Questions about ED

There are not good alternative for teste size, or at least none as good as HCG with as few negatives as it has other than price.

Typical low end dosing for hCG is 500IU/wk. “Start low and go slow” is what they teach in med school, and I would suggest that with the addition of an...

In general, yes. It increases corpus collosum blood flow. It helps by bringing in more blood flow, though to a lesser extent slowing venous outflow. B...

Awesome to hear that, those are great outcomes. Yes, it can cause E spikes as well at any level depending on the person. That more has to do with how ...

So, hormones are only a small part of erection quality, though an important part. As a general rule of thumb, if you get morning wood, but have ED dur...

In our practice, ~90% of men get best results with twice weekly injections. The remaining ~10% have different injection frequencies ranging from once/...

We do, though they are more tightly focused than a full on peptide provider. This is because we can only work with peptides that are available from ph...

Generally we don't have enough data to compare between the two, as you'd really need a man who has done both & testing multiple times with both at th...

It depends. So long as they still have relief of their low T symptoms on a lower T dose, then typically lowering the dose is the correct first step to...

A normal testosterone:nandrolone protocol is dosed at a 2:1 ratio.

Some symptoms are more directly treated by TRT than others, and that makes them more relevant to diagnose it. Low energy, low libido, difficulty losin...

In digital TRT, it's usually best to work with a compounding pharmacy or a pharmacy designed to work with businesses. Local pharmacies like Walgreens...

Libido issues can unfortunately be difficult to pin down sometimes because there are many factors, both intrinsic and extrinsic, that affect it.

For premature ejaculation, medically speaking you have a couple options. But it is important to know, the FDA has not approved any medications for PE,...

Pramipexole works well to control prolactin. It has been proven to help both achieve orgasm as well as with the refractory period after orgasms.

Your doctors didn’t lie in saying your labs don’t show anything abnormal. But they won’t always because what is “normal” is based on population avera...

We have had a few men where that is the case, though I would definitely not say it is the rule. The primary driver of libido in men is DHT, and more D...

Your LH is low and your FSH is on the lower end as well. This suggests you may have secondary hypogonadism.

Your LH is low and your FSH is on the lower end as well. This suggests you may have secondary hypogonadism.

Someone looking to maintain fertility by using hCG while on TRT would typically dose at a minimum of 500 IUs/wk, with improving sperm levels with incr...

Horny Goat Weed is cheap, OTC, generally well tolerated, and works good for most men. I personally use it daily and can notice a solid drive differenc...

We very often here "I have been feeling like shit for 6 months for 2 years, I have symptoms of low T" for all patients seeking if TRT is right for the...

Check out this timeline we give to our patients:

Exogenous testosterone will always have a detrimental effect on sperm count.

In general we find that libido & erectile function are improved through either method for any man suffering from hypogonadism. There are a few cases w...

It is realistically closer to 4 days, and if you can tell a difference the day before your normal shot it would be perfectly fine to change to three t...

A few things to note:

ED is often more complicated than just hormones. But when it comes to sex hormones, low T, high/low E2, and high prolactin are common culprits.

Different Esters can have impact on the actual average dosing you experience. That is why even if you take Test C & Test E at the same amount per wee...

Yes, generally the three main reasons people start TRT are: Energy/motivation, fat loss issues/muscle loss, and libido/erectile function.

It is common to combine the two when the initial symptoms of low Testosterone include low libido or ED. We tend to hold off on adding it right away to...