gels vs. injections when I meet with the doctor. Can someone please...

Thanks, Gene! Your insight and knowledge is a huge help. However, were previous replies inadvertently omitted?

Nelson, could you detail how HCG disrupts the HPT axis? I understand that LH production will be dramatically reduced or altogether halted, but what other changes might occur? TRT can result in reductions in DHEA and pregnenolone, so some such as Dr. Crisler and Gene Devine recommend...