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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Endless ED Issues
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<blockquote data-quote="TRTinNY" data-source="post: 215990" data-attributes="member: 15710"><p>Hey guys...</p><p></p><p>Happy 2022!</p><p></p><p>Hoping to maybe get some more help or direction. Actually have a call scheduled with Dr. Saya who i see from time to time but was hoping maybe people can provide a direction for a conversation with him or suggestions for me.</p><p></p><p>I am relatively healthy at 41. I was tested for sleep apnea and i am negative. I am not a diabetic. i do smoke cigarettes (half a pack a day or so). I drink socially. I dont do drugs other than a rare occasion.</p><p></p><p>My RBC gets up into the mid 50s and then i donate blood every few months. My ferritin is always low but i was told that shouldnt be a cause of issue with ED.</p><p></p><p>I cannot get an erection without physical stimulation nor can I keep one without physical stimulation. Even getting a blow job unless it is rough, I will go soft. Sex and hands are the only thing that seems to work. I can get full erections. They just dont stay even with mental stimulation, watching porn etc.</p><p></p><p>The day after my blood test, i realized i was having a problem reaching orgasm with my girlfriend and my nipples were sensitive so i took .07 anastrazole which i rarely take. The next day it wasnt until the afternoon that I felt i was ready to go again and things seemed better but with a weaker erection.</p><p></p><p>I take 10mg of Cialis daily. I take 300mg of Wellbutrin XR. I take 5mg Crestor. I take 145mg of Fenofibrate. Both Crestor and Fenofibrate are due to family history. I take a daily Prilosec otherwise i end up with heartburn. </p><p></p><p>I also take 25mg DHEA, 30mg Pregnenalone, 125mcg D3, and 300mg CoQ10 all daily in the morning.</p><p></p><p>I am on Aimovig once a month and Botox every 3 months for migraines.</p><p></p><p>I inject daily. I have tried low dose testosterone at .09 daily which i didnt feel good and currently at .15 and dont feel much better but at least erections seem to be a bit better. </p><p></p><p>I just hate that i want to have sex all the time and i physically cant perform how i want to. I am way too young for this and havent found the magic bullet. Been dealing with this for about 5 or 6 years.</p><p></p><p>My most recent labs:</p><p></p><p>IRON, TOTAL 121 Reference Range: 50-180 mcg/dL</p><p>IRON BINDING CAPACITY 434 H Reference Range: 250-425 mcg/dL (calc)</p><p>% SATURATION 28 Reference Range: 20-48 % (calc)</p><p>FERRITIN 20 L Reference Range: 38-380 ng/mL</p><p></p><p>CHOLESTEROL, TOTAL 197 Reference Range: <200 mg/dL</p><p>HDL CHOLESTEROL 44 Reference Range: > OR = 40 mg/dL</p><p>TRIGLYCERIDES 131 Reference Range: <150 mg/dL</p><p>LDL-CHOLESTEROL 103 mg/dL (calc) Reference range: <100</p><p></p><p>WHITE BLOOD CELL COUNT 6.8 Reference Range: 3.8-10.8 Thousand/uL</p><p>RED BLOOD CELL COUNT 6.80 H Reference Range: 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 17.9 H Reference Range: 13.2-17.1 g/dL</p><p>HEMATOCRIT 54.7 H Reference Range: 38.5-50.0 %</p><p>MCV 80.4 Reference Range: 80.0-100.0 fL</p><p>MCH 26.3 L Reference Range: 27.0-33.0 pg</p><p>MCHC 32.7 Reference Range: 32.0-36.0 g/dL</p><p>RDW 14.1 Reference Range: 11.0-15.0 %</p><p>PLATELET COUNT 218 Reference Range: 140-400 Thousand/uL</p><p>MPV 11.9 Reference Range: 7.5-12.5 fL</p><p>ABSOLUTE NEUTROPHILS 4542 Reference Range: 1500-7800 cells/uL</p><p>ABSOLUTE LYMPHOCYTES 1489 Reference Range: 850-3900 cells/uL</p><p>ABSOLUTE MONOCYTES 673 Reference Range: 200-950 cells/uL</p><p>ABSOLUTE EOSINOPHILS 68 Reference Range: 15-500 cells/uL</p><p>ABSOLUTE BASOPHILS 27 Reference Range: 0-200 cells/uL</p><p>NEUTROPHILS 66.8 %</p><p>LYMPHOCYTES 21.9 %</p><p>MONOCYTES 9.9 %</p><p>EOSINOPHILS 1.0 %</p><p>BASOPHILS 0.4 %</p><p></p><p>COMPREHENSIVE METABOLIC PANEL</p><p>GLUCOSE 97 Reference Range: 65-99 mg/dL</p><p>UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL</p><p>CREATININE 1.11 Reference Range: 0.60-1.35 mg/dL</p><p>eGFR NON-AFR. AMERICAN 82 Reference Range: > OR = 60 mL/min/1.73m2</p><p>eGFR AFRICAN AMERICAN 95 Reference Range: > OR = 60 mL/min/1.73m2</p><p>BUN/CREATININE RATIO NOT APPLICABLE Reference Range: 6-22 (calc)</p><p>SODIUM 138 Reference Range: 135-146 mmol/L</p><p>POTASSIUM 4.5 Reference Range: 3.5-5.3 mmol/L</p><p>CHLORIDE 103 Reference Range: 98-110 mmol/L</p><p>CARBON DIOXIDE 28 Reference Range: 20-32 mmol/L</p><p>CALCIUM 10.2 Reference Range: 8.6-10.3 mg/dL</p><p>PROTEIN, TOTAL 8.0 Reference Range: 6.1-8.1 g/dL</p><p>ALBUMIN 5.1 Reference Range: 3.6-5.1 g/dL</p><p>GLOBULIN 2.9 Reference Range: 1.9-3.7 g/dL (calc)</p><p>ALBUMIN/GLOBULIN RATIO 1.8 Reference Range: 1.0-2.5 (calc)</p><p>BILIRUBIN, TOTAL 0.9 Reference Range: 0.2-1.2 mg/dL</p><p>ALKALINE PHOSPHATASE 41 Reference Range: 36-130 U/L</p><p>AST 23 Reference Range: 10-40 U/L</p><p>ALT 40 Reference Range: 9-46 U/L</p><p></p><p>PREGNENOLONE, LC/MS 63 Reference Range: 22-237 ng/dL</p><p>SEX HORMONE BINDING GLOBULIN 18 Reference Range: 10-50 nmol/L</p><p>HEMOGLOBIN A1c 5.5 Reference Range: <5.7 % of total Hgb</p><p>VITAMIN D,25-OH,TOTAL,IA 41 Reference Range: 30-100 ng/mL</p><p>TSH 1.09 Reference Range: 0.40-4.50 mIU/L</p><p>VITAMIN B12 575 Reference Range: 200-1100 pg/mL</p><p>PSA, TOTAL 0.28 Reference Range: < OR = 4.00 ng/mL</p><p>ESTRADIOL,ULTRASENSITIVE, LC/MS 49 H Reference Range: < OR = 29 pg/mL See Note 1</p><p>DHEA SULFATE 590 H Reference Range: 70-495 mcg/dL</p><p>TESTOSTERONE, TOTAL, MS 921 Reference Range: 250-1100 ng/dL</p><p>TESTOSTERONE, FREE 218.3 H Reference Range: 35.0-155.0 pg/mL</p></blockquote><p></p>
[QUOTE="TRTinNY, post: 215990, member: 15710"] Hey guys... Happy 2022! Hoping to maybe get some more help or direction. Actually have a call scheduled with Dr. Saya who i see from time to time but was hoping maybe people can provide a direction for a conversation with him or suggestions for me. I am relatively healthy at 41. I was tested for sleep apnea and i am negative. I am not a diabetic. i do smoke cigarettes (half a pack a day or so). I drink socially. I dont do drugs other than a rare occasion. My RBC gets up into the mid 50s and then i donate blood every few months. My ferritin is always low but i was told that shouldnt be a cause of issue with ED. I cannot get an erection without physical stimulation nor can I keep one without physical stimulation. Even getting a blow job unless it is rough, I will go soft. Sex and hands are the only thing that seems to work. I can get full erections. They just dont stay even with mental stimulation, watching porn etc. The day after my blood test, i realized i was having a problem reaching orgasm with my girlfriend and my nipples were sensitive so i took .07 anastrazole which i rarely take. The next day it wasnt until the afternoon that I felt i was ready to go again and things seemed better but with a weaker erection. I take 10mg of Cialis daily. I take 300mg of Wellbutrin XR. I take 5mg Crestor. I take 145mg of Fenofibrate. Both Crestor and Fenofibrate are due to family history. I take a daily Prilosec otherwise i end up with heartburn. I also take 25mg DHEA, 30mg Pregnenalone, 125mcg D3, and 300mg CoQ10 all daily in the morning. I am on Aimovig once a month and Botox every 3 months for migraines. I inject daily. I have tried low dose testosterone at .09 daily which i didnt feel good and currently at .15 and dont feel much better but at least erections seem to be a bit better. I just hate that i want to have sex all the time and i physically cant perform how i want to. I am way too young for this and havent found the magic bullet. Been dealing with this for about 5 or 6 years. My most recent labs: IRON, TOTAL 121 Reference Range: 50-180 mcg/dL IRON BINDING CAPACITY 434 H Reference Range: 250-425 mcg/dL (calc) % SATURATION 28 Reference Range: 20-48 % (calc) FERRITIN 20 L Reference Range: 38-380 ng/mL CHOLESTEROL, TOTAL 197 Reference Range: <200 mg/dL HDL CHOLESTEROL 44 Reference Range: > OR = 40 mg/dL TRIGLYCERIDES 131 Reference Range: <150 mg/dL LDL-CHOLESTEROL 103 mg/dL (calc) Reference range: <100 WHITE BLOOD CELL COUNT 6.8 Reference Range: 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 6.80 H Reference Range: 4.20-5.80 Million/uL HEMOGLOBIN 17.9 H Reference Range: 13.2-17.1 g/dL HEMATOCRIT 54.7 H Reference Range: 38.5-50.0 % MCV 80.4 Reference Range: 80.0-100.0 fL MCH 26.3 L Reference Range: 27.0-33.0 pg MCHC 32.7 Reference Range: 32.0-36.0 g/dL RDW 14.1 Reference Range: 11.0-15.0 % PLATELET COUNT 218 Reference Range: 140-400 Thousand/uL MPV 11.9 Reference Range: 7.5-12.5 fL ABSOLUTE NEUTROPHILS 4542 Reference Range: 1500-7800 cells/uL ABSOLUTE LYMPHOCYTES 1489 Reference Range: 850-3900 cells/uL ABSOLUTE MONOCYTES 673 Reference Range: 200-950 cells/uL ABSOLUTE EOSINOPHILS 68 Reference Range: 15-500 cells/uL ABSOLUTE BASOPHILS 27 Reference Range: 0-200 cells/uL NEUTROPHILS 66.8 % LYMPHOCYTES 21.9 % MONOCYTES 9.9 % EOSINOPHILS 1.0 % BASOPHILS 0.4 % COMPREHENSIVE METABOLIC PANEL GLUCOSE 97 Reference Range: 65-99 mg/dL UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL CREATININE 1.11 Reference Range: 0.60-1.35 mg/dL eGFR NON-AFR. AMERICAN 82 Reference Range: > OR = 60 mL/min/1.73m2 eGFR AFRICAN AMERICAN 95 Reference Range: > OR = 60 mL/min/1.73m2 BUN/CREATININE RATIO NOT APPLICABLE Reference Range: 6-22 (calc) SODIUM 138 Reference Range: 135-146 mmol/L POTASSIUM 4.5 Reference Range: 3.5-5.3 mmol/L CHLORIDE 103 Reference Range: 98-110 mmol/L CARBON DIOXIDE 28 Reference Range: 20-32 mmol/L CALCIUM 10.2 Reference Range: 8.6-10.3 mg/dL PROTEIN, TOTAL 8.0 Reference Range: 6.1-8.1 g/dL ALBUMIN 5.1 Reference Range: 3.6-5.1 g/dL GLOBULIN 2.9 Reference Range: 1.9-3.7 g/dL (calc) ALBUMIN/GLOBULIN RATIO 1.8 Reference Range: 1.0-2.5 (calc) BILIRUBIN, TOTAL 0.9 Reference Range: 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 41 Reference Range: 36-130 U/L AST 23 Reference Range: 10-40 U/L ALT 40 Reference Range: 9-46 U/L PREGNENOLONE, LC/MS 63 Reference Range: 22-237 ng/dL SEX HORMONE BINDING GLOBULIN 18 Reference Range: 10-50 nmol/L HEMOGLOBIN A1c 5.5 Reference Range: <5.7 % of total Hgb VITAMIN D,25-OH,TOTAL,IA 41 Reference Range: 30-100 ng/mL TSH 1.09 Reference Range: 0.40-4.50 mIU/L VITAMIN B12 575 Reference Range: 200-1100 pg/mL PSA, TOTAL 0.28 Reference Range: < OR = 4.00 ng/mL ESTRADIOL,ULTRASENSITIVE, LC/MS 49 H Reference Range: < OR = 29 pg/mL See Note 1 DHEA SULFATE 590 H Reference Range: 70-495 mcg/dL TESTOSTERONE, TOTAL, MS 921 Reference Range: 250-1100 ng/dL TESTOSTERONE, FREE 218.3 H Reference Range: 35.0-155.0 pg/mL [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Endless ED Issues
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