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Also consider proctalgya fugax and anal fissure

Here in Brazil all Pde5 are over the counter.

Nowadays there is a novel trend to use androgens in women this way (low frequency, oral route). Works very well.

Here in Brazil most of the urologists trend the patients to do surgical procedure$. ( and they know just the basic guidelines of pharmacological enhancements . It´s simply not just androgens and PDE5 but they don´t know it )

Yes. I prefer on demand, to avoid tolerance. 0,125 to max 0,25. Timing 1-2h before the game. Some men will have annoying sides (lethargy, fatigue, runny nose, insomnia) even at low doses.

Of course, we are here to help each other. Direct dopamine receptors agonism : for me the best is pramipexole and ocasional cabergoline . Enhance dopamine levels : Mucuna and L dopa ( direct precursors) , L tyrosine ( precursor) , P5P ( cofactor to enhance conversion of L dopa to dopamine) ...

Max0 .25 Even 0,125 should be enough

Prami is power stuff Lots of details IMO before sleep is a no no, just as others dopaminergics, probably will mess big with sleep. Great erectile enhancement and lower refractary period. Go low or it will make you a zombie.

Here in Brazil compounded sublingual Vardenafil is my favorite pde5i treatment. But i really miss apo, not avaliable here anymore. (loved the effect)

Exemestane works great in daily low dosages (compounded), much easier do adjust than anastrozol ,and have some androgenic proprieties .

I have some girls on even 5mg/day doing great .

Nowadays i have 3 patients over 80 on TRT , all of them doing very well. ( 2 on transdermal and 1 on inj undecanoate )

Beside the things everyone knows ( exercise, nutrition , supplements , no smoking, avoid mouthwash ,etc) IMO the main thing most men neglect is emphasis is exclusive nasal breathing . And most of all , correct any degree of OSA . ( Almost every patient that starts CPAP using after some time feel...

Never forget to try to enhance nitric oxide production.

We don´t have pharma grade test prop here in Brazil , so because of legal reasons i have never tried.

Can be done in both situations . Note that not every testicle responds well to serm stimulation , and some can handle higher test cream dosages without supression of the axis than others.

Not at all. Test EOD works well, the EOD is only in the bloodstream, the molecule of test bind to the androgen receptor and works for some days. You won't even feel different between the day you use or not.

Yes it's possible Change to transdermal EOD Put some Clomid Will recover in some months

Yes lower doses works. I am on 2mg for 5 years. (compounded)

BTW , best knowledged ever .

Great Nelson, i have this one and it is exactly this . Really worth the value ! ( I prefer a nasal mask since pillows hurts badly my nose skin ) ResMed AirSense 10 AutoSet: This machine is known for its quiet operation, user-friendly interface, and advanced data tracking capabilities. It also...

Great info here. OSA is the simply the biggest neglected issue in masculine health over 40 . Lots of measures avaliable nowadays , but at the end of the day CPAP eventually will be the life changer.

Great madman , thank you for sharing such updated info !

This makes me remember 25 y ago when viagra was released on the market (and was kind expensive), i used to take 1/4 of the pill with some ketoconazole or cimetidine and it last all the weekend. Such good single times...

This is a great combo. Optimizing dopaminergic pathway is as important as nitric oxide. Unfortunately apomorphine is not avaliable in my country anymore.( But we have other tricks for dopamine)

If you don´t have dramatic cystic acne, low dose often works very well to minimize oily skin and acne vulgaris caused by TRT , with minimum sides.

Such great info. Have you ever tried pramipexole ? ( strong D1 D2 agonist)

Such great info and articles , thank you I am planning to use Apocynin ( the first article you post) but unfortunately i can´t find it here in Brazil and ebay doesn´t deliver here.

Yes you can take on demand Just take care with orthostatic hypotension.

It´s very easy to say that antidepressants is like placebo when you never already needed one .

Trazodone, unlike ambien, is NOT for ocasional use. If you use it ocasionally it will give you a hangover. It's for daily use and after some weird initial days, the body adjust to the drug, great sleep architechture and no sleepy mornings or hangovers.