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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
A year into TRT ED worse than ever
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<blockquote data-quote="S1W" data-source="post: 130702" data-attributes="member: 16947"><p>StepbyStep,</p><p></p><p>Sorry to hear that you are dealing with this. A few thoughts:</p><p></p><p>- Do you know whether or not you have nocturnal erections? If as you say you won't spare any expense to get to the bottom of this, you might want to consider medical testing for nocturnal penile tumescence (night erections/morning wood). As mentioned above, there is a often a psychological component to ED and this might help to point you in the right direction as to whether or not the ED is purely physiological.</p><p></p><p>- Have you considered simply not using HCG at all? I removed it completely from my protocol almost a year ago and seem to do better without it.</p><p></p><p>- My $0.02 is that your E2 is not really that high given your TT/FT levels and if it were me I would not introduce an AI before doing quite a bit of experimenting with a slightly lower overall dosage of T and trying more frequent injections, too.</p><p></p><p>- Regarding the lack of ups and downs with injections and slow adjustment process - I hear ya there. Have you ever tried transdermal compounded cream? With your SHBG you might have to apply 2x per day anyway so maybe the natural cycle argument is a moot point, but the process of dialing in is a lot quicker than the 6-8 week limbo period with injections. I started out on a cream protocol (on injections now) and think about going back to cream sometimes - it was a decent protocol. I was using 1x per day application with an SHBG of 28 (injections lowered SHBG about 5 points).</p><p></p><p>Good luck with this.</p></blockquote><p></p>
[QUOTE="S1W, post: 130702, member: 16947"] StepbyStep, Sorry to hear that you are dealing with this. A few thoughts: - Do you know whether or not you have nocturnal erections? If as you say you won't spare any expense to get to the bottom of this, you might want to consider medical testing for nocturnal penile tumescence (night erections/morning wood). As mentioned above, there is a often a psychological component to ED and this might help to point you in the right direction as to whether or not the ED is purely physiological. - Have you considered simply not using HCG at all? I removed it completely from my protocol almost a year ago and seem to do better without it. - My $0.02 is that your E2 is not really that high given your TT/FT levels and if it were me I would not introduce an AI before doing quite a bit of experimenting with a slightly lower overall dosage of T and trying more frequent injections, too. - Regarding the lack of ups and downs with injections and slow adjustment process - I hear ya there. Have you ever tried transdermal compounded cream? With your SHBG you might have to apply 2x per day anyway so maybe the natural cycle argument is a moot point, but the process of dialing in is a lot quicker than the 6-8 week limbo period with injections. I started out on a cream protocol (on injections now) and think about going back to cream sometimes - it was a decent protocol. I was using 1x per day application with an SHBG of 28 (injections lowered SHBG about 5 points). Good luck with this. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
A year into TRT ED worse than ever
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