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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Trt protocal - advice needed
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<blockquote data-quote="RobRoy" data-source="post: 265375" data-attributes="member: 42893"><p>The individual has a choice. You're blaming it on estradiol but it's not. It's just a surrogate number that you're following but when you take testosterone and raise levels and levels of estradiol, testosterone, and DHT, along with serotonin and others etc. What a man's levels get too high too quickly then we can see some erectile dysfunction initially. That is treated by either lowering the dose until it resolves and then SLOWLY raising the dose. Firstly, if the patient was doing well at the lower dose with strong directions and symptomatic improvement there's no need to raise the dose to super physiologic levels. Secondly if he does have symptoms that may improve with increasing testosterone then you would raise it very slowly. The problem is a lot of men even though they hate doctors basing treatment on levels they themselves tend to aim for levels which they may not need for symptomatic resolution. One man may need a very high level to resolve symptoms and another very little. Second way to overcome the erectile dysfunction you're getting is to just give it time. It typically will resolve in in a few months at most but most men will not have the patience to give it that time. It happened to me and I trusted in my provider and I just gave it time to work an it couldn't be any better.</p><p>So a man can just either lower his dose and then move up slowly if necessary (daily testosterone no matter what the delivery) or simply give it time (1-3 months)to resolve on its own which it always does once the body acclimates to the new levels.</p><p>Lastly, make sure you're not aiming for a number yourself and that you're raising your levels that will realistically resolve remaining symptoms. Too many men want to use testosterone to resolve every symptom they have and it's not going to do that. It will only resolve symptoms related to deficient testosterone in that individual. Some men are extremely responsive to testosterone and a little bit goes a long way while others take a lot to go a little way</p></blockquote><p></p>
[QUOTE="RobRoy, post: 265375, member: 42893"] The individual has a choice. You're blaming it on estradiol but it's not. It's just a surrogate number that you're following but when you take testosterone and raise levels and levels of estradiol, testosterone, and DHT, along with serotonin and others etc. What a man's levels get too high too quickly then we can see some erectile dysfunction initially. That is treated by either lowering the dose until it resolves and then SLOWLY raising the dose. Firstly, if the patient was doing well at the lower dose with strong directions and symptomatic improvement there's no need to raise the dose to super physiologic levels. Secondly if he does have symptoms that may improve with increasing testosterone then you would raise it very slowly. The problem is a lot of men even though they hate doctors basing treatment on levels they themselves tend to aim for levels which they may not need for symptomatic resolution. One man may need a very high level to resolve symptoms and another very little. Second way to overcome the erectile dysfunction you're getting is to just give it time. It typically will resolve in in a few months at most but most men will not have the patience to give it that time. It happened to me and I trusted in my provider and I just gave it time to work an it couldn't be any better. So a man can just either lower his dose and then move up slowly if necessary (daily testosterone no matter what the delivery) or simply give it time (1-3 months)to resolve on its own which it always does once the body acclimates to the new levels. Lastly, make sure you're not aiming for a number yourself and that you're raising your levels that will realistically resolve remaining symptoms. Too many men want to use testosterone to resolve every symptom they have and it's not going to do that. It will only resolve symptoms related to deficient testosterone in that individual. Some men are extremely responsive to testosterone and a little bit goes a long way while others take a lot to go a little way [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Trt protocal - advice needed
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