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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
TRT and cialis not quite cutting it
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 72517" data-attributes="member: 12687"><p>Hi crazyhaha, a couple points. If that thyroid level you mentioned is the TSH, then you/we will want to order a few more thyroid labs to assess for hypothyroidism (at minimum FT3, FT4, rT3...if family h/o hypothyroidism or autoimmune disease then antibody check as well). </p><p></p><p>Nitric oxide enhancers like Gene's NO stack are often helpful. I find that some folks also acclimate to the PDE-5i medications (Cialis especially being longer acting). A clue is if you start needing to increase dosage with poor response. In these cases a short "holiday" where you stop taking for a few weeks, then resume, usually resets things. Also, as VC noted, sometimes throwing in a shorter acting PDE-5i such as viagra (sildenafil) closer to "game time" does the trick. </p><p></p><p>Lastly, to be discussed with the practitioner on your next consult, you may need some subtle adjustments to your TRT regimen.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 72517, member: 12687"] Hi crazyhaha, a couple points. If that thyroid level you mentioned is the TSH, then you/we will want to order a few more thyroid labs to assess for hypothyroidism (at minimum FT3, FT4, rT3...if family h/o hypothyroidism or autoimmune disease then antibody check as well). Nitric oxide enhancers like Gene's NO stack are often helpful. I find that some folks also acclimate to the PDE-5i medications (Cialis especially being longer acting). A clue is if you start needing to increase dosage with poor response. In these cases a short "holiday" where you stop taking for a few weeks, then resume, usually resets things. Also, as VC noted, sometimes throwing in a shorter acting PDE-5i such as viagra (sildenafil) closer to "game time" does the trick. Lastly, to be discussed with the practitioner on your next consult, you may need some subtle adjustments to your TRT regimen. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
TRT and cialis not quite cutting it
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