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  1. J

    Cialis nasal congestion work arounds? anticongestant, nasal strips?

    Good idea mate. I'm going to have to give these a go and see what happens.
  2. J

    Avoiding Sexual Dysfunction in BPH Surgery

    Thanks Pauly. I appreciate the reply. You are right. None of the procedures are perfect and they all offer tradeoffs in one way or another.
  3. J

    Cialis nasal congestion work arounds? anticongestant, nasal strips?

    IDK my friend. I use Afrin each and every night for the same reason that OP needs it. I never get nose bleeds and don't get rebound stuffiness. Clearly it would be better if I didn't have to use it. But I'd rather use it than not be able to sleep. I only use the spray in one nostril. That...
  4. J

    UPDATE HIGH PSA

    let us know what you end up doing for the large prostate.
  5. J

    Doctor just put me on dutasteride for BPH

    Is your doctor OK with the results? In other words, does he think that your results are about as good as usual w/ Urolift? Were you completely unable to urinate before the surgery?
  6. J

    Metformin and Its Benefits in Improving Gut Microbiota

    Do you think the leucine and B12 in the pill will make it so you don't see a performance loss?
  7. J

    Metformin and Its Benefits in Improving Gut Microbiota

    Did you end up quitting metformin? I believe it was impacting your gym performance.
  8. J

    Avoiding Sexual Dysfunction in BPH Surgery

    I have concerns with green light, due to the possibility of retrograde ejaculation. For Urolift, I believe the metal retainers they use make it perhaps impossible to do an MRI on the prostate. As well I believe you don't get as much flow increase w/ Urolift. Are you aware of any other...
  9. J

    Does TRT raise or decrease cortisol?

    Agreed. The only benefit of the testing is that if you find out you are low, then you might be able to decide that low cortisol MIGHT be the cause of whatever adverse symptoms you are having. But then you are stuck with having no way to really improve the situation.
  10. J

    Does TRT raise or decrease cortisol?

    It just dissipated over time. Sadly there is not a lot you can do about low cortisol, I mean aside from the usual...get enough sleep, exercise, eat well, blah blah blah. Getting the testosterone protocol dialed in helped quite a lot for me.
  11. J

    Does TRT raise or decrease cortisol?

    It did at first, for maybe a year or so, but as I have made adjustments to my TRT protocol, I feel like I've moved past any cortisol issues. I did do the 4 tube saliva cortisol test before and after starting TRT. The early morning reading was upper normal another 2 were very low normal and the...
  12. J

    does Iodine influence hormone receptor activity?

    I agree with the inflammation suggestion. And even if inflammation is not root cause, if you have all of the other risk factors handled, I don't believe cholesterol is a causal factor. IE, if you have good blood pressure, are insulin sensitive, are not overweight, have a low CRP, low...
  13. J

    The FDA and hCG: Approved NDAs for Biological Products That Were Deemed to be BLAs on March 23, 2020

    ARe they looking to do the same thing to testosterone that they did to HCG here?
  14. J

    PE (premature ejaculation Tramadol)

    Let me know if you find a doc to dose out Tramadol. Doctors would be more inclined to hand out rat poison than give you an opiate of any kind.
  15. J

    Does TRT raise or decrease cortisol?

    TRT lowered my cortisol. But the thing is, each and every person will react differently to any administered drug or substance. So there is no telling if TRT would lower your cortisol. Note that changes to sleep patterns on TRT are not unheard of.
  16. J

    does Iodine influence hormone receptor activity?

    Hi John. In my experience, the more sat fat I eat the higher my LDL cholesterol goes. My wife did a carnivore diet for 6 months, then took labs and also saw that her LDL had risen about to where yours is. It happens with a lot of people that adopt the keto diet (or any higher fat diet)...
  17. J

    EH Sparing Vaporization of the Prostate and its Impact on Erectile, Ejaculatory, and Sexual Function

    Historically a large % of men get retrograde ejaculation from prostate procedures. One of the central foci of new procedures is to not disturb the ejaculation process. So yes you could say that EH sparing is a goal with all the new techniques.
  18. J

    Paying the price for standing tall: Fluid mechanics of prostate pathology

    Now if they could only develop a treatment for BPH based on the ideas in this paper. Would be a major improvement from what we have available now. It is also reassuring to see that high levels of circulating androgens are not the cause of BPH. I have had a doctor tell me this in the past...
  19. J

    Urinary and sexual function after treatment with temporary implantable nitinol device (iTind) in men with LUTS

    I'd be interested in that. I sure with they'd get these new options into the mainstream quicker. I'm probably going to have to use one of them soon.
  20. J

    Urinary and sexual function after treatment with temporary implantable nitinol device (iTind) in men with LUTS

    I'd be interested in that. I sure with they'd get these new options into the mainstream quicker. I'm probably going to have to use one of them soon.
  21. J

    Urinary and sexual function after treatment with temporary implantable nitinol device (iTind) in men with LUTS

    I'd be interested in that. I sure with they'd get these new options into the mainstream quicker. I'm probably going to have to use one of them soon.
  22. J

    does Iodine influence hormone receptor activity?

    I doubt that an endo will be helpful. Most endo's have a ridiculous thyroid protocol. They check your TSH. If it's > 4 they prescribe levothyroxine. They will likely Any added iodine is foolish if not dangerous if you eat iodized salt. Endo's say that Armor thyroid has horrible quality...
  23. J

    Pituitary restart while on TRT: promising initial results with GnRH plus enclomiphene

    Thank you Cat. One last thing. Has your new-ish protocol done anything for your sleep?
  24. J

    Pituitary restart while on TRT: promising initial results with GnRH plus enclomiphene

    Nice. Definitely going to try this. PS. I take it you are not buying the "meat causes heart disease" via the carnitine to TMAO pathway? Spoiler alert. I think it is a big nothing burger.
  25. J

    What causes black horizontal bands on toenails that appear out of nowhere.

    Do you suppose all those symptoms are side FX from blood sugar highs and lows? With the nitro, all I can think is that it's acting as a short term boost. Sort of like taking a cortisol tablet. These are wild guesses on my part.
  26. J

    Pituitary restart while on TRT: promising initial results with GnRH plus enclomiphene

    I am always interested in anything that can enhance mental clarity and motivation. Have you stumbled upon anything useful in your dopamine tinkering? I have had some limited success with L-Tyrosine, a product called "a...Drenal", and the green strain of kratom. a...Drenal is a mixture of...
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