Tadalafil also addresses that problem while having obvious benefits for erections. But I assume that does not work for you.
Now generic, so costs may be more manageable now.
Drinking a lot of water is a symptom of diabetes.
Drinking that much water dumps a lot of electrolytes and iodine.
Loss of electrolytes may be a component if your panic attacks.
You need cal/mag supplements and vitamin-D3
You are creating too many threads. Now have to search multiple threads to gather context for you. ;(
E2 is the main driver of BPH, not testosterone or DHT. You need to get.stay near E2=22pg/ml to reduce effects of estrogens on your prostate.
Lower E2 increases fat loss potential.
Proper thyroid levels can restore metabolic rates that drive fat loss.
Cortisol levels are also a critical component of metabolic rate.
What the story re iodine replenishment and body temperatures?
What is A1C lab result lately?
Are you loosing weight?
Other metabolic rate concerns:
GH might be low which is indicated by IGF-1 lab work.
CoQ10 deficiency can slow down mitochondrial metabolic rate, slowing everything down.
Statin drugs can lower CoQ10, creating a deficiency, slowing everything down
Supplement with Ubiquinol form of CoQ10, note exact spelling.
There are CoQ10 lab tests