Mister Fixit

45 minutes ago, jackdd said:

It didn't give you your natural base line. Your testosterone was so low because you just stopped doing the injections. Your testicles didn't start working properly yet, so the result was to be expected.

To get your real natural level you would have to come off for 6 weeks or so, then do a proper PCT for a month, then wait a few more months, and then get your testosterone tested, this would then show your natural level.

What's a PCT?

3 hours ago, rcuthbert said:

Mr Fixit,  by getting your estrogen levels checked you will know if your estrogen is high. High estrogen causes ED, and diminished libido. Research "Anastrozole"*

Testosterone is converted to estrogen by the aromatase enzyme. At the same time, the HPTA "senses" that you have adequate testosterone; consequently, chemical messengers stop being sent to the testes, and they stop producing testosterone and semen. So, get your estrogen checked.

Every time you get a shot, the  aromatase enzyme gets busy.  If you split your prescribed 2wk dose into 4 doses - Mondays and Thursdays, then you will create less estrogen.

 

 

 

 

* https://en.wikipedia.org/wiki/Anastrozole

Well, there's been so much spoken of oestrogen here, that it's pretty bl@@dy obvious that I need to get it checked, so that and my testosterone levels are my next port of call in 2 weeks.

However, there are two points in your post - the first being semen volume.  I have always produced a significant amount of semen which my wife often comments on, even now.  We have our own joke about it which I probably can't say on here!

In my 20s my first wife and I tried for 3 1/2 years for a child but she had great difficulty conceiving and if she did, had numerous miscarriages.  We eventually found a fantastic Harley Street doctor in London who specialised in infertility.  He was brilliant.  

At our first visit he gave me a container and told me to come back next week and when on the train, to do the necessary when it was about 30 minutes from the station - that was a bit of a chore but I managed after a struggle!  ????

Anyway, when I handed it over, his eyebrows raised and he just said 'Wow, what a good  volume!'.  Then he opened a drawer and showed me a similar vial but only half full.  He also did AID and told me that it was from a 21 year old rugby playing medical student for a female patient later in the day and said he'd rarely seen such an ejaculate as mine.  Not bragging, just stating a fact.  Indeed, I have produced 10 children in my life, but my ex was very prone to miscarriages - she even had 2 at 6 months, that last one being twins.  That was a killer to experience for both of us.  I asked to see them (my ex was heavily sedated) and it's a sight I will never forget, but I am glad that I experienced it, as it made me realise what my ex had gone through.  ????

The second point is about the hypothalamus.  I am no expert on the brain, but I think I should mention that I discovered I have AD/HD in 1992.  I never had much luck with Ritalin (methylphenidate) or any other meds, tbh, but in March just gone I went to Sritanya psychiatric hospital near my home and got some.  I started first on 36 mgs Concerta for a month (too expensive) so changed to Ritalin 20 mgs twice daily, now increased to 30 mgs twice daily.  It's moderately effective, but nothing special.  It never was almost 30 years ago either, and I do have very mixed results and feelings about it.  

HOWEVER, I read yesterday that serotonin is involved in testosterone production, along with other enzymes, hormones, whatever, and I am starting to wonder if the methylphenidate may have had an effect on my ED.  My wife agrees with me that it's been since about March when I started on it that my ED problem worsened.

Is this a possibility?  Could methylphenidate be doing something with serotonin and interfering with testosterone production?

Side note on AD/HD - I discovered I had AD/HD in January 1992 and was the first adult in the UK to be diagnosed with it.  It affects almost all my family, males and females, to some degree or another.  My father was obviously ADHD and so was my my mother, so I have had a double whammy - my younger brother is in denial but is quite severe, I'd say worse than me, but then again I understand it.  

My useless British GP had no idea about it and he wasted 9 months of my life until in October I went to Russell Barkley's clinic in Worcester Mass. and was diagnosed and went to my first ever conference, in Chicago.  What an eye opener and how amazing all the attendees were to a Brit.  I can never thank them enough and will never forget them.

Ritalin never did much and my GP refused to prescribe it and foisted so many SSRIs, SNRIs and tricyclics on me that I could have started a pharmacy.  Never show me a venlafaxine tablet again!  It took weeks to get off. 

On my return from the US I started the first UK charity for AD/HD which grew to over 2,000 members in just over a year.  

I have had very little dealings with AD/HD until recently, so I am pretty rusty on the brain and the various associated systems so I need time to digest all the previous information.

Please bear with me - I promise I will get back to you!  ????

2 hours ago, eezergood said:

My bad, thanks for the correction - however 170 is still pretty low and I, as someone with naturally low T levels, would not want to be so low

 

My other comments about shut down still stand & yes he does not need an AI 

Apologies for my tetchiness earlier - I was having a grumpy morning!  ????

As has been posted further down, I had deliberately delayed one of my shots so there was a 7 week gap until I was tested in the morning and had a shot in the afternoon.  This is the timetable -

19 March        normal shot after 3 weeks

9 April – no jab, wait until see endo clinic

7 May              Saw endo doc, started 2 weekly

20 May            13 days

4 June              15 days

17 June            13 days

So between 19 March and 7 May = 7 weeks with no testosterone shot.

That gave me a baseline as to what my natural level was after no TRT - and of course, why it was low.

When I go back to the clinic on the 29th, I will be asking for another testosterone level test AND ASKING HIM TO TEST MY OESTROGEN.  

Out of interest, does anyone know where I could just go and get my oestrogen tested and nothing else - unless there's something else worth testing as well?  

My nice lady doctor who does my shots in her small clinic (just had one 2 hours ago) might be able to arrange one, because I have had my PSA, B12 and testosterone levels checked there before - she just sends the blood off to a lab and I go back a few days later.

30 minutes ago, eezergood said:

Man 1.7 ng/dl is beyond Hypogonadal - you have castrated yourself, anything below about 50 is considered so. 

 

You have totally shut down your own production, due to telling your body that some exogenous hormone will be coming in to take care of it - then you just went cold turkey. At your age I SEVERELY doubt that natural production will return to any kind of significant level and for you own health & well being you will need/want TRT for LIFE! NOT DECA, some test. Levels will be very dependant, but between 75-150mig/ week

 

I'm not sure if you've read my previous threads that I linked to but I suggest that you do so you have the complete picture.

And it's also in my very first post above - did you not read it?

I get the impression you think that I am deliberately responsible for the need for exogenous testosterone, but in a nutshell, I am not.  
Reading the other threads carefully will tell you that in 2004, I discovered I had problems with ED and my useless UK GP did almost nothing to help, apart from prescribing sildenafil and after a lot of pushing, Androgel to rub on my chest - which was useless.
It was only after I came to Thailand that an excellent lady doc at Bumrungrad diagnosed hypogonadism and an MRI confirmed I had a pituitary adenoma.  She put me on testosterone enanthate injections every 3 weeks. 

Reading the other threads would have told you that, and that the ED has returned, even with Kamagra.

I'm also a bit confused about your figures for testosterone.  Glancing at the snip attached tells me that the normal range appears to be between 0.02 and 14.90 ng/mL.

Are those figures wrong and where did you get your figure of 50 being the minimum of the range?  50 what - are we talking of the same measurements or are you looking at something else?

And as @jackdd correctly pointed out, I had deliberately held off on a shot so that when I went last month, the level would be as low as possible and we would know whether or not to increase the dosage or reduce the frequency between shots.

Since that test I have reduced the interval to 2 weeks from 3  weeks and I do not know my current level, but in 2 weeks I will be asking for another test so we can see if it has worked or not.

12 hours ago, rcuthbert said:

Research HPTA, it's shutdown/suppression. Also research the SERMS, clomiphene and tamoxifen.

Did you get your estrogen levels checked? Remember that the aromatase enzyme turns what it senses as excess testosterone into estrogen. Do you need an anti aromatase pill?

Frankly, we have discussed this before.

 

Cheers.

@rcuthbert

I did read about HPTA when you posted last, but I had forgotten - a good sign of low testosterone!

I hadn't heard the term SERMs, but I have heard of Tamoxifen for breast cancer, and then clomiphene clicked into my brain because my first wife took it as Clomid when we were having problems with her getting pregnant between about 1974 -77.

She was put on the lowest dose and within 2 months she was pregnant!   Our first son arrived in February 1978.

What is an  anti-aromatase pill?  I mean what is the name of the substance, and what sort of dose?

As I said above, I will be getting a little pushy next visit so whatever ammunition I can get before then is always welcome.

I wonder if @WaveHunter will respond as well?

9 hours ago, rcuthbert said:

Research HPTA, it's shutdown/suppression. Also research the SERMS, clomiphene and tamoxifen.

Did you get your estrogen levels checked? Remember that the aromatase enzyme turns what it senses as excess testosterone into estrogen. Do you need an anti aromatase pill?

Frankly, we have discussed this before.

 

Cheers.

Yes, we have, and I had hoped for more than just a blood test and some vitamin pills, but this was the first visit and I can see that he just wanted to get some up to date baseline figures as the last were over 2 months old and I had been fiddling with my testosterone injection intervals since then.

I will be asking for a physical exam in 2 weeks and start discussing Oestrogen etc too.  I wasn't expecting a lot the first time, but at least things have started.  

16 minutes ago, faraday said:

Yes it is, but @WaveHunter ???? could give you a better explanation.

 

https://www.menshealth.com/uk/building-muscle/a758780/will-steroids-shrink-my-balls/

Yes, I'm hoping he'll respond soon.  

But as my testosterone is not being being produced by my body, it seems logical that with nothing to do, my two dangly bits will say 'Hey, thanks for the break' and just shut down.

Following my previous posts, here  https://forum.thaivisa.com/topic/1209506-sidegra-kamagra-viagra-and-cialis/  and also 

 https://forum.thaivisa.com/topic/1216990-sidegra-kamagra-viagra-and-cialis-update/ 

I went to the andropause clinic at the Army hospital yesterday and they were very welcoming and helpful.  

Told the really nice 50-something doc about my pituitary adenoma and testosterone problems from 2004 and explained that I hadn't had a proper endocrine check-up for years. I told him that since my ED had worsened, I had reduced the interval between shots from 3 weeks to 2 weeks since early May, just until I saw him and to see if it would help the ED (it hasn't really).

He says that the reduced interval could increase my haematocrit but I showed him my test results from March when the haematocrit was already slightly below the minimum of the range, as was my haemoglobin. So he ordered a new CBC and gave me vitamin B12 complex and zinc tablets and I go back in 2 weeks, the 29th.

He told me off nicely for taking too much Kamagra but if I don't, then it's a problem maintaining an erection for long. He didn't do a physical exam, but I will ask him to check my testes next time as I think they are quite small now. Would anyone know if that would be due to the testosterone shots?

My testosterone on 7 May last month was 1.70 ng/mL with a range of 0.02-14.90 but I deliberately hadn't had a shot for 4 weeks, just to see how low it would be.

I have read in the other threads that a shot every three weeks is quite conservative as the half-life is only about 5 - 7 days. Any thoughts on dosage and intervals between shots or anything else? Anyway, I will keep you posted after the next visit.

Very cheap though - a CBC was 90 baht and the meds were 230 baht.  320 baht all in is not at all bad. I was expecting much more.

I only heard about this site yesterday and went to book, entered all my details and got the greyed out calendar so thought that was that.

Then I tried again this morning but when I went to enter my email address, it said it was already registered and to use another one. 

So somehow they have all my personal information already, but now it's probably been sold to some Russian scammer!  

21 hours ago, internationalism said:

from a british journalist specialising in thailand:

"Major data breach at Thai vaccination website https://thailandintervac.com/

You can see and alter the details of the person who used it previously. Data includes full name, address, passport and phone numbers".

I just tried to get on that site and got this 

2 hours ago, bert bloggs said:

Got my vacination at Samitivit in Sri Racha,checked thailandvac,said i was not registered needed more details filled it in 3 imes,kept geting same message,anyway got my jab now .

Yes, on the Thailandintervac website I'm not able to enter a date or time for the injection - everything is greyed out.

https://thailandintervac.com/

BUT - they now have all my personal information ... 

On 6/12/2021 at 10:13 AM, bert bloggs said:

Wife booked me weeks ago with mor prom,for9th june,cancelled because lack of AZ, then on 8th told ok for 9th got az jab ,so far feeling fine,next one 16 weeks,if phizer comes sooner will pay to mix and match 

Ps booked on thailandintervac,said i am registered but will cancell if it ever comes through

I went on that site earlier and went through all the registration process but at the end when it says 'select a date' everything is greyed out as far in the future I can  go.  

Am I doing something wrong?

16 minutes ago, placeholder said:

yes

And I am posting another link you didn't refer to.  More basic, but OK for everyday knowledge.

https://www.who.int/news-room/feature-stories/detail/the-sinopharm-covid-19-vaccine-what-you-need-to-know

On 6/11/2021 at 6:58 PM, Andrew Dwyer said:

Any data on Sinopharm ??

 

Any country reporting its use ?

Any trials done ?

Try here - although it admits there limited data on over-60s though.
https://www.who.int/news-room/feature-stories/detail/the-sinopharm-covid-19-vaccine-what-you-need-to-know

I have been offered Sinopharm by the back door in the next few weeks, but I am unsure as I am registered for AZ at the National Chest institute around the corner from  me which I would prefer to have.

The reason I was offered Sinopharm is that my wife's sister, who has a PhD in Biochemistry, works for a cosmetics company who want to vaccinate all their employees and their families and my wife and I have been added to the list, as well as other family members.  

We have to pay something over 1,600 baht each plus hospital charges, but it looks as though 

As I said, I am a little twitchy about it, but I suppose any vaccine is better than no vaccine.

10 hours ago, scammed said:

i am not in minority, you and certain tvf members are

Ah, you mean those who don't agree with your docile passivity and lack of initiative?

7 minutes ago, GoFaster said:

Moringa is also called the Tree of Life and there are some very passionate people preaching its virtues on YouTube. I have 4 trees in my back yard and the rate these things grow at is incredible. I make my own powder by drying the leaves and then grind  with a spice grinder. I add 1 tablespoon to my muesli every morning and make fresh juice by adding water to fresh leaves and blending then straining. Makes a very dark green fresh almost grassy tasting concentrate which I then add about 150 ml to 350 ml of kombucha  that I make. I also use the juice as a fertilizer on my pepper plants. I do eat the seeds when available but they have a tendency to make you a bit loose if you eat a whole pod or "Drumstick" as they are sometimes called. The local Thai people come looking for the seed pods every now and then and I get the impression they treat them almost like a medicine. Probably need to use it for more than a week to see any long term benefits.

Thanks.  Don't have any trees, but I see the leaf powder on Lazada at 90 baht for 100 grams and other pack sizes.  500 grams is 400 baht and a kilo is 690.

Might be worth getting 500 grams and seeing what happens.

6 minutes ago, Excel said:

Well that's not the problem, its the ants who love the sweetness of it the problem????

No ants in our bed - might be other bugs though!  

And I take a tablespoon every day and it isn't sweet to me.  

1 hour ago, tifino said:

 well there's always yo olde tried'n'true Virgin Coconut Oil trick  as used by ancestors... 

Never tried that - we have about half a litre in the kitchen.  Way-hay!  ????

Does it leave any stickiness or mess?

4 hours ago, GoFaster said:

Moringa powder and juice every morning has had astonishing results for me. So much so in fact that the wife has had to bring her sister onboard to help share the load so to speak. Have started to decrease the powder amount by half now as I overheard wifey asking her sister if they should bring their mother in as well. Scared she might hurt me...

Moringa in Thai is 'maroom'.

I asked my wife who studied and does Thai herbal medicine, and she just happened to be talking on the phone to her sister who has a PhD in biochemistry and works for a company which specialises in herbal cosmetic and other products.

I spoke to the sister and she asked me if the powder you use comes from the leaf or the seeds, because apparently they are quite different.  Also how much you take and how - capsules, powder in water, what?  

When you say juice, is it just the powder mixed with water or is it a manufactured product sold in a bottle?  If so, what name and where can you  get it?

I'm not a big believer in all the 'natural/herbal/organic' industry's claims, but I'd be prepared to try something for a week or so to check it out. 

16 hours ago, siftasam said:

I'll TRY (hard!) not to bore you BUT I had a terrible time even in my 20s and 30s with ED. It was disastrous to  a couple of otherwise very good relationships that I had, including my first marriage. So cripplingly embarrassing.

 

I did not solve it 100% until I was 48! Different strokes for different folks (and I am not advertising!) but my sex life improved incredibly when I started taking VigRX (touted as the world's number one male supplement). Thankfully, it also began acting quite soon after starting 'treatment'.

 

I have never taken any other supplement. I am now 75 years old and I (at least!) am happy with my performance. I take VigRXPlus every day.  After so long, I need only take one tablet a day now. It's been worth every cent. BUT I cannot import it directly. Does anyone know if it's available here?

 

In 2 months time, I fear I will be forced to try something else. I've  ordered a bottle of Nature's Truth Korean Ginseng and one of Giffarine ARG-N-ORN.

 

 

 

 

 

 

At £50 a box + £20 shipping, I think not.

On 6/6/2021 at 7:10 AM, elgenon said:

Hi Sheryl. What was the fourth article you intended to share?

The 4th article is a duplicate link to the third article.

On 6/6/2021 at 1:04 AM, bobandyson said:

Anyone tried Gracku? Is it any good?

 

I'm asking for myself. My friend can find out for himself.

????

I tried it once, two capsules. 

Nothing much, except dyspepsia all night.   Bit of a waste of time.

On 6/5/2021 at 8:48 PM, scammed said:

let it go. you said it yourself, you are nearly 60,

at this point in life you should be in your slippers and pajamas by 8 pm and worry about poop hardness

rather than dick hardness

Jeez, why do defeatist posts like this annoy me so much?   This sounds someone who has let life slipped him by.  Like a sheep on its back not knowing how to right itself.  

Show some initiative,  grow a pair, whatever.  At the very least investigate why your body has changed so you can take remedial action.  

What a waste of a post.   ????

On 6/5/2021 at 3:15 PM, chiangraifalang said:

ED is mostly a sign that something different in your body is going wrong. My best advise i can give is, please go to a cardiologist and let them search for any plaque in your arteries. Otherwise you might encounter a stroke or heart attack some years in the future.

ED comes many years before stroke or heart attack. When the blood flow to the penis is impaired, thee is a very strong likelihood the blood flow to other parts of your body is impaired too. The problem is about plaque in arteries you will not feel anything about it, until the artery is closed at least 60%, 70% or more.
I don't assuming, it's my experience.

Take pills like Viagra or Cialis is like we all know or at least guess, only to cure a symptom without going to the root. From my view there are to many doctors out there, who are not able to see the real root and just prescribe the pills. A heart specialist should be able to check if there is any problem in your blood vessels or not.

I have an appointment every 6 months to check my heart and have a shedload of blood tests at the National Chest Institute here in Nonthaburi, just around the corner from my house.

Everything is always perfect, but I still have problems with Jolly Roger not always wanting to play.

It's hormonal with me, not arterial.