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https://pdfs.semanticscholar.org/c24c/33db93452479d57b13db605dd58ab94fdad4.pdf

The Aetna claim can be appealed, but you might have to spend out of pocket money for a second opinion. Or get your vascular surgeon's report regarding the fluid weight. For now (the next year) do what you can do. You are in control and can do this. Low carb, if not contraindicated, can help...

Vapes aren't a lot safer (they burn glyerin/glycols/diacetyls, etc.) and why would you be using one if you're going to be going 0 mg nicotine? I don't understand. Low carb can work wonders for some, so get some support if it's working for you. That "chub" is your penis telling you that it is...

And, you say you are a heavy smoker trying to cut back. Your will never get erections when you are flooding your body with nicotine. Quit that first. Then work on the weight. Then the erections, with or without Trimix (etc.) might come.

Bariatric surgery, while not for everyone, has its place. If you can't see to inject TRIMIX, perhaps that surgery is right for you. Discuss this with your doctor, and get a second opinion, or two. You deserve better care.

lake- there are a lot of people who could help you here, but they are probably asleep. Sleep is important, and can affect sexual function as I've already mentioned. Go to bed, if you could do that, please.

And I put those lyrics in there not to mock the problem, but rather to show that you are not alone.

Also, I did mention your dropping your TRT to levels that might work better for you (we are all different and not all of us need 800 - 1000). More is not always better. Also, how are you sleeping? Sleep is critical for sexual function. And sometimes it's not anything organic - sometimes it's...

... giving up

And your wife might be on to something regarding stress (or other psychological stuff). Unfortunately, the pills for that (other than perhaps bupropion) tend to worsen sexual function. Doing new and different things with her that help you bond in other (non-sexual) ways might help. We can all...

Another thing to check out, if you have not done so already, is to look at your thyroid function. It's another shot in the dark, but a low functioning thyroid can cause these symptoms. This site has great resources on thyroid function and testing.

Vince, he had the problem before starting Cialis, so it is doubtful that switching to Viagra will help. This is a difficult problem for a lot of men. I know you have tried cabergoline and it didn't work for you. I do know that as testosterone increases, sensitivity *can* decrease for some...

As if Zombies weren't bad enough! I think Lakecoder had this issue before starting Tadalafil/Cialis, but I could be wrong. Also, Lakecoder, was this an issue before starting TRT? If so, has it worsened since then?

Another benefit of lowering your T would be your hematocrit should come down. So you might feel better and have your hematocrit at a better level (and not have to donate) at a total T of, say, 500 - 700 vs your current 800 - 1000. Just a thought.

Another thing to consider is that your T is too high. Elevated T has a calming (anxiolytic) effect via gaba receptors in the brain. This can also cause the lack of sensation or responsiveness you mention. For example, drugs like gabapentin can cause anorgasmia or delayed ejaculation by this...

So 20 is "tending low" per CoastWatcher, but Defy was trying to lower it when it had come down to 37. Interesting. Some guys feel great letting it go to 50 or so. The thinking on this site seems to be slanted toward letting E2 be a bit higher and avoiding AIs if possible. What is your free...

Interstitial macrophages clean up all that grapeseed oil. Same cells (different location) that scavenge lipoprotein deposits on arterial walls and lead the myocardial infarction. In the latter setting, they're referred to as foam cells. They're also known as histiocytes and giant cells...

Did you consider going back to Pregnyl HCG after using compounded HCG to see if your numbers would go up to their previous values? My guess is your response to HCG diminished over time.

Is the data supporting this range better or worse than the data supporting the prior range? I would have liked if SHBG (and free T) was figured in to these results. The EMAS cohort (at least) included that: https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2011-2513

I throw it out before it converts to E2.

Search for "compounding expiration dates" and "beyond use dates". http://pharmlabs.unc.edu/labs/prescriptions/beyond.htm

How would having test results for prolactin, DHT, or sensitive E2 clarify what is going on? Please be specific, thank you.

Sperm donors can be held liable for child support, like in this case: http://www.cnn.com/2014/01/23/justice/kansas-sperm-donation/ The liability varies from state to state, etc. http://family-law.freeadvice.com/family-law/child_support/artificial_insemination_donor_obligation.htm

Similar deal down under with orthopedist Gary Fettke: http://foodmed.net/2016/08/13/gary-fettke-tim-noakes-australia-lchf-ahpra-hpcsa/

I think the term for that is "broscience".

Citrulline is the best. But beets are good for kvass: http://nourishedkitchen.com/beet-kvass-recipe/

Your upstream hormones (DHEA, pregnenolone) are low. Take a look at these threads: https://www.excelmale.com/forum/showthread.php?6619-low-dhea-due-to-trt https://www.excelmale.com/forum/showthread.php?3990-Anabolic-steroids-and-TRT-decrease-SHBG-DHEA-pregnenolone-and-progesterone-in-men

No problem, it's interesting stuff and sorting it out isn't simple.

Okay, so in the new TRT/HCG patient scenario, you backfill with pregnenolone/DHEA initially. But then, to titrate HCG, you'd want to discontinue pregnenolone/DHEA, right? That would make sense, as far as I understand this stuff. 17-OH isn't available yet, but progesterone is much less...

Not sure that it works that way. My take is that if your HCG protocol is adequate, then no "backfilling" of some of these upstream hormones (pregnenolone, DHEA) would even be necessary. But it's not clear to me why one would choose 17-OH-progesterone over other upstream hormones like...

Also, just as we take HCG when taking TRT to prevent the shutdown of our testes, shouldn't we also take CRH/ACTH (corticotropin releasing hormone/adrenocorticotropic hormone) when taking pregnenolone to prevent the shutdown of our adrenals?