Search results

used gels for a year with mixed results......finally ending with insufficient absorbency and decreasing levels even with multiple day application. Switched to Sub-Q injections of T-Cyp and HCG and never looked back. Cheaper easier and consistent levels.

Don't get me wrong TRT has definitely helped me.....I feel much better and physically I look excellent for someone ready to turn 50. That said still have up and down days and still have challenges with libido and ED. Really expected that it would be super human and honestly it's more like...

I would say in an ideal situation you may be true.....but.....we can also get sick, metabolize differently etc. plus most guys I know never hit ideal nor maintain it long term without adjustment. Also many of us even with good numbers still struggle with sexual function

Welcome to Sub-Q I like you struggled with topicals. Numbers all over the place, worries of contamination etc. Switched to sub-q with T-Cyp. Took a short while and levels stabilized and in general feel much better. I have heard the T-E has potential to be more irritating though I've never...

Both but obviously real sex leads to greater excitement which in turn yields more volume for me Regardless it's significantly less than when I was in my 20's and 30's

I've been told that TRT can reduce amount of ejaculate.....doesn't necessarily lessen feeling but definitely reduces amount for me. Though I do find that if I have a long session I get a larger quantity vs. a quickie

Going to go the injection route....since its water based I can just add it to my HCG shot. Having auto-immune issues along with digestive issues it makes sense to add it to my regime. I'm definitely been seeing immune issues, energy issues etc. hoping that this may help strength me across all...

Nelson Do you need a prescription for B-12 injectable? If not what would be a standard dosing for it? I will check with my doc but was curious

I am expirencing the symptoms of low B-12 this being worsened by having crohns so low absorbtion thru GI and even more so do to Prilosec usage too. My thought is to add injectable B-12 to my daily regime. Anyone know a good sight to buy it from and what would be a good dosage frequency/amount?

Where's your estridol at? If its too high it will kill libido and give you ED. We all wish TRT was the total fix for it all but unfortunately it often is not. For me all the numbers are great and libido is awesome...but ED is the issue.....almost more frustrating as you want to but doing it...

My T-cyp is always shipped via FedEx signature required......I therefore always update delivery to pickup at FedEx depot. That way I ensure it remains in a climate controlled environment. Winter here in northern VT just 30 miles south of Canada is pretty extreme......ruination by freezing on...

Have to say this is an extremely educational discussion......dealing with this first hand it's great to hear the science of why things are prescribed and what is the theory is for why they work. Thank you Dr. John Thank you Dr. Saya

Been a long term Sub-Q injector, with EOD frequency. Have seen good levels with no big E problems etc. 27G 1/2" fixed syringe works great fills easy and injects without excessive pressure Thanks Dr.John

I'm with Gene, AI seems quite high, double what I use, and I dose at EOD on T,HCG and AI

KMan Thanks for the update......interested if it might be a good mid-point between Viagra and Trimix Do you know if you are an American can you see a Doc in Canada (paying cash no insurance) and get a script to be filled at a Canadian pharmacy?

What I'm telling you is the clomid gave virtually no relief to symptoms......I doubt even if even I got higher in level it would have made much difference. Also I was at highest dosage to yield those ## You can't stay on clomid for extended periods....years....there is also potential for...

Highest I saw with clomid was mid-500's but didn't feel much different then when I started out in high 200's On T-Cyp I am in mid 700's and feel great...... Get your numbers up correctly and you'll have more game for getting that girlfriend and you'll definitely want to utilize her :)

Txmx even though my numbers rose about 200 pts in total T on clomid (large dose FYI) I felt little if any benefit in symptoms. For me libido was never a huge problem, it was more in all the other areas including anxiety energy mood etc. TRT eliminated all these issues....only one still...

Great to see you here Dr. John Your insight and opinion are invaluable

Paco I tried clomid mono therapy for almost a year.....it did raise my levels to what many would consider decent and therefore symptoms should have been if not eliminated definitely improved. However I saw almost no improvement in symptoms with this protocol.....I therefore wouldn't be...

Paco I tried the clomid route similar to you for over a year with a well respected Boston Endo. After wasting a year with him with no tangible results I moved on to Dr Crilser. He was awesome and continues to treat me to this day. Daily application of transdermal tends to mimic the bodies...

Anyone here about any progress on FDA approval or on sale anywhere world wide? It was approved in Canada an supposed to be on market this year.....but as far as I know it is still not on market in Canada yet. Anyone know anything more? This looks like it could be a awesome answer to ED as...

Gene is spot on....lots of potential causes....particularly at your young age and many can be corrected. TRT is for life.....jumping in when there is a good fix available that can allow you to get back to natural levels is a sin. A good Doc will work hard to exhaust all paths prior to putting...

An ultra sound of your pituitary gland for a tumor....that can cause secondardary androgen issues by suppressing FSH and LH signals to testes. Restart your system with Clomid......takes about 2+ weeks with starting at high does then tapering off.....at your age there is a decent chance it...

I tried both......androgel then a 5% compounded creme. Neither gave me a sufficient nor sustainable rise in T levels......so switched to Sub-Q T-Cyp and I am quite happy Topicals seem hit or miss for many...also it seems that many start with topicals but long term always end up moving to...

Nelson thanks for understanding where I'm coming from.....always been a Type A. As I aged it got worse.....inflammatory response hit my gut hard, also I began to deal with huge anxiety and nervousness. I also determined that I was Secondary and began TRT I feel considerably better but even...

Interesting article but I'm not talking about cortisol levels bottoming out but them remaining high and keeping body revved up.

Question I have is how about those of us that are constantly "jacked" meaning we have consistently high cortisol levels, thru being a type A naturally stressed type. Haven't reached fatigue point but Fight flight feeling is there fairly consistently, manageable but higher than desired....high...

Don't let them sell you short by jumping into TRT prematurely. Do lots of labs, Pit Scan look for reason vs just a treatment Try a restart prior to any TrT

Probally not my issue then. Libido is pretty darn good......more about erection quality.....but wouldn't mind giving it try just to see.....how long after starting do you see results?

So will cabergoline, assuming your over 5.0, helps with sexual dysfunction....does that mean it will help with erection quality?