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If you are using caverject, talk with your doc about Tri mix. It is a mixuture of the alpostadil prostaglandin and vasodilators that work well, but are not as potent as a large dose of only prostaglandin. The alpostadil also has a deserved reputation for causing some aching and pain tenderness...

What is your LDL and HDL, and the ratio? There are specific guidelines, that show what the HDL should be, or rather, by having it below a certain number, you reduce risk. If yours is already low, I would ask her how its going to reduce my risk? In addition, the ratio of HDL to LDL also can show...

At your level of hematocrit, every blood donation should remove about 3% from your Hematocrit, taking you down to 50% or lower. That’s in the good range and if your BP responds, you could be good to go with little change. You can donate with little risk to ferritin every 8 weeks as long as your...

Dr Rubin recently informed me she is getting a machine. However, she did say there are copycats out there that positive data doesn’t support. It needs to be a certain type of energy to be effective in her opinion. She did not elucidate further. I have “volunteered to be her first patient…. But I...

You obviously have mild ED, and be thankful for that. This is a hint, from your body, you have lots of function left to salvage, and you should take this hint seriously. If you currently don't, starting eating right, exercise regularly, lose weight if needed, get your lipids under control, all...

Melatonin works very well at making people drowsy and begin to fall asleep. It does not generally keep you asleep all night, but can for hours depending on the dose. It really effects some people like me very well, so if you do try it, start out with very low dose, and gradually increase. that...

I have been using Trimix, and others for about 6 months now. I have gone up and down the dosing, with my urologists approval, carefully I might add to avoid risk of priapism. My goal was to see if I could keep a useable erection prone, that is flat on my back. This is mostly for my wife's...

If you have not been tested for Hashimoto's hypothyroid, I would suggest you get the antibody test done to see if you are spiking those. Hashimoto's can and does cause joint aching and pain. I have had it for over a decade. I would intermittently get joint pain while taking Synthroid. I was...

I have heard he retired.

My problems with injecting with bent needles, gave me some bruising, and a little bleeding, along with what I think was some Tri Mix deposited under the skin but not into the muscle, so it didn't work as well as normal. I wouldn't have worried about it, but since it happened two times in row, I...

Instructions for injecting tri mix seem to be straightforward. What none of the directions actually discuss is injecting while erect or semi erect. I have been using tri mix for months with reasonably good success. However, the last two time I have attempted injecting, serious misfires have...

Thinking of purchasing the Eddie by Giddy. Just wondering if any members have tried it, and the results. Many softer rings don't stay in place well. Eddie is "sized" and designed with materials to supposedly stay in place. Anyone actually used it? results?

I am not going to comment on your labs, aside from suggesting they are indeed very high numbers. I have been seeing a sexual medicine specialist, who has convinced me to lower my numbers for the same two reasons you seek help. Poor quality erections, lead to extended time to orgasm. There is...

Thanks for the reply. I was wondering because my doc is asking for $250 per 5ml vial....a bit steep so to speak. Thats over twice the typical price, and I need to look around. Funny thing is, they were more than willing to help me get a great deal on generic tadalafil, about $8-9 dollars per 90...

I was wondering what the ball park cost of a 5ml vial of Super Tri Mix should be?

Generic Tadalafil (Cialis) is usually started for most men once a day at 5mg for BPH or Benign Hyperplastic Prostatitis. It is NOT cancer and is a benign enlargement of the prostate which puts pressure on the urethra and bladder making it hard to start a stream, harder to empty well, and making...

If you have a good physician helping you, they should counsel you on the potential adverse events. That way, you can manage them if and when they may occur. Everything you mention so far, can happen when you are taking testosterone. As to the sleep, other have mentioned sleep apnea increasing...

Check your iron levels. If they are low, easy fix thru diet and supplements. Will definitely make you tired and low quality RBC.

I am happy this worked out for the interview. She is a hoot, you will like her. But seriously, a very knowledgable physician who is clearly very dedicated to her patients. She has helped me significantly and I have only been with her a few months.

Yes.

Nelson, can you address the value of having low SHBG, without pre or definite diabetes? I can't understand how it would make someone feel bad, even with high E levels, assuming one also has high free T and likely high total T? My SHBg is 21 (on the low end) but my total T is very high at 1983...

Hi Vince, is there any benefit (besides the desire to be fertile) to having normal sized testicles?

I was diagnosed with Hashimoto's nearly 10 years ago. After three endocrinologists, and my primary care doc, I was ready to find someone who could really help me, and was willing to work with me as a patient, not a lab test. If you feel well, meaning, have enough energy, not depressed, and not...

I am wondering if I have a prolactin issue as well. If I may ask, how high was your level? How quickly did the cabergoline work for you? My last lab had mine at 13.4 with lab range 2.0 to 18.0 which doesn't seem high, yet I have tremendous amount of pleasure during any sexual activity, but can't...

this really adds clarity! thank you.

So, I am wondering why my estradiol numbers are so far above the reference, considering and test report confirms the sensitive test used. While I didn't get DHT measured, I would assume with topical cream applied to the scrotum, a substantial rate of conversion directly to DHT. It would seem...

So my labs come in, total T is fairly high at 1150, and free T is also up there at 335. Also taking 100mg of DHEA a day. Estradiol comes in at 245. Bottom line at the moment, I feel really good, other than still having some ED issues, that have admittedly greatly improved with the HRT therapy...

I understand the basics, appropriate testing for Total T, free T, E2, and more along with appropriate tests to watch out for important side effects like elevated hematocrit, or hemoglobin. I often however see members refer to the need for "hormonal balance". Looking thru the site, perhaps I...

I have a follow up appointment with her coming in the next few weeks. I will be sure to ask her to respond to your request, and that there are more than a few very interested men on the site that would be very grateful.

I started on HRT right out of the gate with T cream applied twice daily (as close to every 12 hours as I can). I too, within a few days, felt like superman. People around me, no just my wife, noticed the difference as well. My labs all responded positively. Its now been about 6 months on cream...

If libido is low, I would suggest considering some of the newer compounded testosterone creams to apply to your scrotum twice a day. These creams applied this means more testosterone gets converted into DHT which is 10 times more potent than T, and will help faster and effectively for symptoms...