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If your Testosterone Dr is a urologist, I would follow up with him and inquire about an injection drug (tri mix) for a test dose. This will give you more information about the problem, the cause, and what can be done from there. Don't be afraid. These are not painful, they are not extremely...

If your Testosterone Dr is a urologist, I would follow up with him and inquire about an injection drug (tri mix) for a test dose. This will give you more information about the problem, the cause, and what can be done from there. Don't be afraid. These are not painful, they are not extremely...

I am very fortunate to live just close enough to Dr. Racheal Rubin, one of the few physicians in the US that is trained in sexual medicine. She just emails or faxes the script over to Akina and they do the rest. If your doc will send them a script they will reach out to you from Akina, to secure...

Actually I do keep the phenylephrine HCI on hand just in case. In my own case, because of the high doses I have gradually worked up to, and back down from, it's unlikely I will ever get a priapism. I just don't inject that much any longer, because, well I don't need a 3 hour erection, my wife...

THANK YOU FOR POSTING THIS!!!! There is so much information in this video, it should be washed over and over. Not only are the Aussie's a hoot, Ms Barrett is so knowledgable there is something for many to learn. This could open doors for so many men. What I find most beneficial is her knowledge...

I have used Tri Mix, Super Tri Mix, and Quad Mix. Working with my doc's approval, starting each one at low doses and moving up, my goal was to find a dose/product that would allow me to achieve a good erection I didn't have to even think about keeping, so that I could be flat on my back. With ED...

I take daily Tadalafil 10 mg. It makes a huge difference considering the severity, degree of ED I had prior to starting this journey. But, ICI clearly takes the setting from possible but difficult to easy. That means steady state tadalafil is probably about 15 mg equvalent. Yet I know clearly I...

there are so many possible variables to this! How much is/does one inject? what dose of oral PDE5i inhibitor is one taking? Does daily dose of Cialis make more of a difference? Is there a synergistic effect of taking an ICI and PDE5i together? I am not aware its ever been actually been studied...

As explained to me by Dr. Rubin, there are priapism's and there are PRIAPISM'S. Meaning, a warm, but hard penis, is one thing, a COLD but hard penis is much more of an emergency. A warm penis indicates continuous blood flow into the penis which is much less risk for damage. Nonetheless, she...

IN my wife's case, as soon as Dr. Rubin realized the depth of the problem (long term lack of estrogen) she informed and encouraged seeking a pelvic floor specialist to being the physical therapy and even helped with finding several close to us to choose from. We have both been seeing Dr. Rubin...

For men out there with female spouses or significant others...If your spouse/wife/significant other is in menopause, and has been for some time, she could need some pelvic floor health. My spouse suffered from endometriosis in her early thirties. This ultimately lead to a total hysterectomy...

some of the symptoms you seem to have, also suggest looking at your thyroid function might be helpful. Low thyroid can cause some of your problems.

There are other reasons you might not get moving wood, not related to your injection timing. Most men, don't need higher T levels to get erections, they just need enough. Unless your levels are right on that level or edge for you, it's not likely T related. The causes of ED, or loss of morning...

If I were to take a guess, it's likely on the original cream, your DHT levels were higher. You didn't say how or where you were applying it, but especially in thin skin areas like the scrotum, you can get more DHT conversion with some of the newer compounded creams and this is what often drives...

There is no doubt being overweight puts anyone at increased risk of getting diabetes, but there is a little more to it, like genetics, hormones, and more. We've probably all seen relatively thin people who still developed type 2 diabetes. Type 1 diabetes is an autoimmune disease. Symptoms &...

I have ordered, and did receive their version of quad Mix. My experience so far, has been as you have suggested. Price is very good for the fact you get everything you need. It did indeed come well packed too. My doc has concerns that in the past their products didn't seem to have the potency of...

thanks for the response. Does your insurance cover the cost?

thanks for posting! great info from Dr. Khara, and a very good reassurance on the benefits of TRT.

Tadalafil (generic version of Cialis) is good stuff, it helps a number of mens issues. However, it is very long acting, so while you might see a benefit an hour after taking vs. 10 hours for example, it's not likely to be enough of a benefit to be concerning. if you need a bigger dose, taking it...

Yes. too big a hurry, sorry.

since this thread started, I have reduced my levels of T dramatically to about half what they were when I wrote the reponse above. Why? because HCG and HBG got out of control, and it drove up my BP. No, I don't have as much libido as I used to, but believe me I still have plenty. when my total T...

You can say and support it is related to hydration status. I have no doubt that both marker of HBG and HCT will improve with better hydration. HOWEVER, improved hydration, drinking more water, also increases blood volume. As blood volume increases, so will your blood pressure. In essence, you...

I hope everyone takes this issue seriously. My HCT and hemoglobin were both running high, HCT 55-56% and hemoglobin 17.6-17.7 and I decreased the dosing of T cream by 20% which lowered total to about 900. Still up there, and I still get the benefits. However, with lower dosing and blood...

I think you will do well with one of the injectables. They really are easy to give yourself, and nearly painless. (so little discomfort its not an issue at all) You will likely have to play with the dosing a little to find which one, and a dose that works but doesn't give you a priapism. I can...

this might be better posted on the reveiw page, buts it not a review per se. Is anyone familiar with Akina compounding pharmacy? I am especially interested in anyone has tried their versions of Tri Mix or Quad mix? Empower is having supply problems. I like that Akina offers many different...

Dude, can I live my life vicariously thru you? Every typical hetero man's dream! If you are going to try Tri mix, a urologist will need to prescribe it, which means either telling him or her the truth, or not. I am not the judgement cops so, it's up to you. They will prescribe it or not, and if...

Have you had a CBC done? do you have hemoglobin and hematocrit data? I suspect you have probably seen an increase in those, which WILL increase your BP. But to the other guys points, 5 years is a long time to go without managing BP. It can over time, cause a lot of heart disease problems so you...

Does anyone have any idea what it does to be effective? what drug pathway it uses or how it affects blood flow? Is it a PDE 5 inhibitor in a quick acting topical or does it have some other mechanism of action?

You really should wait 4 hours after application at least, to have labs measure if you want to measure a peak. It takes longer than 2 hours for complete absorption. Your labs may be considerably higher for Total and free T than you thought.

Every man should avoid finasteride at all costs!

Do you ever get achy, and especially tired mid to late afternoon? Achy in the elbows, or hands especially? You may have Hashimoto's thyroiditis. Go online, to Discount labs and order a full set of thyroid tests, and get the thyroid antibodies too. The antibodies are particularly important to...