Keihan
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Several years ago, the US FDA ( (with Japan following suit quickly) approved low dose tadalafil [ Cialis ] for enlarged prostrate conditions, ( BPH Beneign Prostatic Hyperplasia ].
A somewhat hapless friend with failing health ( obesity & insulin resistance ) was puzzled with the Halloween candy like assortment of medications he had been given, and asked me to decipher them. He couldn’t understand why I broke out laughing and asking him whether he recently had any nookie on the side recently. Just made him more angry and irritated when I told him the other conventional use for the Tadalafil. Can’t recall but I think the dose for BPH was 5mg/d.
Another friend who was using Tadalafil as a ‘performance enhancer’ inevitably got psychologically dependent on it. That is, while before he didn’t have ED, he became psychologically dependent on it and basically got ED ( psychological , not physiological ). I think he now gets a low dose supply ( he’s stateside ) which is something like 10mg/d. The conventional dosage for Cialis for ED, I think is 20mg....
If there’s possible issues with aging and lower testosterone, before looking at either non prescription testosterone booster supplements like Ali Tongkat etc or seeking prescription testosterone shots , it makes sense to see whether vitamin + mineral combinations do the trick. For example, Vitamin D3 ( which you will want to always take with Vit K2 MK7 ) , Zinc, Vitamin B6 or similar proprietary combinations of “ZMA”. If they do work, it’ll help solve the problem in a ‘sustainable’ manner that won’t require ‘cycling’ or deplete your wallet as aggressively.
I would think psychological dependence happens more than most physicians would like to admit. I could see how that might come into play with younger guys, particularly younger guys still in the dating scene. Me, I'm not worried about any psychological effects because 1) I rarely take anything, and 2) I'm too old to give a shit. On those nights where I'm about fourteen beers in and the other half wants to fool around, I get halfway hard and go limp before I get can both our pants off, I just laugh, roll over and go to sleep. She'll pout for a few moments then probably pass out as well, as if I've had a fourteen beers then she's likely had at least seven.
But I can vouch for the supplement route. I was still in my mid-20s the last time I tried ZMA and used it primarily as an athletic enhancement, rather than for testosterone levels. All I know is it had a similar effect to Tongkat, except it gave me wild ass dreams, like a really fucked up acid trip that's terrifying and exciting at the same time, and then rewarded me with explosive shits in the morning when I finally woke up from the all-night hallucination of being Harrison Ford in Raiders of the Lost Ark. These days, I'd like to keep my hair as long as possible so I avoid anything that plays with testosterone (including really young girls).