Sidegra, Kamagra, Viagra and Cialis - update

[Mister Fixit]

A while back, I posted this thread and had some good suggestions, most of which was to get a new panel of male hormones.

https://forum.thaivisa.com/topic/1209506-sidegra-kamagra-viagra-and-cialis/

 

I duly did so last week and whilst not conclusive, I thought readers might like to see the results.   Via my knee specialist there, I booked an appointment at the endocrinology department of Phramongkutklao hospital for 6th May.  

I was seen quite quickly (by either an intern or medical student) and lots of notes were taken from already printed documents I provided.  

I went at 6 am the next morning for blood tests and then same the same young guy after he gave me the results.

 

Basically, he said that due to my age, (72) he was referring me to the Andropause Clinic and I am booked for the 15th June.  I had hoped he could have advised me whether my current three-weekly 250 ml testosterone enanthate injections were still sufficient or whether the meds should be either increased or changed.

 

I attach copies of my blood test results, (and the modest bill) and if anyone can explain any of them, I would be grateful.  I have some idea, but the lad seemed to want to push the problem onto the other clinic.

 

I know my testosterone is low, because I had deliberately not had an injection for 4 weeks beforehand , but help with understanding the other figures and their significance would be good.  Also, what if any, other tests should or could be done.  

[borborygmus999]

 

 

Why shouldn't someone want to get his hormones tested?  It isn't all about sexual performance, you know.

There are all sorts of reasons, and if you'd bothered to give even a passing glance at the results he posted, one of the most important ones was staring you in the face - PSA.  That's the most significant marker of possible future prostate cancer problems.

 

Luckily for the OP, his PSA is in good shape.  And if you'd bothered to read the first thread (which I have) you'd see he has had a testosterone deficiency for years due to a cyst in his pituitary gland which caused it and he's already been having testosterone replacement treatment for 15 years or more.  That would be why he sensibly had his PSA checked.

 

It really does pay to apply a bit of brain and reading comprehension before making inappropriate comments.  All that does is reflect badly on you.  

 

 

Edited May 13, 2021 by Rimmer
quoted reply removed

[Mister Fixit]

@WaveHunter  @onebir @rcuthbert

You were all very knowledgeable on my original thread.  I just wonder if you have any comments on the hormone test results I posted?

 

I don't think they tested too much, but perhaps when I go to the Andropause Clinic next month, they will do more.

 

In the meantime, I have resumed the 3-weekly shots of 250 mls of testosterone enanthate and will continue until someone either changes them or tells me to stop - but they'd better have a damn good reason and be prepared to back it up.

 

 

[Rimmer]

Some off topic posts that hijacked the topic have been removed, also replies

[bkk6060]

Your blood test seems to be lacking.

What is your total testosterone?

What is your free testosterone?

 

I have to say 250 mg 3 times  a weeks seems very excessive.  Never heard of that even for roid weight lifters.

Normally once a week or every 2 weeks.

You should check your Hemoglobin/Hematocrit it may be elevated due to the excessive injections.

 

If nothing is working you may want to consider penile injections.

I have an older friend here who does this works great for him.

[rcuthbert]

Mr Fixit, I would strongly suggest that you monitor your estrogen levels. Remember the "Aromatase Enzyme"? It turns excess testosterone into estrogen - and too much will kill libido, as well as making a guy emotionally unstable.

Do you know what measurement units that they are using?

https://www.menshormonalhealth.com/normal-testosterone-levels.html

[rcuthbert]

38 minutes ago, Mister Fixit said:

@WaveHunter  @onebir @rcuthbert

You were all very knowledgeable on my original thread.  I just wonder if you have any comments on the hormone test results I posted?

 

I don't think they tested too much, but perhaps when I go to the Andropause Clinic next month, they will do more.

 

In the meantime, I have resumed the 3-weekly shots of 250 mls of testosterone enanthate and will continue until someone either changes them or tells me to stop - but they'd better have a damn good reason and be prepared to back it up.

 

 

Mr Fixit, 250ml 3x per week are body builder doses. After 4-5 days, half of the testosterone enanthate will still be in your system. 250 ml once a week for three weeks - followed by blood tests - may be a safer alternative. If your estrogen is shown to be too high - then inquire about Nolvadex or Arimidex.

If your tests are okay, then do another 3 weeks.

Cheers.

[jackdd]

1 hour ago, bkk6060 said:

I have to say 250 mg 3 times  a weeks seems very excessive.

55 minutes ago, rcuthbert said:

Mr Fixit, 250ml 3x per week are body builder doses.

He said "three-weekly" which means one injection every three weeks.

 

 

4 hours ago, Mister Fixit said:

Basically, he said that due to my age, (72) he was referring me to the Andropause Clinic and I am booked for the 15th June.  I had hoped he could have advised me whether my current three-weekly 250 ml testosterone enanthate injections were still sufficient or whether the meds should be either increased or changed.

In general nobody recommends to do one 250mg injection every three weeks, besides of the information leaflet which comes with the testosterone and doctors who have no clue.

You should split this up and inject more frequently, then your testosterone level is more stable. Currently in the days after the injection your testosterone level is through the roof, and after two weeks you are in a testosterone deficiency.

Edited May 13, 2021 by jackdd

[Mister Fixit]

1 hour ago, rcuthbert said:

Mr Fixit, 250ml 3x per week are body builder doses. After 4-5 days, half of the testosterone enanthate will still be in your system. 250 ml once a week for three weeks - followed by blood tests - may be a safer alternative. If your estrogen is shown to be too high - then inquire about Nolvadex or Arimidex.

If your tests are okay, then do another 3 weeks.

Cheers.

 

Whoops, no, I meant ONE injection every three weeks!  

 

I've been on that since 2005, no change, and if you remember, I was questioning if the dosage should change or become more frequent.

 

I don't feel the endocrinology department has covered everything as well as it could and they have shunted me off to the andropause clinic because they aren't too sure what to do next.  

 

I hope I'm wrong and someone sorts something out next month

[Mister Fixit]

1 hour ago, jackdd said:

He said "three-weekly" which means one injection every three weeks.

 

 

In general nobody recommends to do one 250mg injection every three weeks, besides of the information leaflet which comes with the testosterone and doctors who have no clue.

You should split this up and inject more frequently, then your testosterone level is more stable. Currently in the days after the injection your testosterone level is through the roof, and after two weeks you are in a testosterone deficiency.

 

Which is what I had been thinking for some time - increase the frequency of the injection yet maintain at the same dose.

 

I can do that without being given permission from anyone, because I can buy the shots OTC for 540 baht for 3 amps, and get the shots at a local clinic for 80 baht a pop.

 

It had been my idea to start 2-weekly shots from last week when I resumed them after testing,  so do you think that's fair enough, at least in the short term?    Then monitor more regularly, especially PSA?

 

 

Edited May 13, 2021 by Mister Fixit

[Mister Fixit]

2 hours ago, rcuthbert said:

Mr Fixit, I would strongly suggest that you monitor your estrogen levels. Remember the "Aromatase Enzyme"? It turns excess testosterone into estrogen - and too much will kill libido, as well as making a guy emotionally unstable.

Do you know what measurement units that they are using?

https://www.menshormonalhealth.com/normal-testosterone-levels.html

 

Not sure.  They certainly didn't test for that if you check the results I posted.  I had better try to sort that out next month at the andropause clinic.

 

Having said that, I don't think I have too much excess testosterone!  

[Elkski]

Three- weekly. Needs clarification.  To me it means 3x a week.    3x- weekly seems to be the easiest way to interpret this.  Not 1x/3 weeks

[onebir]

3 minutes ago, Mister Fixit said:

I've been on that since 2005, no change, and if you remember, I was questioning if the dosage should change or become more frequent.

T enanthate has a half life of about a week; after 3 weeks your original level will be about 1/4 of the peak level after injection. Injecting a less, more often will give you much smoother hormone (test, free test, estrogen, LH & FSH at least) levels.

 

But perhaps try to keep the average daily dose the same (at least initially). That'll help you eliminate injection frequency (as opposed to dose) as the problem.

 

DD, daily dose = dose per injection / interval between doses.

 

So for 250mg/3 weeks, DD = ~12mg. Targeting that 12mg/day, you could do 170mg/2 weeks, 120mg/10 days or 85mg/week. I think the arithmetic for 120mg/10 days or 85mg/week  is easier (about 1/2 & 1/3 a 250mg vial respectively).

 

(But please check my arithmetic!)

 

[jackdd]

14 minutes ago, Mister Fixit said:

Which is what I had been thinking for some time - increase the frequency of the injection yet maintain at the same dose.

 

I can do that without being given permission from anyone, because I can buy the shots OTC for 540 baht for 3 amps, and get the shots at a local clinic for 80 baht a pop.

 

It had been my idea to start 2-weekly shots from last week when I resumed them after testing,  so do you think that's fair enough, at least in the short term?    Then monitor more regularly, especially PSA?

I think most people inject once weekly, so splitting it up in three injections. Usually people just open the amp, draw up three syringes and keep the remaining two for the next shots. But a clinic might not agree with this procedure due to concerns that the testosterone in the syringes might become contaminated.

 

I can't help you with your PSA, I'm not old enough to have to worry about my prostate, so I didn't do any research regarding this.

[rcuthbert]

2 hours ago, Mister Fixit said:

 

Not sure.  They certainly didn't test for that if you check the results I posted.  I had better try to sort that out next month at the andropause clinic.

 

Having said that, I don't think I have too much excess testosterone!  

Too much estrogen will cause many problems. Don't worry if your tests show high levels because Anti-aromatase  and SERMS* will treat it; however, low estrogen can also cause problems, so caution is the operative word.

(Incidentally, I agree that splitting your 250Test E into two doses (once every 10 days?) is a good idea.

 

*"Selective estrogen receptor modulators (SERMs) are medications that can both mimic and block estrogen's effects in different tissues. They do this by interacting with estrogen receptors in different cells."

 

[Mister Fixit]

12 hours ago, bkk6060 said:

Your blood test seems to be lacking.

What is your total testosterone?

What is your free testosterone?

 

I have to say 250 mg 3 times  a weeks seems very excessive.  Never heard of that even for roid weight lifters.

Normally once a week or every 2 weeks.

You should check your Hemoglobin/Hematocrit it may be elevated due to the excessive injections.

 

If nothing is working you may want to consider penile injections.

I have an older friend here who does this works great for him.

 

I asked about testing for both free and total testosterone and was told that they only test for total testosterone.  A bit pointless really, but when I go to the andropause clinic next month I will ask them to check for free testosterone and see if I can find out why they don't.  If necessary I will find somewhere else to do it.

 

As to the rest of your post, you have misread mine - I have testosterone injections three-weekly, which mean ONE jab every three weeks.  250 mls of test. enanthate IM.  

 

If you refer back to my previous post (link provided somewhere in this thread cos I can't be bothered to re-scan them) you will see the results of the blood tests I had done on 5th March and if anything, my haemoglobin and haematocrit are somewhat low.

Haemoglobin was 13.4 with a range of 14-18 g/dl and haematocrit was 38 with a range of 42-54%.

 

I imagine that means I am slightly anaemic, but the doc wasn't overly worried due to my otherwise very good health.

[Mister Fixit]

12 hours ago, Rimmer said:

Some off topic posts that hijacked the topic have been removed, also replies

Thank you, and also for removing the first unnecessary quoted comment as well as the others, which thankfully I did not see.

 

Edited May 14, 2021 by Mister Fixit

[Mister Fixit]

10 hours ago, Elkski said:

Three- weekly. Needs clarification.  To me it means 3x a week.    3x- weekly seems to be the easiest way to interpret this.  Not 1x/3 weeks

 

I realise that there are many on here whose native language is not English.  Perhaps I should have put it a different way, but in English, which I have been speaking for 72 years, 3-weekly mean ONCE every three weeks.  It's a very common shorthand way of saying 'every three weeks'.  

 

Apologies if I wasn't clearer.

Edited May 14, 2021 by Mister Fixit

[Mister Fixit]

12 hours ago, rcuthbert said:

Too much estrogen will cause many problems. Don't worry if your tests show high levels because Anti-aromatase  and SERMS* will treat it; however, low estrogen can also cause problems, so caution is the operative word.

(Incidentally, I agree that splitting your 250Test E into two doses (once every 10 days?) is a good idea.

 

*"Selective estrogen receptor modulators (SERMs) are medications that can both mimic and block estrogen's effects in different tissues. They do this by interacting with estrogen receptors in different cells."

 

Well, when I go to the andropause clinic, I think I need to insist they check my oestrogen levels, and see what else they will be prepared to check.

 

[Mister Fixit]

14 hours ago, jackdd said:

I think most people inject once weekly, so splitting it up in three injections. Usually people just open the amp, draw up three syringes and keep the remaining two for the next shots. But a clinic might not agree with this procedure due to concerns that the testosterone in the syringes might become contaminated.

 

I can't help you with your PSA, I'm not old enough to have to worry about my prostate, so I didn't do any research regarding this.

I wouldn't bother with that, tbh.  Too much faff for the clinic I get my shots at, and for me.

 

I have decided to stay with the same dosage but increase the frequency to once every two weeks instead of three, and see how I go after 3 months or until the andropause clinic can say something definitive.

Edited May 14, 2021 by Mister Fixit

[Kleepanna]

On 5/13/2021 at 10:12 AM, Mister Fixit said:

 

Which is what I had been thinking for some time - increase the frequency of the injection yet maintain at the same dose.

 

I can do that without being given permission from anyone, because I can buy the shots OTC for 540 baht for 3 amps, and get the shots at a local clinic for 80 baht a pop.

 

It had been my idea to start 2-weekly shots from last week when I resumed them after testing,  so do you think that's fair enough, at least in the short term?    Then monitor more regularly, especially PSA?

 

 

can you please help me with tis i have my labs been working with a "specialist" at the cost of $55,000 per month for injections and vitamins what clinic can i go to for OTC I'm usually back and forth in Jomtien and bkk currently in Jomtien i would greatly appreciate you helping me save $$$

[Mister Fixit]

9 hours ago, Sticky Rice Balls said:

So hows the Niece doing?  ????

Not seen her for 3 or 4 weeks cos she's having to work from home 45 kms away.

 

I tried the Gracku last night - disaster.  Useless.  Lasted about 10 minutes, and that was with two capsules.  Utter ????  

 

I have an appointment with the Andropause clinic on 15th June.  The endocrinology clinic weren't much cop, just tested testosterone and thyroid as well as my pee.  

The testosterone was low, as I expected as I hadn't had a shot for 4 weeks.

Basically I saw a student who kept referring to a woman doctor who just sat there playing on her phone!

 

I hope the other clinic is better.  

 

 

Edited May 17, 2021 by Mister Fixit

[Mister Fixit]

21 hours ago, Sticky Rice Balls said:

hmmmm sorry about the graku....so u recc kamagra instead?.....did you get the heartburn w/ graku?

Yeah, been using Kamagra for years, but it's not as effective now as it used to be, even with 1 and a half tablets.  ????
Yes, got some heartburn with  the Grakcu but not desperately bad.   Won't use it again though.

 

I may try 2 Kamagra next time, (I know not recommended, but as a one-off test before going to the clinic) but I have identified another thing - my wife is almost 52 and well into the menopause, and she has had quite a lot of vaginal dryness recently.  She's wet when we get going, (sorry if TMI) but it soon dissipates, then it gets uncomfortable  and things drop off, so to speak.

I suggested that when I go to the andropause clinic next month, she comes and books in the menopause clinic and looks into HRT, but she seems reluctant. 

[Smc75]

I'm sorry for asking maybe an obvious question but where do you guys buy kamagra / viagra / etc in Pattaya? Can it be sold without a prescription? And what would you recommend better? I want to buy it in case of misfire. I'm absolutely new to this topic. Thank you.

[jackdd]

18 hours ago, Smc75 said:

I'm sorry for asking maybe an obvious question but where do you guys buy kamagra / viagra / etc in Pattaya? Can it be sold without a prescription? And what would you recommend better? I want to buy it in case of misfire. I'm absolutely new to this topic. Thank you.

Just go to a pharmacy (not every pharmacy has it, so you might have to try a few) and ask for Sidegra, that's a generic produced in Thailand. Cheap and you don't have to worry about getting a fake.

Edited May 25, 2021 by jackdd

[Mister Fixit]

On 5/18/2021 at 9:25 AM, Sticky Rice Balls said:

hmmmm sorry about the graku....so u recc kamagra instead?.....did you get the heartburn w/ graku?

 

@Sticky Rice Balls

 

Finally!  Managed a good stonking decent sh@g last night!  I had to use one Kamagra gel and one Kamagra tablet though. 

I knew after just about a minute of starting that it was going to work but can't think why I knew it, but I did.

 

All went well, and this time, no fading away after a while, then getting it ready again, then fading away  and repeat etc.  In the last few months this has been the pattern and I could finish after about the third attempt, but in the last month, not even that.

 

So, last night was a welcome event, and maybe I just need this larger dose.  Previously I was only taking 150 mgs, but I'll give the gel and tablet another go but wait until the weekend at least.

 

Want 4 spare Grakcu capsules?   ????

 

 

 

 

[Mister Fixit]

8 hours ago, jackdd said:

Just go to a pharmacy (not every pharmacy has it, so you might have to try a few) and ask for Sidegra, that's a generic produced in Thailand. Cheap and you don't have to worry about getting a fake.

 

I know about it. I tried Sidegra for quite a while but it stopped being as effective so I reverted to Kamagra.  

 

I managed a good bonk last night but had to take 1 Kamagra gel and 1 tablet, so looks like the dose is too low for me now.  

[Mister Fixit]

13 hours ago, jackdd said:

Just go to a pharmacy (not every pharmacy has it, so you might have to try a few) and ask for Sidegra, that's a generic produced in Thailand. Cheap and you don't have to worry about getting a fake.

 

I should add to my previous comment that my local pharmacist, who I have used for over 12 years and speaks good English, says that GPO products are generally not as good as other generic medications and it's better to look for another generic instead of GPO products.

 

In terms of Sidegra, he was right.

Edited May 25, 2021 by Mister Fixit

[Mister Fixit]

On 5/13/2021 at 7:07 PM, rcuthbert said:

Do you know what measurement units that they are using?

 

 

It's in the blood test report I posted at the top of the thread - ng/ml.  That's odd, I thought in Thailand they used ng/Dl.  Maybe I'm wrong, and I would need to look out old reports, but it's late.

[Smc75]

On 5/25/2021 at 7:51 AM, jackdd said:

Just go to a pharmacy (not every pharmacy has it, so you might have to try a few) and ask for Sidegra, that's a generic produced in Thailand. Cheap and you don't have to worry about getting a fake.

Thank you very much