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question from a user

What’s your take on ED issues with guys on TRT? What’s the most common cause? High Estradiol? Low T? Where’s the sweet spot for E levels? 20-30 is what I’ve read.

AlphaMD's Answer

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.

“Optimal” E2 level in regards to libido and ED typically falls between 20-30, but obviously that varies by individual.

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