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Testosterone, Hormones and General Men's Health / Re: Androgel shortage
« Last post by billsman on May 18, 2022, 07:12:02 pm »
Doc is switching me over to 1.62.  Requires pre authorization, of course. 
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Testosterone, Hormones and General Men's Health / Re: Androgel shortage
« Last post by Cataceous on May 17, 2022, 04:02:35 pm »
How is the availability of the 1.62% product?
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Testosterone, Hormones and General Men's Health / Re: Androgel shortage
« Last post by billsman on May 16, 2022, 06:14:15 pm »
Received word today.  Androgel 1% has been discontinued. 
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I ll try to get it, it's just hard to find it where I live. I am starting to think too that it's not just hormonal. It used to be only hormonal cause it started after stopping steroids but after all this time without normal 100% erections something might have broken down there. I also remember that even during the honeymoon my libido was sky high.

 I would see a girl and get aroused but still not 100% in the erection department. The weird thing is that the doppler ultrasound came back normal, I am reading now about pelvic floor dysfunction and I try to find a connection on how I could get it from low t, or from a long time without nocturnal and daytime random erections
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I don't know how hCG increases libido. The variations in testosterone may help. The restoration of other hormones such as progesterone could also be a factor. In addition, the activation of LH receptors may have a role. "LHCGR have been found in many types of extragonadal tissues, and the physiologic role of some has remained largely unexplored. Thus receptors have been found in the uterus, sperm, seminal vesicles, prostate, skin, breast, adrenals, thyroid, neural retina, neuroendocrine cells, and (rat) brain."[R]

The fact that you're having erection problems in spite of taking PDE5 inhibitors could point to a functional issue with the penis. It would be interesting to see how you respond to PT-141. If you can't get to 100% with this drug—at least while trying to sleep—then it's almost surely not related to hormones. Not that I'm recommending it—PT-141 is so strong it's a bit scary. I worry about potential long-term effects.
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Hello again,

After our last conversation I noticed that when I inject 1300 hcg once a week I get some libido effect and I was wandering if you know how does hcg increase sex drive..

Is it because of the increase in progesterone and all these hormones or something else? I am also on 20mg pregnenolone and 25mg dhea per day (both pill form).Could it be the fluctuation that it causes with once a week high dose injection? I ve lowered my trt dose from 250 the to 200 and for the last 1,5 month to 170. At 250 I had some libido but not yet normal plus I got severe acne all of a sudden.

An last question, ever since this problem started on 2018 I can't get full erection no mattermatter what. Not even during the honeymoon period where my libido was sky high. It only reaches 80%. So I wonder could the absence of normal erections for a couple of years cause some kind of ''hydraulics'' problem that even when everything comes back to normal it persists? My doppler ultrasound came back normal though.

Thanks for your help
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Interesting. Have you also tried supplementing with arginine or citrulline?

Yeah, both supplements have been tried, but don't think arginine worked for me. For citruline, not so sure because always taken with other supplements.
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Interesting. Have you also tried supplementing with arginine or citrulline?
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I watched Dr. Berg's video about ED problems few days ago and I was surprised to find that breathing through the nose can increase nitric oxide! In fact, I have suffered from nasal congestion and allergies for a long time since I was a child so I am used to breathing through my mouth...

But after trying to force myself to breathe through my nose for two days, I experienced the strongest morning wood in my life this morning! ! ! My morning wood usually don't last long once I wake up, but today it can last for a few minutes after woke up! SO INCREDIBLE!!!

Quote
During nasal breathing, your nose releases nitric oxide (NO). NO is a vasodilator, which means it helps to widen blood vessels. This can help improve oxygen circulation in your body.
https://www.healthline.com/health/nose-breathing#differences
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"There were no differences between the levels of SHBG between visits or between treatments (Figure 4A). The apparent increase in the amount of SHBG in the enclomiphene citrate group after 6 months of treatment as compared with the testosterone gel group was not statistically significant (P = 0.091)."

Oral Enclomiphene Citrate Stimulates the Endogenous Production of Testosterone and Sperm Counts in Men with Low Testosterone: Comparison with Testosterone Gel
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