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  1. R

    Is it true that an elevated hematocrit level on TRT does not require blood donation?

    Am I missing something here? these are not case reports, they are clearly the leading thought leaders, expressing concerns, and I get and don't dismiss that, because the potential adverse events are very serious. But, I didn't see where they can or are pointing to unequivocal data, or even case...
  2. R

    Botox for your sexual health.

    $800 is a good deal for Botox, as long as its 100 units, not 50units. It seems the type of botox doesn't really matter either. If you use Tri Mix, and the botox by itself isn't quite enough, then use Tri Mix but cut the dose back significantly. I cut mine in half in was still incredible. Botox...
  3. R

    Is it true that an elevated hematocrit level on TRT does not require blood donation?

    I would value your opinion! Are there any reported case studies of HRT patients, with cardiac events or strokes and high HCB and or HCT? I am not discounting the theory or ideas that exist of the risk, but many of the patients who may have had high HCT or HBG or both, may have had other...
  4. R

    Botox for your sexual health.

    I have now been three months plus after receiving my first injection of Botox for ED. I have to say, it's still working, although as the physician did inform me, the benefit has decreased somewhat. I am still considerably better than before, with no issues related to adverse events, or side...
  5. R

    So who is happy with TRT? Who wish they never started?

    I am not sure where to start, except to say, TRT has turned my life around 180 degrees! I am back to my old self. I have much more energy, stamina, desire to participate in life's great fun things. I had a total T measured three times, as low as 153. It sucked. Sex was out of the question. Even...
  6. R

    Is it true that an elevated hematocrit level on TRT does not require blood donation?

    I am living proof if you over donate blood, you WILL tank your ferritin. My PCP caught it, and sent me to a hematologist. After she tried to talk me out of stopping HRT, and I refused, she agree to work with me, to try to figure out how to get some iron back without driving my HCT and HBG thru...
  7. R

    New Blood Work - Can someone review it and tell my why im impotent -Updated with bloodwork

    I would talk with your doc, but if you had two successful injections, it's likely something else, not the Tri Mix, or your body. If you don't have a good libido, talk with your doc about that, because good libido always helps. It could be injection was not quite where it needed to be, it could...
  8. R

    New Blood Work - Can someone review it and tell my why im impotent -Updated with bloodwork

    I have been injecting for a few years, and injection technique is critical. I know for me, early on, I was nervous, trying to be sure I was injecting at 3pm or 9 pm as if you were looking at a clock face around the base of your penis. It's easy to have the needle angled a little too much as...
  9. R

    New Blood Work - Can someone review it and tell my why im impotent -Updated with bloodwork

    I have ED severe enough, post prostate cancer, that I use Cialis daily 10 mg, have tried P shots, (helped in some ways improved sensitivity and added blood flow for larger girth) and am now getting Bocox (botox injections) every 3-4 months (a game changer). In addition, I use Tri Mix as well. If...
  10. R

    How To Inject Trimix for Erectile Dysfunction

    I have fairly severe ED. I started out on 10units of Tri Mix. I went up to 50 units, and did get an ok response but not quite what I wanted, so we moved on to Super Tri Mix. I ended up with a great response at about 30 units. However, gravity is not my friend, so wanting to be able to have a...
  11. R

    Using TriMix “recreationally” ? and PT-141

    Additional info, Youtube comments by Dr. Rena Malik from March 2023 to go along with my comments: A Urologist Explains Whether This Drug Can Actually Boost Your Sex Drive.
  12. R

    Using TriMix “recreationally” ? and PT-141

    Good Morning Nelson, I have been following the comments on this post, but wanted to reach out to you regarding the possibility of another podcast with Dr Rubin? She has an added a new partner, and a new nurse practitioner and some office staff, and they are moving to a new facility in January...
  13. R

    Using TriMix “recreationally” ? and PT-141

    I am not sure from the posts, but I hope you folks recognize that Bremelanotide or PT 141 is the same compound in Vyleesi. From Science Direct: "High rates (up to 40%) of trial participants reported nausea; interestingly, only 8.1% of study participants chose to discontinue use because of...
  14. R

    Insights on Testosterone, Libido, Premature Ejaculation, Painful Sex, and Men’s and Women’s Sexual Dysfunction

    Never get tired of listening to Dr Khera. For me, a huge take away, is his opinion on hematocrit. 54% or less, not much of an issue. Over that, something to take care of.
  15. R

    How To Inject Trimix for Erectile Dysfunction

    First I will say, they are not completely painless, but the injections don't cause more than a quick pinch. I want to ease any fears you have, they really are easy to give yourself. Be sure to ask for the 31 gauge 5/16" needles. Very tiny. As for fibrosis, I have not noticed anything like that...
  16. R

    Impact of hyperthyroidism on sexual functions in men and women

    Am I understanding this correctly? Hyperthyroidism (defined as low TSH with high Free T4 or T3) can cause premature ejaculation? But does it cause delayed ejaculation or inability to get erections?
  17. R

    How To Inject Trimix for Erectile Dysfunction

    I have probably done hundreds of injections so far. And I have followed my docs recommendations, which basically followed Empower's directions. I wonder if this video is a little long on the tooth? His instruction is a little....well the video depiction looks more like injecting at 11 and 1...
  18. R

    Would it be a mistake to try TRT? Attached bloodwork. 30 YO disappointing libido

    I admittedly don't have the experience of some of the others on this site. If you are having low T symptoms, then it may be worth a try. However, most of the real experts agree, it doesn't take a lot of testosterone for most men to perform, and libido is a very complex and multifactorial...
  19. R

    In the search for libido: Started Flibanserin

    Ok. my first thought....why give someone a drug to drive libido, when they are T suppressed, and likely can't get an erection? Talk about a road to frustration!
  20. R

    Pregnenolone Joint Pain

    If you are a little "itchy" get a CBC blood test done to look at your hematocrit and hemoglobin. If they are increasing, that can explain the itchiness. As they rise in value, and you will see other red blood cell parameters getting out of the normal ranges as well, you liver and gall bladder...
  21. R

    New Blood Work - Can someone review it and tell my why im impotent -Updated with bloodwork

    Call your urologist or go see a sexual medicine doc if one isn't too far away from you. They will likely ask you to try Tri Mix. If they do it right, they will teach you in the office how to do the injections. I can personally tell you, they are not hard to take or do. But, if they teach you in...
  22. R

    Dumb question regarding ejaculation

    The two are not the same. Botox isn’t going to increase libido, as PT141 seeks to do. Botox, or “Bocox” for the penis, literally the stuff, in the penis paralyzes the nerves in the arteries in the penis, thereby letting them open up, and allow more blood flow greatly helping (at least in my...
  23. R

    Dumb question regarding ejaculation

    the botox simply paralyzes the nerves that control the arteries, so they open up much more easily and stay that way. It is overcoming one of the main causes of ED, reduced blood flow. It doesn't affect the nerves, so the sensitivity and pleasure is most definitely there. It seems as though the...
  24. R

    Dumb question regarding ejaculation

    the botox simply paralyzes the nerves that control the arteries, so they open up much more easily and stay that way. It is overcoming one of the main causes of ED, reduced blood flow. It doesn't affect the nerves, so the sensitivity and pleasure is most definitely there. It seems as though the...
  25. R

    Dumb question regarding ejaculation

    It's now been about a month since my "bocox" shots and while the expectation is that just like botox in the face for cosmetic improvements, over time it would lose it ability to create the effect. So, far, yes I am seeing some reduction in the performance. However, for the first week after the...
  26. R

    Dumb question regarding ejaculation

    Yes. I had an additional P shot and it also seemed to improve erection quality, sensitivity, but I have had to go back full dose Tadalafil, and continue Tri mix. But I use Tri mix at much lower doses now, because I also tried “Bocox” Botox in the penis, which has been nothing short of...
  27. R

    Botox for your sexual health.

    There is a plastic surgeon in Texas that does offer them. Don't know anything about him, how good, etc. But, here he is..https://www.agulloplasticsurgery.com/procedure/botulinum-toxins-for-male-enhancement-and-erectile-dysfunction/. He might be part of the network of P shot doctors approved by...
  28. R

    Botox for your sexual health.

    Erection quality was exceptional. Sensation improved significantly, and neither were bad before. I’ve only had sex twice since the injection last week, but both times orgasm was spectacular, including a very strong ejaculation phase. Because I had prostate cancer and radiation treatment, I was...
  29. R

    Botox for your sexual health.

    My ED is pretty significant. I have been post prostate cancer treatment (radiation) for about 6 years. And, my original urologist kept me in finasteride for years, for no good reason. I was hypothyroid, and low T. So I have tried nearly everything from oral meds to shockwave treatments to P...
  30. R

    Botox for your sexual health.

    Just wondering if anyone out there has tried the botox shots for ED yet, besides me? If you get them thru the P shot trained docs working with Dr. Runnels, they refer to them as "Bocox" shot. There are other plastic surgeons offering them for ED and "male enhancement". Supposedly according to...
  31. R

    First time using Trimix

    By now, and after reading all the other good comments, you may have tried the Trimix. I have injected myself probably several hundred times by now over time. It really is easy, if you just relax and let it happen. there should be very little discomfort, but sometimes there is a pinch. sometime's...
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