Sep 11, Tue:
Height: 6ft (Lifetime underweight, never on any psych meds)
Motivation (libido mainly): tried cialis Nov 2017 after a year long break and it wasn’t working the same, sudden weak erections during porn use Feb 2018 (after 6 years of minimal porn use, nofap with relapses for 6 years), 10% erection during sex for the first time last day of June 2018.
Been tracking my TT since 2015 (360, 260) when my libido started dropping, dropped libido allowed me for the first time since 2012 to go more than 60+ days without porn use (115 days, no sex, “hardmode”). Same year finally started having sex.
Since 2012 I believed my low libido and any light ED issues were due to years of daily porn use since 2003 or so. Only this June 2018 I discovered the importance of E2 levels (even though I started tracking E2 in 2016).
Lab Work (Labcorp)
- Salivary cortisol: low noon and low 4pm levels
- Low waking and 3pm body temps
- Both bilateral varicocele (ultrasound)
- Good performance on glucose load test (two hour)
- Mild obstructive apnea [borderline moderate] (AHI = 14) [due to enlarged tonsils likely]
Prescribed protocol (Dr. Saya, Defy):
Cloming was not recommended due to low success rate in the presence of current (normal) LH levels.
- Pregnenolone/DHEA cream to raise noon cortisol (energy) and improve thyroid performance as a result (high reverse T3)
- Test Cyp 44 mg 3 times a week (higher frequency due to normal SHBG that is expected to go down)
- HCG 300 IU 3 times a week
- L-Tyrosine 500mg twice daily for dopamine increase (motivation)
- No AI
Results so far:
Been taking L-Tyrosine for almost 14 days and applying Pregnenolone/DHEA cream for the last 6 days (delaying starting HCG / Test Cyp injection to asses reaction to Pregnenolone first):
no noticeable increase in motivation or libido, no noticeable side-effects either. Although the weekend of starting L-Tyrosine started again approaching women in public (moderate anxiety), might be due to being away from porn finally for 30+ days at that time.
To start Test Cyp / HCG any other day.