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You definitely need Vitamin D retested and up your dose to 5000 units daily. It appears your levels are within normal limits albeit maybe on low end for age but it alone wouldn't be responsible for your ED.

You definitely need Vitamin D retested and up your dose to 5000 units daily. It appears your levels are within normal limits albeit maybe on low end for age but it alone wouldn't be responsible for your ED.

Hello sir, Firstly, what the range for normal for your Testosterone test? Did you do any other studies including bioavailable, estradiol, vitamin D? Testosterone is only one component of erectile function. Many other variables including blood flow. I would seek out another urologist and also...

Hello sir, Firstly, what the range for normal for your Testosterone test? Did you do any other studies including bioavailable, estradiol, vitamin D? Testosterone is only one component of erectile function. Many other variables including blood flow. I would seek out another urologist and also...

I saw some of the data presented in Nov 2016 but I need to consult my local hematologists to see what the consensus is and what possible ramifications might be. Great question.

I saw some of the data presented in Nov 2016 but I need to consult my local hematologists to see what the consensus is and what possible ramifications might be. Great question.

Inconsistent results and don't acquire levels most people are seeking. In addition they are messy and expose people around you.

Inconsistent results and don't acquire levels most people are seeking. In addition they are messy and expose people around you.

It my experience people who start injections with Trimix never get off and usually require titration to increase dose.

It my experience people who start injections with Trimix never get off and usually require titration to increase dose.

1)One has to remember that vitamins/supplements are not subject to FDA regulations therefore their studies are not scrutinized and they can state false findings without facing any penalty. So buyer beware. That being said, Saw Palmetto dose help some people with their urinary symptoms. But if...

1)One has to remember that vitamins/supplements are not subject to FDA regulations therefore their studies are not scrutinized and they can state false findings without facing any penalty. So buyer beware. That being said, Saw Palmetto dose help some people with their urinary symptoms. But if...

Not sure given your symptoms that Avodart would be answer. Would need to see variables such as your prostate size etc. ....Surgical options these days are much improved and can minimize side effects.

Not sure given your symptoms that Avodart would be answer. Would need to see variables such as your prostate size etc. ....Surgical options these days are much improved and can minimize side effects.

Hi, there are two issues going on. Urination problems , which sound obstructive and erectile dysfunction. It has been shown that people with an enlarged prostate associated with obstructive symptoms do suffer from erectile dysfunction at a much higher rate. In your case I would address your...

Hi, there are two issues going on. Urination problems , which sound obstructive and erectile dysfunction. It has been shown that people with an enlarged prostate associated with obstructive symptoms do suffer from erectile dysfunction at a much higher rate. In your case I would address your...

Arimidex or anastrazole

Arimidex or anastrazole

No, simple cysts on the kidneys do not cause elevated RBCs. Hopefully you are under care of a good hematologist.

No, simple cysts on the kidneys do not cause elevated RBCs. Hopefully you are under care of a good hematologist.

It would not be effective in your case where your symptoms are predominantly obstructive. You could try cialis 5 mg and a daily flomax and see if that improves your symptoms but I don't think that will work in yiur case.

It would not be effective in your case where your symptoms are predominantly obstructive. You could try cialis 5 mg and a daily flomax and see if that improves your symptoms but I don't think that will work in yiur case.

Hi, It's not quite clear yet how much of an effect TRT has on ones BPH symptoms. Certainly you appeared to have symptoms prior to starting TRT. The elevated residuals on bladder scan in addition to your symptoms and failing medications would indicate you may need intervention. A Turp or...

Hi, It's not quite clear yet how much of an effect TRT has on ones BPH symptoms. Certainly you appeared to have symptoms prior to starting TRT. The elevated residuals on bladder scan in addition to your symptoms and failing medications would indicate you may need intervention. A Turp or...

As of now there is no evidence based medicine to show what is safe to preserve fertility. There are some restrospective studies to support hcg every other day with Testosterone weekly as being sage. There are some people using clomid daily as well with success. Important to monitor semen...

As of now there is no evidence based medicine to show what is safe to preserve fertility. There are some restrospective studies to support hcg every other day with Testosterone weekly as being sage. There are some people using clomid daily as well with success. Important to monitor semen...

Other maintaining a healthy diet and avoiding dietary associated diseases, there is no other evidence i am aware of to lower SHBG. I will look into it though.

Other maintaining a healthy diet and avoiding dietary associated diseases, there is no other evidence i am aware of to lower SHBG. I will look into it though.

Yes , to calculate the Bioavaialble T. Also, insurance companies require it to approve treaments. Won't accept the other variables. I didn't make the rules, but have to follow them even when I disagree.

Yes , to calculate the Bioavaialble T. Also, insurance companies require it to approve treaments. Won't accept the other variables. I didn't make the rules, but have to follow them even when I disagree.

Poor penile arterial flow or venous leak do indicate a more serious form of ED that could require stronger therapy than PDRS inhibitors such as trimix and various doses of Trimix. I can't quantify prognosis as it is different in each sscenario. I can tell you I have had patients on injections...