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The NHS doesn't fill me with much confidence, we here horror stories all the time and the doctors just aren't knowledgeable enough to replace hormones. Estrogen management if critical for TRT to be successful and I can assure you your doctor is inept in this area.


Estrogen management is a make or break for erection and orgasm quality, estrogen levels that are too high or too low will cause problems for both erection and orgasm quality.


The fact that you are here asking for help tells me your doctor isn't working out. The NHS isn't the answer.


Without the necessary labs we are just guessing at what might be the problem.


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