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There could be something else going on effecting your libido if you haven't had any improvement on hormone replacement therapy. There are several treatment options to improve the strength of your erections from PDE-5 inhibitors, Nitric Oxide Boosters, Wave Therapy.

Thank you

There is really no reason in particular why we haven't implemented both. Depending on which clinic you are a patient of pricing can vary. Sermorelin with GHRP2 is around $200-$300 a month on average. Just make sure you are getting it with the GHRPs.

We don't use Ipamorelin in our clinic but yes we do put people on Sermorelin with GHRP2 to increase their growth factors for at least 3-6 months.

Where is your original post about the ideal T:E ratio? I'm having a hard time finding it. This is very talked about discussion in our clinic and would like additional perspectives. Thanks

Victory

I'm definitely not saying that. Most of the studies on SubQ are done on small sample sizes of 20 or 30 men. I was stating there has been more literature published on IM injections. It is called the practice of medicine for a reason; as it evolves protocols evolve and different things work for...

Most Trimix has to be refrigerated or frozen. I'm not familiar with Defy's trimix but you might want to check that if it has been sitting on your floor. Trimix is a very finicky thing to dose and you do not want to end up with a 4+ hour erection. They should of given you instructions based on...

Have you seen studies on the absorption rate of an oil based product SubQ? Or the long term side effects of injecting testosterone SubQ? IM is still the most studied way of injecting testosterone. Here is what an infected SubQ injection can look like. This is after it has been drained at...

Sometimes I'm not sure I'm following you all the way. I think you are bottoming out your estrogen and you could have low nitric oxide in conjunction. That is why I said stop the homemade remedy and pick up a nitric oxide booster.

No I didn't say PRP wouldn't work. But I don't know what your growth factors are to tell you what type of quality PRP you would have. Stem cells or bioactive amniotic suspension allograft as we call them in the clinic are thought to be more potent by many.

Stem Cells can do amazing things. We have done studies on patients and followed SHIM scores to prove that it does work. Maybe in some cases Doctors aren't having realistic conversations with the patients on what to expect or companies are over promising. The word "cure" shouldn't be used in...

Why did you change from IM to SQ? Was IM working for you? IM is still the most studied and most widely used even though some physicians are offering and touting SQ injections. When you inject SQ don't get anywhere near your belly button. Keep the injections away from your midline.

I would stop messing with your Estradiol for now. Especially, a homemade recipe. Bottoming out Estradiol is the probably the main reason we see ED from TRT. Although, based on reading your thread I'm not sure your ED is coming from your hormones. I think it is coming from your Nitric Oxide...

That isn't necessarily a true statement. Stem Cells and Platelets (PRP) do pretty incredible things. I have seen it work. It has to be the right fit though. If you haven't had an erection in years 1 PRP shot is not the fix. Stem Cells or Wave Therapy is a better option.

In our clinic we use a brand made by Xymogen. You have to be a medical provider to buy it or you have to have a Referral Code from a Doctor's Office. Our Referral Code is: Victory Practicioners Name is: Bradley AngiNox is the name of the product that we use from them. Here is their...

We do a lot of both Therapies in our clinic. I can tell you Wave Therapy is the best thing to hit the ED market since Viagra.

A lot of men have what they call a Venous Leak. You should consider both Wave Therapy and P-Shot due to that. Don't get hung up on the Clinic being a "Gainswave" Provider as that is only a marketing thing for the most part. Also, incorporate Nitric Oxide into your supplementation to help with...

Aromasin isn't as widely used as Anastrozole as the MG is too high

Sometimes you can see an increase in IGF1 when T levels are increased. So I really wouldn't be worried. If you want to look at pituitary function ask for a Prolactin to be ran. All men in our clinic have that ran to rule out a Prolactinoma. Rare but we have still found some. Optimal...

Your Estradiol could have potentially increased. You should try to have an Estradiol level between 20-30 and you can achieve that through a medication called Anastrozole.

That is a difficult question. Do you have Diabetes? How severe is the ED? Do you smoke? There are many factors that come into play when getting a P-Shot. The P-Shot will only be as good as the platelets in your body. You need to see an authorized provider. You will have to use a pump for...

ONLY mix with a sterile water that must come from a pharmacy. You can use it past the 2 month mark it just might be slightly less potent. You need to call the pharmacy and get the dilutant to before using the product. Once you mix it then you store it in the fridge. Lastly, is Direct...

Our patients prefer the sublingual rapid dissolve tablets. They are less impacted by food or drink and bypass your GI track. They are large enough to score into smaller tablets if your preference is to take daily. There is some belief that long term daily use of the product that the body can...