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You are very welcome.

You are very welcome.

Hi, i would certainly have levels checked for T and Estradiol to see what the levels are now. If they are normal, you are one of those patients that has the paradoxical effect of Clomid; you obtain normal numbers and still do not feel better. I would speak to your prescribing physician and see...

Hi, i would certainly have levels checked for T and Estradiol to see what the levels are now. If they are normal, you are one of those patients that has the paradoxical effect of Clomid; you obtain normal numbers and still do not feel better. I would speak to your prescribing physician and see...

Lycopene has been shown to contribute to prostate health and is found in tomatoes. Certainly we know low fat diets, and avoiding bad habits such as smoking do lead to better prostate health. As a urologist, I do recommend PSA screening as well beginning at age 50 or earlier if you have family...

Lycopene has been shown to contribute to prostate health and is found in tomatoes. Certainly we know low fat diets, and avoiding bad habits such as smoking do lead to better prostate health. As a urologist, I do recommend PSA screening as well beginning at age 50 or earlier if you have family...

There is no consensus on zinc, like you said, I have seen views positive and negative. I am a big believer in vitamin D especially if you are subnormal. Sounds like you are doing things right and feeling well.

There is no consensus on zinc, like you said, I have seen views positive and negative. I am a big believer in vitamin D especially if you are subnormal. Sounds like you are doing things right and feeling well.

I try to use ultrasensitive estradiol and try to maintain a level within range. I rarely encounter very high levels when someone is using TRT appropriately. Likewise, low levels are not commonly seen in my practice with appropriate treatment. I do believe, as recent studies have shown, that a...

I try to use ultrasensitive estradiol and try to maintain a level within range. I rarely encounter very high levels when someone is using TRT appropriately. Likewise, low levels are not commonly seen in my practice with appropriate treatment. I do believe, as recent studies have shown, that a...

Dear Jake, Testosterone is one component of erectile function. There are many other factors some of which you touched upon. However , I have certainly seen improvement in erectile function in patient with low testosterone whom I have returned to a normal level. Regarding your second question...

Dear Jake, Testosterone is one component of erectile function. There are many other factors some of which you touched upon. However , I have certainly seen improvement in erectile function in patient with low testosterone whom I have returned to a normal level. Regarding your second question...

Please clarify. Are you saying if someone has prostate cancer and is on TRT , what level should they be below? Or are you asking if estradiol causes prostate cancer ?

Please clarify. Are you saying if someone has prostate cancer and is on TRT , what level should they be below? Or are you asking if estradiol causes prostate cancer ?

Urological Issues involved in Hypogonadism and its treatment Hi Guys, I am always willing to answer any questions involved with TRT and it's urological implications. Will check back frequently answer all your questions. Thanks !

Urological Issues involved in Hypogonadism and its treatment Hi Guys, I am always willing to answer any questions involved with TRT and it's urological implications. Will check back frequently answer all your questions. Thanks !

Thank you and I hope to speak to many of you on this site. I'm sure we can learn more about this evolving field from each other as well.