Taking a Break From Cialis

[DixieWrecked]

I was feeling pretty good and honestly I still feel pretty good but the boners are MIA and that's a deal breaker.

 

[MNguy]

Right on, man. I’m a year and a half in on TRT and am to the point where I’m considering an AI. I’m on the cream now and my estrogen is in the 80s last I did labs. I tried like hell to avoid one, but after so many protocols with limited success, not sure I have a choice. I def feel better on the cream, but there is still a missing piece I need to figure out. Anyways, good luck with the AI!

 

[DixieWrecked]

Thanks! What are your symptoms. You having ED problems?

 

[MNguy]

Nope, I generally don’t have issues there. It’s my libido that is hit and miss. Some days it’s ok, most days it’s pretty lackluster.

 

[madman]

15! What dosage did you start at, and what kind of history with respect to increasing the dosages with respect to efficacy?

Have you ever had any testing done regarding cardiovascular/endothelial health as 15 years of use is a long-time?

Much can change regarding one's health over 15 years!

Is testosterone therapy safe? Take a breath before you take the plunge - Harvard Health

The marketing of therapy for low testosterone highlights the short-term benefits, like increased energy, mental sharpness, and improved sexual function. But serious concerns remain about potential ...

www.health.harvard.edu

An interview with Abraham Morgentaler, M.D.


What’s your strategy for the concomitant administration of erectile dysfunction drugs?

My preference is to start men on testosterone, for a couple of reasons. First, if a man has a successful return of his own erections, it’s like a home run for him. He doesn’t have to take a pill in anticipation of having sex. He can have sex whenever he wants. Second, the benefits of testosterone-replacement therapy often go way beyond erectile dysfunction. That may be what brought the patient into the office originally, but then he comes back saying how much better he feels in general, how much more energetic and motivated he is, how his drives on the golf course seem to be going farther, and how his mood is better.

But if somebody fails testosterone therapy, meaning that their erections aren’t any better, I’ve said, “Well, let’s stop the testosterone and try one of the PDE5, or phosphodiesterase type 5, inhibitors — sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).” A lot of patients then say, “Well, actually, I’d like to stay on the testosterone. True, it’s not helping my erections, but I’m more turned on, and I’m getting these other benefits.” So we often continue the testosterone and add a PDE5 inhibitor.

There’s a significant failure rate of the PDE5 inhibitors for erectile dysfunction, something on the order of 25% to 50%, depending on the underlying condition. It turns out that a third of those men will have adequate erections with testosterone-replacement therapy alone and another third will have adequate erections with the pills and testosterone combined. There’s still a third who doesn’t respond, but normalizing their testosterone level has definitely rescued many men who had failed on PDE5 inhibitors.

 

[DixieWrecked]

I just can't imagine myself having cardiovascular issues. I'm 38. I workout everyday for decades. Bike riding, lifting weights, running, etc. I am not bragging, but my condition is top 1 percent of the general population and top 10 percent in the gym. I recently had bloodwork done which included my A1C and it was perfect. I really think it is hormonal. My penis worked waaaaay better before TRT.

I'm gonna try this AI dosage dosage. If this doesn't work I will probably lower my dosage. If that doesn't work I'll probably go for the enclomiphene. I've used SERMs before to boost Test and they definitely worked but this was black market.

 

[madman]

I just can't imagine myself having cardiovascular issues. I'm 38. I workout everyday for decades. Bike riding, lifting weights, running, etc. I am not bragging, but my condition is top 1 percent of the general population and top 10 percent in the gym. I recently had bloodwork done which included my A1C and it was perfect. I really think it is hormonal. My penis worked waaaaay better before TRT.

I'm gonna try this AI dosage dosage. If this doesn't work I will probably lower my dosage. If that doesn't work I'll probably go for the enclomiphene. I've used SERMs before to boost Test and they definitely worked but this was black market.

Looking over your previous threads you were struggling with hypothyroidism, high cholesterol, blood pressure let alone your previous protocol 40mg EOD had your TT trough at 1300 ng/dL.

You were also on 180mg/week split EOD 2 months ago.....Doc just prescribed me 100mg weekly of Deca for joint pain and a bad shoulder. my current protocol is Test Cyp 180mg weekly (pin eod).

FT 25
E2 35
TT 1350


Not sure what your new protocol (T dose/injection frequency) is as of now but you are still hitting a TT 1200+ ng/dL no?

Bet your FT is very high and again you need to have it tested using the most accurate assay such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best) to truly know where your FT level sits.

Forget relying on the direct immunoassay let alone calculated Vermeulen method.

Why add the AI when you most likely have room to lower your T dose slightly.

You need to know where your FT level sits.

How is your RBCs/hemoglobin/hematocrit?

 

[madman]

Doubtful going from a TT 1200 ng/dl--->900 ng/dL is going to have any significant impact on strength/minimal trt muscle gains/recovery) and even then I would take a step back and look at how you are training as you are only 38 and already looked into deca due to joint issues.

Heavy lifting is going to take a toll on your body sooner or later (tendons/joints/ligaments) regardless of proper training technique, wear and tear will catch up to all of us sooner or later.

 

[DixieWrecked]

My joint issue is a torn labrum from college rugby. I train with moderate weight now and take it easy on my joints,focusing on the eccentric and the contraction. The Deca helped with my shoulder but damn I can't handle that stuff. Turned me into a depressed anxious wreck. My free T usually sits around 25-26. According to the Tru T calculator its much higher, like 40. My hematocrit is at about 49 but I gave a double red donation the other day anyway.

When madman talks, I listen. I'm gonna lower the dose and see how it goes. The less drugs the better. I have some psychological barrier to lowering the dose, but I'll give it a whirl.

 

[DixieWrecked]

And Vince too. Thank you to the both of you for your input.

 

[Goel]

I don't know about "taking a break" from it since I take it "as needed" to coincide with the phase of my wife's cycle when it's likely to be useful. But what I have noticed is that for a given dosage (5mg for me), some manufacturers are better than others when it come to generic Cialis. I can't recall which is which, but I got a batch that required 2x the dosage to get the same result but switched back to a previously known good producer and was back in business at one.