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maybe HCG + Cream is the answer.

How do you know it's the E2 that is the issue instead of something else? Not trying to be a pain, but your case interest me as I have never felt improvement in libido or ED on Test Cyp.

Was it lower than when you were on just cream?

You actually made two changes - SubQ and Enanthate. But attributing it to SubQ. Could also be unrelated to either.

250ius 3x week can be typical OR 2x per week. Maybe this will provide the baseline T that you were searching for with Test Cyp. Any updates?

100mg per week is a typical starting dose.

Have you tried 1x daily cream and hcg?

TRT can lower ACTH which can lower adrenal output. That may cause more issues than it helps. It did for me too, 10mg hydrocortisone upon waking are now standard for me. I do recall a study somewhere and should try to find it that said LH helps Pregnenolone cross the blood-brain barrier. If so...

You take clonidine, you may find yourself with a much bigger problem. There is nothing on earth worse than benzo withdrawal.

Fascinating. My SHBG isn't as low as yours, it's borderline low. But been on TRT for 11 years and zero improvement in libido or ED. Cialis, not much help. Doxazosin, not much help. HCG, nothing. Tried it all. Added a little T cream and lowered Cypionate a touch. DHT shot up as did TT. but, no...

Assuming the was a fasting test.

No interest in SubQ in belly?

I am not on any AI and still have massive libido/ED issues.

We also can't assume it is PFS. Could be something unrelated. Go see a good Dr. Not knowing any others out there, would still recommend Dr. Mariano.

I dont think you need to quit, just lower your dose. Nothing to be scared of.

He's a psychiatrist by training. He was a frequent contributor on the forums in years past. His posts had such incredible detail on hormonal cascades, nutritional effects on health, his understanding of neurotransmitters is deep. I just think from a holistic standpoint, he knows the body/mind so...

Reduce your T and your estrogen will come down. See if it comes down enough before adding AI. One thing at a time.

Dr. Romeo Mariano in Monterey. He's a drive from SD, but he's the best. Might be expensive for a college student, but that is where I would go. He used to be on the forums a lot under name marianco.

Dr. Mariano said it was responsible for sex drive. He always cautioned about everyone blaming E2 for their problems.

The midpoint on the first test is 21.5 and the second is 25.6. So you are slightly higher on the first, but probably not statistically significant. Curious about your common on thinking it is too low and you are trying to raise.

My SHBG is on the low side and zero insulin resistance here. Fixing hypothyroidism can help. But for the most part SHBG isnt going to rise substantially frm you genetic set point.

1mg calmed me down and seemed to slightly improve ED, but after 2 weeks back to where I was. The calming factor remains a bit. My morning BP is as low as 108/65, so I am not going to move to 2mg. Also, not taking daily Cialis either. Doesn't seem like this is going to provide the answer for me.

It's rarely higher than 12. But have had it at 7 and still no libido. Why I hate to say Im doubtful Cab will do much, but will see. Agree, just cause noone knows why doesnt mean there isnt a physical reason. Sucks. I have had women chase me most of life and to have zero libido for most of it...

I have been without libido for 23 years. The last 10 on TRT, Thyroid, etc. etc. Nothing has made any difference. Cialis is marginally helpful, but not really. It isn't a plumbing issue, so how much can that really help.

Give it a couple months then you will know. Doesn't matter what others experiences are.

Nothing has worked for me. I have tried most everything. Cabergoline will be next. Not sure if there is anything after that that I haven't tried. My labs are pretty much perfect. It sucks.

It can take a little bit to settle down. I wouldn't give up after a couple injections.

ok, I was thinking cypionate if that matters. First time I ever injected, exactly 48hrs later I was flying. The endo had me inject 200mg. Was raging.

It's going to start increasing almost immediately - to some extent. Peak is usually around 48 hrs or so.

So the 1mg Doxazosin has seemed to calm me done, but the effect on libido/ED has dissipated. My BP this morning was 115/70 and then 112/68, so I am hesitant to go up to 2mg. A little concerned even with adding daily 5mg Cialis, but can try and pull back I guess. But adding cialis and then a...

100mg is a typical starting dose.