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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 )

Yes. I prefer on demand, to avoid tolerance. 0,125 to max 0,25. Timing 1-2h before the game. Some men will have annoying sides (lethargy, fatigue, runny nose, insomnia) even at low doses.

Of course, we are here to help each other. Direct dopamine receptors agonism : for me the best is pramipexole and ocasional cabergoline . Enhance dopamine levels : Mucuna and L dopa ( direct precursors) , L tyrosine ( precursor) , P5P ( cofactor to enhance conversion of L dopa to dopamine) ...

Max0 .25 Even 0,125 should be enough

Prami is power stuff Lots of details IMO before sleep is a no no, just as others dopaminergics, probably will mess big with sleep. Great erectile enhancement and lower refractary period. Go low or it will make you a zombie.

Here in Brazil compounded sublingual Vardenafil is my favorite pde5i treatment. But i really miss apo, not avaliable here anymore. (loved the effect)

Exemestane works great in daily low dosages (compounded), much easier do adjust than anastrozol ,and have some androgenic proprieties .

I have some girls on even 5mg/day doing great .

Nowadays i have 3 patients over 80 on TRT , all of them doing very well. ( 2 on transdermal and 1 on inj undecanoate )

Beside the things everyone knows ( exercise, nutrition , supplements , no smoking, avoid mouthwash ,etc) IMO the main thing most men neglect is emphasis is exclusive nasal breathing . And most of all , correct any degree of OSA . ( Almost every patient that starts CPAP using after some time feel...

Never forget to try to enhance nitric oxide production.

We don´t have pharma grade test prop here in Brazil , so because of legal reasons i have never tried.

Can be done in both situations . Note that not every testicle responds well to serm stimulation , and some can handle higher test cream dosages without supression of the axis than others.

Not at all. Test EOD works well, the EOD is only in the bloodstream, the molecule of test bind to the androgen receptor and works for some days. You won't even feel different between the day you use or not.

Yes it's possible Change to transdermal EOD Put some Clomid Will recover in some months

Yes lower doses works. I am on 2mg for 5 years. (compounded)

BTW , best knowledged ever .