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I take Telmisartan at bedtime, should I still take tadalafil and l-citrulline with it?

Pregnenolone deficiency tends to manifest as exogenous testosterone intolerance.

I have higher shbg, I have tried everything in the past 7 years, I feel my best with 120mg of T Cyp once a week IM

Your levels can't be "perfect" If you're missing libido, mental clarity, drive, etc you're not dialed in and even if your lab values are "spot on" it means nothing if your symptoms aren't resolved.

My wife does 4 mg T Cyp weekly.

You can’t evaluate the effect of a protocol based on lab value numbers. Wouldn’t you want to know “numbers” if you’re feeling optimal?

Get dialed in on T alone, then add DHEA low dose for a few weeks and assess how you feel.

It’s not just about achieving a steady state, it’s about spending a few weeks at that steady state.

Read well and comment afterwards. "In postmenopausal women as in men, [estradiol](https://www.sciencedirect.com/topics/medicine-and-dentistry/estradiol) no longer functions as a circulating hormone, because it ceases to be formed by the...

Estrogens are intracrine hormones, measuring serum levels means nothing. Describe “high e2 symptoms “

The reference for Testosterone is also “physiological “ between 250-850, depending on the Lab. I need to be 1200’s and/or higher and free T also above “physiological “ to achieve symptom resolution, so my E2 needs to be higher also, besides what can be measured with blood work is only what...

I’m currently doing 110mg every 6 days, I feel a lot better and my free T is much higher than when injecting more frequently. My SHBG stays around 60’s. I feel very steady.

It doesn't matter, Estradiol is an intacrine hormone, as your T goes up so should E, and the body makes sure that your organs have sufficient E. With E, you can't worry about the "range" since the lab ranges were not determined based on men on TRT. Let your E go where it wants to.

libido/desire for sex is a 7

What brand of cream?

She draws blood and sends it out, once you become a patient she can give you the script for the next time.

I have used the cheapest DHEA from Puritan's Pride and I'm now using a more expensive micronized brand, honestly, I can't tell the difference.

Tell her your "friend" Joe Lescano sent you, you may get an appointment in a week. I've referred a couple of guys and they got quick appointments.

http://www.sunwellness.info/

If you're still looking for a Dr, my Dr has offices in South Jersey.

Where in NJ are you?