Recent content by Dr.V.P.C.

I have 3 patients on 80´s ( one is my daddy ) on TRT ( 2 on transdermal scrotal cream and 1 on nebido ) IMO the level in blood is not the main target since it fluctuates a lot ( even more in transdermal ) and also always there is an androgen receptor sensivity individuality . So the improve of...

Consider trying some bupropion xl

If you use test cream 2- 3 times a week with daily adequate dosage of clomiphene/exemestane you can be fertile and have testosterone effects altogether. Add some dhea and tadalafil and sex will be great.

I used a personal compounded mouthpiece for 5 years and it worked until i began snoring even with it. Then my only choice was CPAP qitch i am for the last 3 years ( and love it)

Since it was descovered , synthetic DHEA use is a hit or miss.

Smart use of dopaminergics on demand before sex can helps a lot .

I had exactly the same effect , and went back to topical just in upper head.

People use to bash ssri and snri but in real TRT clinical world they are very very useful, and save lots of marriagges, enployments and even lives.

Surgeons just love to push penile implant$ to their patient$

My night combo: Mg taurate + melatonin + inositol + trazodone.

This is actually very feasible , and nowadays is quite conventional for some men ( mainly younger ) to preserve htp axis and do testosterone treatment with inttermitent transdermal cream altogheter with some clomiphene stimulation at adequate dosages .

Ostarine is a very weak anabolic drug but can help avoid muscle loss. Ostarine in real world use is for girls ( low androgenicity) and for natural boys to use it 3 times a week with some low dose clomid to avoid hpt axis supression.

Also consider proctalgya fugax and anal fissure

Nowadays there is a novel trend to use androgens in women this way (low frequency, oral route). Works very well.

Here in Brazil most of the urologists trend the patients to do surgical procedure$. ( and they know just the basic guidelines of pharmacological enhancements . It´s simply not just androgens and PDE5 but they don´t know it )