Impotence Support - New to Group, Looking for Advise

Author

New to Group, Looking for Advise

Magnolia

2005-04-02, 4:43 pm

Hi. I'm new to this group, and would appreciate any advise any of you
may be able to offer. I am 35 but have been experiencing ED problems
since I was 32. I have been seeing a doctor in NYC for several months
and there is at least some reason to belief (IMO) that my ED is
testosterone related. Here are the results from my initial lab work:

1/17/05 Testosterone 289.0 ng/dL (286.0 - 1511.0)

He gave me a DHEA supplement (25 mg capsules) and told me to take one
a day. After a week or so on the supplement I got about one week of
spectacular results and then nothing.

He next put me on AndroGel (which I hate btw) which also produced
results for a week before fading.

I just returned from my last appointment and received these results
from my latest lab work:

3/21/05 Testosterone 629 ng/dL (270-1734)
Prolactin 3.5 ng/mL (2.5-17.0)
FSH 2.2 mUI/mL (0.7-11.0)
LH 0.5 mUI/mL (0.8-7.6)

So, despite my subjective evaluation of my condition, it seems that
some part of my treatment has increased my Testosterone levels
considerably.

Here are some questions/comments I have that I would appreciate your
feedback on:

1. I am becoming generally dissatified with my doctor. The fact that
tests to measure my prolactin, FSH, and LH levels were not performed
until well after a course of TRT had begun is upsetting to me. Would
not TRT affect these values (at least FSH and LH) and thus make it
more difficulty to determine whether my problem was primary or
secondary hypogonadism?
2. There are two other tests I have read about in this group that my
doctor has never even mentioned: estrogen and Free Testosterone. From
what I have read isn't initial success on a course of treatment
followed by decline consistent with FT being eaten up by increased
estrogen production? So it seems to me that test may be especially
important for me.
3. My doctor has advised our next step to be bi-weekly injections of
Testosterone. He did not specify a dosage. But from what I have read
here, bi-weekly seems far too infrequent and likely to result in
drastic swings in my T level.
4. I have been told that Dr. Shippen is not taking new patients now,
but that if I call back I may be able to get in at the end of June or
July. I am going to continue to follow up on that, but certainly there
must be someone in this group that can give me a referral to a good
"Shippen-like" doctor in NYC. I tried looking up a referral on the
website that Wanderer listed
(http://www.tuneupyourt.com/find_a_doctor.html), but all I got was
"can not connect" message. So if anyone can help me with a NYC doctor
referral or even get a listing that that website for me I would
appreciate it.

If anyone can offer me any advise or any comments on my test results
or the above questions I would appreciate it.

Thank you all for your ear and your help...

Mag

Wanderer

2005-04-02, 4:43 pm

On Mon, 28 Mar 2005 12:28:49 -0500, Magnolia wrote
(in message <c9dg41hcnhi457g48enkcjm08pa1q53a2l@4ax.com> ):

> 4. I have been told that Dr. Shippen is not taking new patients now,
> but that if I call back I may be able to get in at the end of June or
> July. I am going to continue to follow up on that, but certainly there
> must be someone in this group that can give me a referral to a good
> "Shippen-like" doctor in NYC. I tried looking up a referral on the
> website that Wanderer listed
> (http://www.tuneupyourt.com/find_a_doctor.html), but all I got was
> "can not connect" message. So if anyone can help me with a NYC doctor
> referral or even get a listing that that website for me I would
> appreciate it.

I know that June or July seems a long way off, but if I was you, I would keep
after Shippen's office and try to get an appointment -- even if you also see
someone locally in the meantime. It took me about six months to get in to see
Shippen. It was well worth the wait. I now take the two hour drive from NYC
to Shillington PA twice a year.

You're right, the tuneupyourt.com site seems to be busted.

It's hard to say from your post if testosterone is the key issue in your ED ‹
although your unsupplemented levels are abnormally low for a man of your age.

Do you take meds for any health conditions? How does your ED manifest itself?
How is your libido? Energy levels? Mood?

Wanderer

Magnolia

2005-04-02, 4:43 pm

Actually I do have a couple of questions about Trimix. I don't know
how you felt when you first heard the words "penile injection" but my
reaction was, "no...we will NOT be doing that." But my doctor said it
is the only surefire way to get an erection and that is what I need
but I am still wary.

So I have two questions for you:

First (and I apologize if any of these questions give offense), I have
gotten the impression that this type of treatment is good for weekend
sex type of situations. Unfortunately (or perhaps fortunately) most of
the situations I am liable to get involved with are likely to be much
more sexually demanding, requiring sex on a daily basis. Is Trimix a
workable solution in a situation with that much demand?

Second, I know that injections can mean different things in different
contexts. For example, at the doctors office injections mean long
syringes pulling precise amounts out of tiny bottles, finding veins,
etc. A rather involved process that I imagine would take some time and
be difficult to conceal. But I am sure I have heard of cases where the
entire process of an injection has been streamlined so that it is a
matter of placing a pre-packaged injector with a pre-measured dose of
medicine against your skin, pressing a button, and that's it. So the
question is, where does Trimix fall along this continuum?

Thanks again for your help...

On Tue, 29 Mar 2005 19:17:29 GMT, "ernestnolan" <emiles@stny.rr.com>
wrote:

>Hi,
>
>My ED was not cured by TRT but I have continued to receive TRT now for more
>than 10 years. The benefits of TRT are very impressing and should not be
>discounted. I was attempting to encourage TRT for these benefits.
>
>The fantastic erection only happen when the T level is going up and once it
>stabilizes my ED returned just as before. I found a book by Dr. Irwing
>Goldstein, Boston Univ. "The Potent Male" in 1992 describing all of the
>different ED therapies including injection therapy, trimix, and surgical
>implants. This was before viagra.
>
>I went to Dr. Goldstein after writing with my symptoms and he accepted me as
>a patient. I had to travel 6 hours one way to Boston so it was a very long
>day.
>
>My first visit, I was checked for leakage, psychological problems as the
>cause of my ED and good circulation to the penis. I was given a sample
>injection to show me what the erections would be like and was literally
>amazed at the firmness. After 4 hours it did not go down so an injection
>brought it down in minutes. The dosage chosen was arbitrary and there was no
>danger with the large dose when in the doctors office. Two visits later I
>was on my own with the right dosage and the skills needed to inject myself.
>
>Years later I tried viagra and got a severe headache and a soft erection.
>Trimix was superior with a very firm teen like erection that comes up
>quickly and lasts for several hours if I choose to inject that much. It
>becomes tender after about 3 hours making to 4th hour painful even though it
>was not a medical problem. I was encouraged to vary the dose to see what
>amount I preferred.
>
>Lots of things cause ED. My problem was age related nerve damage.
>
>When a man gets older or a man has diabetes, the nerves become less
>sensitive that are involved with erections. Viagra and others only help
>nerves perform well again until the nerves get seriously bad. Then injection
>therapy like trimix comes to the rescue. Caverject is a poor performer and
>costs more.
>
>I get my 10ml vial trimix from Franck's Pharmacy, Ocala FL for $119.
>delivered overnite. Once the urologist teaches you how to inject yourself,
>Franck's will help your GP write the following prescriptions which in my
>case was very important. I would have to travel to Boston every year and
>also pay for an appointment just to keep the opportunity for a refill of my
>prescription.
>
>Any more questions?
>
>ernestnolan
>
>"Magnolia" <Magnolia@pta.com> wrote in message
>news:o8nh41dea6pn0np80v5642i9o3r9ks51bj@4ax.com...
>so.
>As
>level,
>in
>new
>

Magnolia

2005-04-02, 4:43 pm

Wanderer,

Thanks for the feedback. I do intend to follow through with the visit
to Dr. Shippen if I can get in to see him. I spoke with the doctor I
am seeing now on Monday and when I mentioned to him the treatment that
you are currently using ("self-administered T-cypionate shots") he
said he had never heard of it. This, of course, completely undermined
my confidence in him so I am presently looking for a new doctor in NYC
to serve as a stop gap measure until I can get in to see Dr. Shippen.
I have seen postive results from the Androgel so, in the meantime, I
am going to either continue on Androgel or start taking bi-weeking T
injections at the doctor. Given the limited treatment options I have
available to me at present what do you advise?

As for your other questions, here goes:

>It's hard to say from your post if testosterone is the key issue in your ED ‹
>although your unsupplemented levels are abnormally low for a man of your age.

I know it is impossible to reach a conclusive diagnosis from two
incomplete sets of test results, but that is why I am determined to
see Dr. Shippen. He seems committed to the process of finding out what
is causing a condition and figuring out a treatment plan that works
for the individual. I am 35 years old and have already sacrificed 3
years of my life to ED. I believe that with the right doctor we can
determine what is causing this problem and hopefully address it
successfully. That being said, I agree with you. My T levels do seem
abnornmally low, so there is at least some reason to think it may be
implicated, if only in part, in causing my ED.

>Do you take meds for any health conditions? How does your ED manifest itself?
>How is your libido? Energy levels? Mood?

Here is the uncompromised truth. I do not, at present, take any meds
for any health conditions. But in the past I have various medical
events that may have caused or contributed to my present difficulties.
When I was 24 I had brain surgery, but my desire and performance
apparantly came through the event unscathed and for years the only
thing I suffered from was too much desire.

I gained a lot of weight during my 20's and I went on a crash diet
when I was between 30 and 31. I went from 200 lbs to 160 lbs in a very
short period of time. This diet involved very intensive cardiovascular
exercise where I often ran for up to an hour a day, sometimes to the
point of physical illness. I know that Matt Damon claims that he
suffered glandular damage from such activities, but my doctor says
that idea has never been proven. The diet also involved taking
ephedrine to speed up my metabolism. Around this same time I was also
placed on Prozac by my doctor. I remained on it only for a few months,
but I was on it nonetheless. I also noticed that after being on Prozac
my leg would twitch involunarily in the night. All of these events
took place during the year or two prior to the first symptoms of ED
and seem to produce a veritible who's who of usual suspects for the
condition.

The first girl I was with after my weight loss was, happily, the first
time I experienced ED. We were half way through the act when she
stopped and said, "Is there a problem down there?" And, sure enough,
there was! So my first ED symptom was the inability to maintain a firm
erection. This same little scenario has played out several times since
and it is never a pleasant experience. I tried Viagra in 2002 with
spectacular results, in 2003 with diminishing results, and Cialis in
2004 with mixed results. Today my symptoms consist of the inability to
achieve and to maintain a working erection.

So my issue now is that I have no problem meeting attractive women,
but once I meet them I am hard pressed to know what to do with them. I
am looking to be in a relationship but I know that no amount of
personality is going to compensate for being unable to perform in the
bedroom.

At present I drink in moderation (one or two glasses of wine once or
twice a week). I do not smoke or do drugs. I am also slowly weening
myself off of caffeine even though I feel that if a can of diet coke
is going to take away my erection then i am being treated most
unfairly by the powers that be.

I have been on Androgel and DHEA for almost one month and have just
started taking the vitamin/mineral/herb regiment Dr. Shippen describes
in his book. The good news is that during the past couple of days I
have noticed an improvement in overall vitality and the return of
frequent nocturnal erections. In his book Dr. Shippen writes that you
should not regard TRT as a medicinal cure for ED. Testosterone is an
anabolic hormone that builds the body up over time. And I noticed in
most of his testimonials that results often kick in after a month or
two or six or more. So m hope is that these signs are the beginning of
a process that will see me full of towards recovery over the next
several months.

And thanks again for your help...

On Thu, 31 Mar 2005 14:50:13 GMT, Wanderer <unlikely@nowhere.net>
wrote:

>On Mon, 28 Mar 2005 12:28:49 -0500, Magnolia wrote
>(in message <c9dg41hcnhi457g48enkcjm08pa1q53a2l@4ax.com> ):
>
>
>I know that June or July seems a long way off, but if I was you, I would keep
>after Shippen's office and try to get an appointment -- even if you also see
>someone locally in the meantime. It took me about six months to get in to see
>Shippen. It was well worth the wait. I now take the two hour drive from NYC
>to Shillington PA twice a year.
>
>You're right, the tuneupyourt.com site seems to be busted.
>
>It's hard to say from your post if testosterone is the key issue in your ED ‹
>although your unsupplemented levels are abnormally low for a man of your age.
>
>
>Do you take meds for any health conditions? How does your ED manifest itself?
>How is your libido? Energy levels? Mood?
>
>Wanderer

Wanderer

2005-04-02, 4:43 pm

On Thu, 31 Mar 2005 17:14:28 -0500, Magnolia wrote
(in message <7gqo41d6cbqhrs7hd6apooqldbed2n3p7m@4ax.com> ):

> I have seen postive results from the Androgel so, in the meantime, I
> am going to either continue on Androgel or start taking bi-weeking T
> injections at the doctor. Given the limited treatment options I have
> available to me at present what do you advise?

I would thoroughly investigate the bi-weekly injection therapy this doctor is
recommending before going forward. What form of T is he planning to
administer, and in what dose? The fact that your doc is unfamiliar with
self-injections of T-cypionate suggests that he is not really familiar with
TRT. Ditto, the fact that he did not check for bioavailable (free) T, SHBG,
estradiol, prolactin, etc. I may not be recalling your previous posts
correctly, but it also seems strange to me that he wouldn't have started you
out on HCG, which is a much safer therapy that usually works very well for
men in their thirties, forties, and fifties.

I am not a doctor, but I have concerns about the biweekly injection concept.
The idea of T therapy is to avoid peaks and valleys. To give you a shot that
would last two weeks seems to me that it would require a pretty big blast of
T at the outset, and that you would be running on empty at the end of the
cycle. I recall posts from another poster (Joe) who was on a similar therapy
and wound up feeling worse than ever.

From the other information you've provided, I suspect that Prozac was the key
driver in your developing ED. There are now groups for former SSRI users who
have lost their libido and erectile function. Many of the people in those
groups were only on SSRIs for a few months, yet lost much of their sexual
function. SSRIs lower testosterone, jack up estrogen, and interfere with the
dopamine receptors which are the key to libido. The drug companies claim the
effects go away when you stop taking the drugs... the users, including
myself, say otherwise.

It's a tricky business readjusting the body's biochemistry after an assault
like that... you need a real expert to help you.

Wanderer

ernestnolan

2005-04-02, 4:43 pm

Hi,

I have got some good news. Trimix is truely the best when the viagra and
others of the same type fail. Try it you'll like it.

It works differently as it does not enhance the nerve performance essential
for erections. Smooth muscles control the blood supply to the penis and the
injection cause these muscles to respond for the erection.

This is the way it works. It comes up in about 10 minutes and gets very rock
hard especially with someone giving it some attention. Gives a very hard
teen like erection that lasts for several hours. Up to 4 hours is allowed
safely but it gets tender as it is very firm/rigid and gets tender to she
enjoys herself but you will not be as happy as she is. You might inject less
so it only lasts 3 hours for instance. Leisurely sex is something new for
the masses and when they find out about it TRIMIX will sell like hotcakes.

Now after the 4 hours, the doctor says inject only every other day. That is
conservative advice. I have injected every day for 2 weeks but it was not
much fun the last few days as I was getting lots of wear and tear on that
vital area. Don't think you will intentionally inject too much but you
should vary the dose 10% at a time to see what you like. You can not get an
erection within the next few hours as I tried that once but in 24 hours you
can get it to work OK again.

It is not as sensitive to heat as people think. I took prefilled syringes on
vacation and had very little refrigeration available. Kept them in a tissue
in a tooth brush holder to keep them from slamming around in the container.

Get a sample injection and you will not go back.

The trick is easy to have a reliable injection but many make mistakes
frequently as they don't figure it out. The walls of a flacid penis are
against each other and when stretched across you thigh it is tough to stop
the end of the needle so it unloads within the cavity. The best thing is to
tease the penis till some blood flows in and then squeeze the blood toward
the end and hold it tight. Then inject where the erection is about the
normal erect daimeter. Bury the needle to be sure you are all the way thru
the cavity.

When injected in the lining it is not uncommon to leave a noddule in the
lining which goes away in a few days but prevents the erection being as good
as it should be.

The syringe is injected into the cavity of the penis which is balloon like
which fills with blood to cause the erection. No need to hit a vein or
artery. Bury the needle and unload the syringe. You do need to find out the
proper dose and how to load a syringe correctly, inject safely and where you
stab your penis.

I got my trimix from the uro back in 1992 when I started and it cost more
than others were paying by sending prescriptions to a compounding pharmacy.
Then a new law requires the uro to see you to maintain receiving an annual
prescription. The cost of the visit and the 6 hour trip one way to Boston
makes the cost of that 10ml vial even higher now. I called Franck's
Pharmacy, Ocala, FL to see what could be done.

He suggested my GP write the prescription instead of the uro and asked me to
have my GP call to exchange info on credentials for the GP and the
instructions on writing the prescriptions. Now I pay $110 for overnight
delivery of 10ml of mixture #5. This is good for about 100 erections.

Anymore questions?

ernestnolan

"Magnolia" <Magnolia@pta.com> wrote in message
news:3bpo41p3hp2ibq60jpsun0eblmioussu5n@4ax.com...
> Actually I do have a couple of questions about Trimix. I don't know
> how you felt when you first heard the words "penile injection" but my
> reaction was, "no...we will NOT be doing that." But my doctor said it
> is the only surefire way to get an erection and that is what I need
> but I am still wary.
>
> So I have two questions for you:
>
> First (and I apologize if any of these questions give offense), I have
> gotten the impression that this type of treatment is good for weekend
> sex type of situations. Unfortunately (or perhaps fortunately) most of
> the situations I am liable to get involved with are likely to be much
> more sexually demanding, requiring sex on a daily basis. Is Trimix a
> workable solution in a situation with that much demand?
>
> Second, I know that injections can mean different things in different
> contexts. For example, at the doctors office injections mean long
> syringes pulling precise amounts out of tiny bottles, finding veins,
> etc. A rather involved process that I imagine would take some time and
> be difficult to conceal. But I am sure I have heard of cases where the
> entire process of an injection has been streamlined so that it is a
> matter of placing a pre-packaged injector with a pre-measured dose of
> medicine against your skin, pressing a button, and that's it. So the
> question is, where does Trimix fall along this continuum?
>
> Thanks again for your help...
>
> On Tue, 29 Mar 2005 19:17:29 GMT, "ernestnolan" <emiles@stny.rr.com>
> wrote:
>
more[vbcol=seagreen]
it[vbcol=seagreen]
as[vbcol=seagreen]
long[vbcol=seagreen]
no[vbcol=seagreen]
myself.[vbcol=seagreen]
it[vbcol=seagreen]
injection[vbcol=seagreen]
and[vbcol=seagreen]
yourself,[vbcol=seagreen]
my[vbcol=seagreen]
Not[vbcol=seagreen]
as[vbcol=seagreen]
800-1000.[vbcol=seagreen]
up[vbcol=seagreen]
brand[vbcol=seagreen]
>

John123

2005-04-05, 5:22 pm

> From the other information you've provided, I suspect that Prozac was the
> key
> driver in your developing ED. There are now groups for former SSRI users
> who
> have lost their libido and erectile function. Many of the people in those
> groups were only on SSRIs for a few months, yet lost much of their sexual
> function. SSRIs lower testosterone, jack up estrogen, and interfere with
> the
> dopamine receptors which are the key to libido. The drug companies claim
> the
> effects go away when you stop taking the drugs... the users, including
> myself, say otherwise.

Can you please provide addresses of the web sites or discussion groups which
you mention (i.e. the groups where people suffering from such SSRI side
effects can join)?

> It's a tricky business readjusting the body's biochemistry after an
> assault
> like that... you need a real expert to help you.
>
> Wanderer

For those who have experienced sexual dysfunction even after discontinuing
an SSRI, is there anyone who has recovered from this? What kind of steps did
they take to get well?

Magnolia

2005-04-05, 5:22 pm

Wanderer

2005-04-05, 5:22 pm

On Sun, 3 Apr 2005 9:54:56 -0400, John123 wrote
(in message <1112535889.e32921e0cac9f7912ed6d5ae939b418c@bubbanews> ):

> Can you please provide addresses of the web sites or discussion groups which
> you mention (i.e. the groups where people suffering from such SSRI side
> effects can join)?

Here's one of them:

http://groups.yahoo.com/group/ssrisex
>
> For those who have experienced sexual dysfunction even after discontinuing
> an SSRI, is there anyone who has recovered from this? What kind of steps did
> they take to get well?

I have essentially recovered from SSRI after effects. In my case, it required
hormonal therapy, first with HCG, then with T-cypionate. I went over a year
waiting for problems to clear up on their own after withdrawing from SSRIs.
They never did. Once I embarked on testosterone therapy, the SSRI problems
went away within a few weeks.

Wanderer

Magnolia

2005-04-06, 8:35 am

Wanderer,

Good news, I have an appointment with Shippen in June! I believe I may
go to my doctor a time or two more before then, but I don't know
whether I will continue TRT with him.

One last thing before I go to see the good doctor: Where do you get
you Cialis (and any other expensive meds for that matter) from? The
entire online pharmacy is still kind of new to me and I was wondering
what kind of experiences you have had and whether the process involved
in using them is difficult.

On Fri, 01 Apr 2005 11:31:41 GMT, Wanderer <unlikely@nowhere.net>
wrote:

>On Thu, 31 Mar 2005 17:14:28 -0500, Magnolia wrote
>(in message <7gqo41d6cbqhrs7hd6apooqldbed2n3p7m@4ax.com> ):
>
>
>I would thoroughly investigate the bi-weekly injection therapy this doctor is
>recommending before going forward. What form of T is he planning to
>administer, and in what dose? The fact that your doc is unfamiliar with
>self-injections of T-cypionate suggests that he is not really familiar with
>TRT. Ditto, the fact that he did not check for bioavailable (free) T, SHBG,
>estradiol, prolactin, etc. I may not be recalling your previous posts
>correctly, but it also seems strange to me that he wouldn't have started you
>out on HCG, which is a much safer therapy that usually works very well for
>men in their thirties, forties, and fifties.
>
>I am not a doctor, but I have concerns about the biweekly injection concept.
>The idea of T therapy is to avoid peaks and valleys. To give you a shot that
>would last two weeks seems to me that it would require a pretty big blast of
>T at the outset, and that you would be running on empty at the end of the
>cycle. I recall posts from another poster (Joe) who was on a similar therapy
>and wound up feeling worse than ever.
>
>From the other information you've provided, I suspect that Prozac was the key
>driver in your developing ED. There are now groups for former SSRI users who
>have lost their libido and erectile function. Many of the people in those
>groups were only on SSRIs for a few months, yet lost much of their sexual
>function. SSRIs lower testosterone, jack up estrogen, and interfere with the
>dopamine receptors which are the key to libido. The drug companies claim the
>effects go away when you stop taking the drugs... the users, including
>myself, say otherwise.
>
>It's a tricky business readjusting the body's biochemistry after an assault
>like that... you need a real expert to help you.
>
>Wanderer

Magnolia

2005-04-06, 8:35 am

Thanks for all the useful information! I actually think I will bring
up Trimix next time I go to my doctor. Is Franck's Pharmacy the best
price for Trimix and is difficult to go through the paperwork to use
them? Also the fact that you mentioned mixture#5 interested me. Do you
know of any online information resources about this stuff because I
would not mind having facts in hand next time I go to the doctor in
case he is clueless about it as he has been about things in the
past...

Thanks

On Sat, 02 Apr 2005 02:48:07 GMT, "ernestnolan" <emiles@stny.rr.com>
wrote:

>Hi,
>
>I have got some good news. Trimix is truely the best when the viagra and
>others of the same type fail. Try it you'll like it.
>
>It works differently as it does not enhance the nerve performance essential
>for erections. Smooth muscles control the blood supply to the penis and the
>injection cause these muscles to respond for the erection.
>
>This is the way it works. It comes up in about 10 minutes and gets very rock
>hard especially with someone giving it some attention. Gives a very hard
>teen like erection that lasts for several hours. Up to 4 hours is allowed
>safely but it gets tender as it is very firm/rigid and gets tender to she
>enjoys herself but you will not be as happy as she is. You might inject less
>so it only lasts 3 hours for instance. Leisurely sex is something new for
>the masses and when they find out about it TRIMIX will sell like hotcakes.
>
>Now after the 4 hours, the doctor says inject only every other day. That is
>conservative advice. I have injected every day for 2 weeks but it was not
>much fun the last few days as I was getting lots of wear and tear on that
>vital area. Don't think you will intentionally inject too much but you
>should vary the dose 10% at a time to see what you like. You can not get an
>erection within the next few hours as I tried that once but in 24 hours you
>can get it to work OK again.
>
>It is not as sensitive to heat as people think. I took prefilled syringes on
>vacation and had very little refrigeration available. Kept them in a tissue
>in a tooth brush holder to keep them from slamming around in the container.
>
>Get a sample injection and you will not go back.
>
>The trick is easy to have a reliable injection but many make mistakes
>frequently as they don't figure it out. The walls of a flacid penis are
>against each other and when stretched across you thigh it is tough to stop
>the end of the needle so it unloads within the cavity. The best thing is to
>tease the penis till some blood flows in and then squeeze the blood toward
>the end and hold it tight. Then inject where the erection is about the
>normal erect daimeter. Bury the needle to be sure you are all the way thru
>the cavity.
>
>When injected in the lining it is not uncommon to leave a noddule in the
>lining which goes away in a few days but prevents the erection being as good
>as it should be.
>
>The syringe is injected into the cavity of the penis which is balloon like
>which fills with blood to cause the erection. No need to hit a vein or
>artery. Bury the needle and unload the syringe. You do need to find out the
>proper dose and how to load a syringe correctly, inject safely and where you
>stab your penis.
>
>I got my trimix from the uro back in 1992 when I started and it cost more
>than others were paying by sending prescriptions to a compounding pharmacy.
>Then a new law requires the uro to see you to maintain receiving an annual
>prescription. The cost of the visit and the 6 hour trip one way to Boston
>makes the cost of that 10ml vial even higher now. I called Franck's
>Pharmacy, Ocala, FL to see what could be done.
>
>He suggested my GP write the prescription instead of the uro and asked me to
>have my GP call to exchange info on credentials for the GP and the
>instructions on writing the prescriptions. Now I pay $110 for overnight
>delivery of 10ml of mixture #5. This is good for about 100 erections.
>
>Anymore questions?
>
>ernestnolan
>
>"Magnolia" <Magnolia@pta.com> wrote in message
>news:3bpo41p3hp2ibq60jpsun0eblmioussu5n@4ax.com...
>more
>it
>as
>long
>no
>myself.
>it
>injection
>and
>yourself,
>my
>Not
>as
>800-1000.
>up
>brand
>

Wanderer

2005-04-06, 8:35 am

On Wed, 6 Apr 2005 2:02:42 -0400, Magnolia wrote
(in message <ieu6519jvqnk18ekh4tl3u42a7kvuiqnjl@4ax.com> ):

> Wanderer,
>
> Good news, I have an appointment with Shippen in June! I believe I may
> go to my doctor a time or two more before then, but I don't know
> whether I will continue TRT with him.
>
> One last thing before I go to see the good doctor: Where do you get
> you Cialis (and any other expensive meds for that matter) from? The
> entire online pharmacy is still kind of new to me and I was wondering
> what kind of experiences you have had and whether the process involved
> in using them is difficult.

That is great news. Good for you for being persistent!

As for meds, that's a tricky situation and the answer depends on various
factors. I get some meds from my local pharmacy (HCG and Dostinex) because
part of the cost is covered by insurance.

For T-cypionate, Dr. Shippen will point you toward an excellent low-cost
supplier (if your treatment takes that course).

For Cialis and/or Viagra, many of the posters in this group get drugs from
India and China. I don't do that, and I don't advise it. To my mind, the
risks outweigh the benefits -- although many in here will disagree loudly.
Cialis is covered by my insurance, but they ration you to 5 pills a month.
That pisses me off for some reason, so I prefer to buy large quantities out
of my own pocket. Drugstore.com has about the best prices for genuine Cialis
that I have found online. Under $10 per 20 mg tablet in quantities of 30
pills. I only use 5 or 10 mg every few days... so the cost is not that
significant. It is very easy to order through Drugstore.com, and the meds
arrive very promptly.

Curiously, Cialis is one drug that actually costs more in Canada than in the
US... at least it did the last time I looked.

Good luck... let us know how things work out!

Wanderer

ernestnolan

2005-04-08, 9:43 pm

Hi,

Franck's is one of many and Dr. Goldstein used them to supply his patients.
He would not allow me to have a prescription which would have allowed me to
buy it for $110. He sold it to me for $300.

That price is probably as good as you will get and highly qualified IMHO.

There are different mixtures and one can only imagine one might be for
diabetics another for those with leakage problems for instance. Mention
different mixtures but mine was best for age related ED. I asked for a form
for my prescription insurance and he sent me a signed copy for my signature
to send in. Send a prescription after talking with them on the phone. No
paper work. You must have a prescription.

Suggest you geton GOOGLE and type in TRIMIX tutorial or something like that
to find what you can.

ernestnolan

"Magnolia" <Magnolia@pta.com> wrote in message
news:isu651hbk8b4ca9p2ld9f9f4do73g9idv0@4ax.com...
> Thanks for all the useful information! I actually think I will bring
> up Trimix next time I go to my doctor. Is Franck's Pharmacy the best
> price for Trimix and is difficult to go through the paperwork to use
> them? Also the fact that you mentioned mixture#5 interested me. Do you
> know of any online information resources about this stuff because I
> would not mind having facts in hand next time I go to the doctor in
> case he is clueless about it as he has been about things in the
> past...
>
> Thanks
>
> On Sat, 02 Apr 2005 02:48:07 GMT, "ernestnolan" <emiles@stny.rr.com>
> wrote:
>
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Wanderer

2005-04-11, 5:18 pm

Wanderer

2005-04-11, 5:18 pm

Magnolia

2005-04-11, 5:18 pm

Magnolia

2005-04-11, 5:18 pm