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My urologist suggested a medication vacation due to AST level high just barely. I take TCyp 200 mg weekly and was off for 30 days. I was fine, we are all different. Hope it works for you.

The Citalopram (Celexa) could be why. I have read that it can kill libido leading to ED. Wellbutrin doesn’t have that side effect and helps with performance anxiety.

kjcmjc great post. I wholeheartedly agree with your post. The diet is key. I am on anti anxiety meds and also have arthritis. I don’t drink alcohol or smoke I try to be as healthy as I can. Exercise is important and diet is very important. Thanks all for this great thread.