Discouraged with TRT

[NitricOxideNutritionDoc]

It is best to cut them and let them sit for 15 minutes so that the enzymes within have a chance to work before cooking them. Not sure if the stomach acid would do the same thing as heat, but I would play it safe and cut them ahead of time before swallowing.

 

[NitricOxideNutritionDoc]

Your total t is fine. Your DHT should be at least 10x your total t though.

Also, your free t is WAY low. It should be 10% of your total t.

Seagal,

At the last labs my estridiol was 34 pg/mL. so it fell in the normal range.

Most men do better when their estradiol is between 20 and 25. You may be aromatizing testosterone to estradiol.

 

[NitricOxideNutritionDoc]

pde5 inhibitors like cialis and viagra are known to reduce sensitivity, i would take a long break to rule it out.

More is not better. If you use up your pde5 or don’t make enough nitric oxide, your pde5 inhibitor will have nothing to inhibit. Try cutting your daily Cialis dosage in half and upping your intake of lean protein and or citrulline to increase nitric oxide production and an herb-based antioxidant, like pycnogenol or quercetin or sea buckthorn berry to help insure your nitric oxide increases doesn’t creat too much free radical damage.

 

[Cataceous]

... Your DHT should be at least 10x your total t though.

Also, your free t is WAY low. It should be 10% of your total t.

DHT runs on the order of 10% of testosterone. For example: TT: 600 ng/dL, DHT: 60 ng/dL.

Free testosterone typically runs around 2-3% of total testosterone, although the fraction isn't very useful; it's mainly an indirect reflection of SHBG, with higher SHBG reducing the fraction by increasing total testosterone.

..
Most men do better when their estradiol is between 20 and 25.

Based on what? Do you think the E2/T ratio doesn't matter? A guy with high SHBG might have T at 1,000 ng/dL and E2 of 50 pg/mL. Yet his free hormone levels could be the same as a guy with low SHBG with T of 500 ng/dL and E2 of 25 pg/mL

You may be aromatizing testosterone to estradiol.

You think?

 

[Gunner@1911]

Can't contribute much as I am on the same boat. My erection quality even with ED meds on trt is about 60% of the erection strength off trt. I've tried mutiple protocols as well ranging from 80-200 test per week adding hcg etc. Without TRT, my levels are low 300s but no issues with erection strength.

Wish I could have my cake and eat it too because on trt my energy and brainfog disappear.

Joseywales95,

Thank you for the response. I like you wish I could have my cake and eat it too. I am so close to just dumping everything and seeing what my body tells me.

My test score was 267 before starting down this whole road. I have stopped taking tadalafil for a week to clear it out and started L_Citrulline starting last Saturday.

I have seen a marked decrease in BP which is good I suppose as it keeps me in the normal range now. I have seen ZERO affect on my ED and honestly Im bummed about that.

I will soon be getting my labs done again to see where things are and if I see any major changes I will decide what route Im going to take.

 

[Gunner@1911]

More is not better. If you use up your pde5 or don’t make enough nitric oxide, your pde5 inhibitor will have nothing to inhibit. Try cutting your daily Cialis dosage in half and upping your intake of lean protein and or citrulline to increase nitric oxide production and an herb-based antioxidant, like pycnogenol or quercetin or sea buckthorn berry to help insure your nitric oxide increases doesn’t creat too much free radical damage.

I have taken a break from the Tadalafil for a week. After that week I started 750mg L_Citrulline twice a day. I have noticed a marked reduction in my BP which is good because it puts me solidly in the normal range instead of close to pre-hypertension. I have seen absolutely ZERO impact on my ED. Im pretty bummed about that because I was hoping to get off the synthetics.

I was on the Tadaladfil for 120 days and had favorable results.. Not perfect but certainly better

 

[Gunner@1911]

Dave, low T accounts for only 20% of ED. 80% is due to inadequate blood flow or blood supply. Tadalafil & Sildenafil expand the blood vessels over hours to allow more blood to engorge the penis, but eventually, they, too, fade in their effect. I suggest looking into the 'P' shot and/or shockwave (tradename Gainswave) therapy which creates new blood vessels in the penis to allow for greater engorgement and better tumescence (hardness). If you cannot find a practitioner in your area, my practice is in Hershey, PA.
Dr. Matt

Dr. Matt,
Thank you for the reply.
I dont think I will ever get to the point of wanting to go that far in my treatment options.
I'm sure the cost would be prohibitive for me and honestly getting injections directly in my penis does not sound like anything I'd be interested in.
Thank for continuing to provide options though.
Regards