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Zydus and Generic Cialis This is from 2017: However, Eli Lilly and generic manufacturers reached an agreement under which Eli Lilly was permitted to hold on to market exclusivity till September 27 this year.

Interesting article: Finally Putting Some Fun in Erectile Dysfunction Some online vendors providing telemed docs to 'diagnose' your ED issues, and then a prescription: Roman - Get Started Hims

Nelson - what dosage were you taking?

I had no choice. I had some stomach issues that caused me to lose a lot of weight quickly, and unable to absorb nutrients. The upshot was that my hormone levels tanked, and I was a shell of a human being. A NP did some blood tests - saw the dirt low T level, and immediately put me on...

I can't even tolerate larger doses of T to bring down SHBG. If I try to update the dosage, I get side effects.

Adding HCG has made a big difference for me. Not only is my testicle atrophy is gone, but my estradiol levels are more robust (I struggled with estradiol levels in the teens) and my libido /ability is much improved. However, as far as impacting T - minimal in my case.

JayLay - there's no evidence that any sort of detox/cleanse regimen actually is beneficial. The whole detox/cleanse is just another woo woo thing. Your liver is specifically design to detox just fine and will do the job unless you mess with it. People are always looking for magical silver...

I buy my HCG from the Defy Store, so I just get a new vial and mix it when I get to the destination. Assuming you have a room fridge or the like to store it.

So do I. In fact, it was a women NP who had the idea to test my testosterone levels and put me on TRT. The PCP blew my symptoms off as 'mental' and wanted to put me on Xanax.

You have the lowest dosage I've seen yet. I'm still doing injections 2x a week. What about HCG?

In my case, it was a prior PCP who actually put me on TRT due to dirt-low T levels. Eventually I found a better PCP who will not touch TRT - but because I have documentation proving that it was another PCP that initiated the treatment, he's OK with Defy as long as I keep him informed of...

I do 72 mg every week and I simply cannot get to even 80 mg w/o a ton of side effects. We keep trying to increase cypionate to deal with my higher SHBG and every time I just cannot tolerate the side effects.

What dosage? What about starting at 2.5mg daily then ramping up?

I'm sure curious as to the answer to CoastWatcher's question. I'm one of those lucky guys who NEVER have a headache, let along a migraine.

I'm having the opposite issues with respect to cypionate dosage. I was only doing 72mg / week via 2 injections. Defy recommended bumping it up to 80mg at least to try and get a handle on the SHBG. So after a few weeks, my blood pressure is shooting up, I'm dealing with tired eyes, a...

Hey Nashtide - are you experiencing any side effects? I'm fighting BP issues in the about the same range - 130/85. I'm thinking maybe I should consider Cialis as a way treat it.

Checking my blood tests - my ferritin was just 14, three years ago. It has slowly but surely risen from 14 to 20 to 24 to now 30. No heart valve issues that I'm aware - nothing has ever shown up and I've actually have visited a cardiologist. Among other things 4 years ago, I lost 20+...

1. I can almost map the TSH rising trend to just over 4 years ago when I both started TRT, and was placed on a gluten-free diet by my nutritionist. I eat a very clean whole foods balanced diet: lots of fruits/veggies/seeds/nuts/artisan gluten-free whole grains/greens/beans/fermented foods...

Thyroid Panel Results - with Iron Here's the iron results. My ferritin is still very low, but that is the highest I've seen in a long time. Not sure why it's so hard to raise it. Tests Result Units Reference Iron Bind (TIBC) 309 ug/dL 250-450 UIBC 207 ug/dL 111-343 Iron 102 ug/dL...

Where do you get the spirulina? Examine.com (one of the few sources that I trust for nutrition information) has that listed as one of four super-foods: https://examine.com/nutrition/4-science-based-superfoods-you-should-be-eating/

Empower had been my preferred choice for HCG (via Defy Medical) for a while, but it seems like that their service has declined. The last 2 shipments came with a new mixing syringe with a more fragile needle; obviously of a cheaper make. They also stopped including alcohol pads and any...

Thanks Chris! I'm inclined to the iron/ferritin angle. My last ferritin test was back in 2016, and my result was 24, where the reference range was 30-400 ng/mL. So I'll get more tests done.

Thoughts? I'll be 60 in a month. My TSH has steadily increased over the 4 years on TRT, from below 1.00 to the current value. I'm not sure if this could be a function of the treatment, or the changes in my diet over this time; or other factors. This is the first panel I've done, albeit...

Did you experience any side effects from that low a dosage of Cialis?

Do you need to fast before taking the tests?

In my case, I had GI issues (possibly Celiac being triggered) that resulted in a quick weight loss of 20-25 pounds in a short period of time; and I was already fairly lean. I suffered from fatigue, crippling brain fog, anxiety, etc.; I was a train wreck. I went from someone who walked miles...

I just had an appt with a Defy NP, and she immediately pin-pointed that my TSH was high and rising and that I needed to get the full Thyroid panel. My TSH has been gradually rising from <2 some 4 years ago, just prior to starting TRT; to 3.61 on the last test earlier this year. I cannot...

This month marks my 4th year on TRT. I started out with gels, did not get my total above 450 and felt like garbage. After a year of that, went and saw a clinic that put me on injections but no HCG. It was a contracted yearly plan, much too expensive, and while definite improvements, still...

I recently had an appointment with Defy, one of the things they noted was my TSH, which has been gradually rising over the past 4 years ever since I started on TRT. I do plan to get a full thyroid panel soon. But the NP asked if I've been getting enough iodine in my diet first, before...

I also found this. You may need to register to see the article. The vote by the ACIP to approve this as the preference over Zostavax was 8-7, which is I understand was highly unusual with respect to having such a divided committee. Definitely going to wait and watch...

I'll be hitting 60 later this year, and my PCP is recommending that I consider getting the Shingrix vaccine. I'm extremely cautious about jumping on the Shingrix bandwagon because it's so new. In trying to research the actual risk of getting shingles vs the risk/efficacy of this vaccine, I...