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  1. Dr.V.P.C.

    Obstructive Sleep Apnea and TRT

    Great Nelson, i have this one and it is exactly this . Really worth the value ! ( I prefer a nasal mask since pillows hurts badly my nose skin ) ResMed AirSense 10 AutoSet: This machine is known for its quiet operation, user-friendly interface, and advanced data tracking capabilities. It also...
  2. Dr.V.P.C.

    Obstructive Sleep Apnea and TRT

    Great info here. OSA is the simply the biggest neglected issue in masculine health over 40 . Lots of measures avaliable nowadays , but at the end of the day CPAP eventually will be the life changer.
  3. Dr.V.P.C.

    AUA2023: Highlights in BPH

    Great madman , thank you for sharing such updated info !
  4. Dr.V.P.C.

    Would grapefruit juice or bioperine increase Cialis effect?

    This makes me remember 25 y ago when viagra was released on the market (and was kind expensive), i used to take 1/4 of the pill with some ketoconazole or cimetidine and it last all the weekend. Such good single times...
  5. Dr.V.P.C.

    Sildenafil / Apomorphine HCl combination

    This is a great combo. Optimizing dopaminergic pathway is as important as nitric oxide. Unfortunately apomorphine is not avaliable in my country anymore.( But we have other tricks for dopamine)
  6. Dr.V.P.C.

    Accutane while on TRT?

    If you don´t have dramatic cystic acne, low dose often works very well to minimize oily skin and acne vulgaris caused by TRT , with minimum sides.
  7. Dr.V.P.C.

    Penis smaller after TRT

    Such great info. Have you ever tried pramipexole ? ( strong D1 D2 agonist)
  8. Dr.V.P.C.

    Penis smaller after TRT

    Such great info and articles , thank you I am planning to use Apocynin ( the first article you post) but unfortunately i can´t find it here in Brazil and ebay doesn´t deliver here.
  9. Dr.V.P.C.

    Can doxazosin be taken as needed for ED issues?

    Yes you can take on demand Just take care with orthostatic hypotension.
  10. Dr.V.P.C.

    The serotonin theory of depression: a systematic umbrella review of the evidence (20 July 2022)

    It´s very easy to say that antidepressants is like placebo when you never already needed one .
  11. Dr.V.P.C.

    Trazodone: Common sleep drug is little-known antidepressant

    Trazodone, unlike ambien, is NOT for ocasional use. If you use it ocasionally it will give you a hangover. It's for daily use and after some weird initial days, the body adjust to the drug, great sleep architechture and no sleepy mornings or hangovers.
  12. Dr.V.P.C.

    Penis smaller after TRT

    On point. This.
  13. Dr.V.P.C.

    How to lower your sex hormone binding globulin

    Low dose mesterolone works great to reduce shbg.
  14. Dr.V.P.C.

    Effect of alpha-1-adrenergic antagonists on sexual function

    For some men orthostatic hypotension events with dox ( mainly when combined with tadalafil) can be very bothersome. ( dose dependant)
  15. Dr.V.P.C.

    5mg cialis too high?

    Not uncommon to bring more sides than benefits. If you are cardiovascular healthy and don't have ED, no need.
  16. Dr.V.P.C.

    Daily tadalafil as a treatment for ED and premature ejaculation

    Any man with real PE knows that tadalafil alone won't be enough. At the end of the day, for complete resolution, fixing the serotonin/adrenaline disfunction is the target.
  17. Dr.V.P.C.

    Ambien Zolpidem

    Z drugs are kind new, no one know consequences of long term use. Don't have interference with TRT. Keep doses low to avoid next day sluggish. (10mg is too much to start) try 5mg with melatonin and magnesium glycinate.
  18. Dr.V.P.C.

    PE (premature ejaculation Tramadol)

    Unfortunately , some men have lifelong premature ejaculation that simply won´t respond to any behaviour ou psychological therapy or pelvic loor exercises . Low dose tramadol for on demand use can works very well. Have to take care not to use more than 2 or 3 times a week. And should be mixed...
  19. Dr.V.P.C.

    Thinking about trying Clomid for libido

    Sorry for the late answer Cataceous . Unfortunately for us, enclomiphene is not avaliable here in Brazil . Anyway , as i said before my experience mixing low dose clomid with some proviron or some low dose sarms , with some mucuna or even cabergoline if prolactin or dopamin is an issue , low...
  20. Dr.V.P.C.

    Orlistat and trt

    Yes, completely fine , i use it for the last 10 years .
  21. Dr.V.P.C.

    Tadalafil ODT from any online pharmacy?

    Here in Brazil we have troches compounded, cheap and effective.
  22. Dr.V.P.C.

    Considering Starting Clomid to Increase my Testosterone, but Unsure.

    Clomid can be very useful, but do it right, tons of info in this boards. Works much better in men that never did TRT before. The vast majority of my natural patients that we start the mix combo of low dose clomid /low dose tamox / low dose exemestane /low dose mesterolone (proviron is pharma...
  23. Dr.V.P.C.

    Trazodone: Common sleep drug is little-known antidepressant

    The combination of Trazodone + Melatonin + Magnesium threonate + L Theanine makes me sleep deep and wake great. Ambien knocks me out fast but wake up tired. Always screen for obstructive sleep apnea (I use an oral device to get my jaw forward)
  24. Dr.V.P.C.

    Clomiphene misuse and risk of severe cardiovascular events

    Right on point. Correlation does not imply causation.
  25. Dr.V.P.C.

    Going from cialis 5mg daily to 2.5

    Very interesting, i will order some troches for me to use sublingual and test it.
  26. Dr.V.P.C.

    The good, bad, and the ugly of regenerative therapies for erectile dysfunction

    Does someboby have real self results with one of that home shockwave therapy ( like that " the rocket" ) or anothe one :?
  27. Dr.V.P.C.

    Testosterone and Insomnia

    Insomnia is very very common in adults after 40 y. I have cronica insomina , completely controlled with supplements ( magnesium, melatonin, nac , l theanine ) and 50 mg of trazodone. Great sleep every night. By no means i would lower my test dosage ( and lose benefits ) , but hat´s just me.
  28. Dr.V.P.C.

    3 Reasons and Solutions for "Deca Dick"

    It was awhile, but probably that most men that suffer and complains deca dick also feel some kind of numbness . Sorry , it´s just a mere theory .
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