First, to answer Peak's questions
I've been biking for a long time, but much less than usual these last 2 years. I started noticing problems like 1.5 years ago. So I don't see a strong biking correlation.
Blood pressure is 116/74.
Total cholesterol 184
TC/HDL ratio 4.1And, and lengthy update (trying to provide a full picture):
Went to the doc for my (first ever?) annual checkup. In addition to the tests run for the checkup, I asked to run T-related tests.
Doc talked me into NOT running a full battery of T-related tests because they're expensive and I'm on high-deductible insurance. Instead he recommended a few key tests, thinking we can pursue more detailed tests later if I like.
Here are my numbers, along with the normal ranges indicated on my results:
Any red flags? I realize there are big gaps (no free T, no Estradiol, etc.)
- Testosterone total 514 ng/dl (normal range 241-827)
- TSH 2.75 mIU/L (normal range 0.50-6.00)
- Vitamin D total 60 ng/mL (normal range 30-100)
- Red Blood count 5.6 M/5L (normal range 3.9-5.9)
- Vitamin B12 672.6 pg/mL (normal range 200-1100)
In addition, I started getting a little more sleep, and improving my diet - fewer processed foods, more yogurt, fruits, veggies, salmon. I now get erections in the morning, 50% of the time or so, usually around 4am. Pretty solid too, and they'll usually stick around for 5 minutes or more if I'm just lying there. So that's encouraging.
However, when opportunities for sex present themselves, it's always late at night (after a date, almost always after a beer or two) and things don't go so smoothly. I can usually get it up, but it's rarely as hard as I would like, and things usually go downhill from there. And any pause in the action (to put on a condom for instance) almost always spells trouble.
Consuming Red Ginseng and Goat Weed on nights where sex may happen helps a little, but I'd like to NOT have to take special actions in anticipation of sex, you know?
I've been taking the following suppliments, in the following doses, for about 6 weeks now.
Once in the morning, and again at night:
- L-Arginine 900 mg
- Citrulline 850 mg
- Cq10 150 mg
- Fish Oil 2 caps
- Vitamin D 4000 IU
- Pyncogenol 50 mg
So I'm feeling stuck. Between the extra sleep, diet changes and suppliments, something has improved my morning wood, which is great. BUT it hasn't translated into improvements in the bedroom where it counts. Together these feel like a lot of pills to take 2x per day, for unquantifiable benefit.
Questions I'm struggling with ...
- Underlying cause? T related? Venous leak? All in my mind? Something else?
- Don't know if I should stick with all these suppliments, and for how long?
- Adjust dosages, or take them all at night instead of dividing into morning and night?
- Explore other suppliments? Maca? Cacoa? ??
- Order additional blood tests?
- Explore other lifestyle changes?
Any help to recommend the next best step(s) would be appreciated. Thanks in advance.