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  1. #1
    Junior Member
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    Jul 2016
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    Default Sexual dysfunction and Finasteride

    Hello everyone,

    I am a 25 year old man. I took several medications that induced me various sexual problems (and others side effects: BIG hairloss, Vitiligo, weight gain, etc.). I weaned everything in March 2014, but the problems still persist.

    The medicines I took:
    -Prozac 40 mg / day (2006 to 2014)
    -Risperidone 1.75 mg / day (1999 to 2014)

    -Concerta 90 mg / day (1999 to 2014)
    -Finasteride 0.25 mg / day (2014 to 2016)


    The various sexual problems that persist:
    • decreased libido
    Difficulty in initiating and maintaining an erection
    • delay of orgasms
    • reduction of pleasure during orgasm
    • decreased penis sensitivity
    • loss of response to sexual stimulation
    • reduction of ejaculated semen volume

    I do not band anymore by myself. I have no erections in the morning when I get up. I must absolutely stimulate myself manually and be very focused in my fantasies. The most I can get is 1/2 erection, and when I stop stimulating myself manually and / or mentally, I automatically lose my semi-erection. When I'm with a partner, it's a disaster every time. Whether I'm alone or in a relationship, it takes me between 1 and 3 hours before I can ejaculate.

    I need treatments to attack every aspect of sexual dysfunction. Viagra and Cialis can help me only temporarily and they will only help for one aspect, that of maintaining an erection.

    Are there or will there be treatments to restore my initial libido (I gradually went from 8 cravings per day to 1-2 times a day), give me back the absolute control I had for to be able to ejaculate when it seems to me (it takes me more than an hour now), give me back my ability to automatically bandage with a complete erection (without resorting to masturbation and Viagra / Cialis)?

    If there is no cure, are there treatments to at least alleviate all my problems?

    The thing is that it gets worse from year to year and it scares me. This is the time I start to heal myself.

    ------------------------------
    As for the "erections" aspect, I need you to suggest reliable sites for the cheapest possible Viagra / Cialis please.

    I live in Quebec (Canada), so I will need Canadian or American sites.

    I found this site: http://pillstock.net/order-cia lis-online-en.html ... I do not know if anyone knows it, but it seems to be European ...

    I was suggested this one, but I do not know if it is reliable (it looks expensive): www.superpharmacie.fr
    ----------------------------------

    Thank you!
    William

  2. #2
    Senior Member
    Join Date
    Aug 2015
    Posts
    337

    Default

    "I do not band anymore" I knew you were from Quebec the second I read this. You can't buy viagra online in Canada without a prescription. All those "Canadian sites" not requiring prescription are actually based in Asia and you will end up importing meds that are not allowed by Canada health regulations to import, risking your shipment to be seized. You really need to see a Urologist and explain everything to him. You need to know if your testosterone levels are in the normal range and he can get you the Viagra prescription as well.

  3. #3
    Junior Member
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    Sep 2016
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    28

    Default

    wow

  4. #4
    Junior Member
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    Jul 2016
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    Default

    Thank you for asking me, Louish!

    Hahaha yes my English is very bad, but I pratice all day for become better

    I have a blood test tomorrow.

    -Hématologie: FSC, Sedimentation

    -Biochimie: Albumine, ALT, Creatinine, Électrolytes (Na-K-Cl) ions, Ferritine, Hb glyquée (HbA1C), Proteines totales, TSH (algo. thyr.), Vitamine B-12

    -Others: Testo total, Testo biodisponioble, Shbg


    My family doctor is finding me an urologist and he is going to give him the results of blood tests. However,
    I do not want to get f*cked and I want to be well prepared to challenge the urologist. That's why I'm calling for your help.

    In PHG forum, many guys suggest me Naltrexone. Do you know? If yes, where find Naltrexone (prescription by urologist , internet?) and what dosage? I see Naltexone can induce hairloss. It's true? I don't need other alopecia, I have a big DUPA and it's a nightmare.

  5. #5
    Senior Member
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    Aug 2015
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    Default

    Why would you take an opioid antagonist for your condition?

  6. #6
    Junior Member
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    Jul 2016
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    Default

    I don't know, it's a PHG forum members suggestion. But, more I read about Naltrexone, more I think it's not a good idea.

  7. #7
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    Jul 2016
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    Default

    Hello everyone,

    I have something new.

    As I already mentioned, after complaining about hair loss and sexual dysfunction (of which I am responsible for Prozac, Risperidone, Concerta ... and maybe Finasteride), my doctor made me have a blood test. He called me yesterday to tell me that my Vitamin B12 was low. He told me he was going to send me a prescription Vitamin B12 to take by mouth (oral) to stabilize all that.

    However, I have done some research and I am afraid it will be more complicated than that. First, it seems that the injections are more effective, and secondly, since I am not a vegetarian and I eat regularly full of foods containing Vitamin B12, it could be due to malabsorption of V B12. Even if I'm not yet 40 (I'm only 26 years old), it could still be a pernicious anemia or other serious diseases of the kind that develops quietly and insidiously. Untreated, the disease progresses to severe neurological disorders.

    Since my doctor does not seem to know what to do and it is difficult for me to reach him (impossible by phone), can you tell me what is the next step?
    -Do I only take a supplement of V B12 (injection, patch, orally, other?). For life? With a draconian follow-up?
    -Do I have to do other more advanced blood tests? Are there more than one type of V B12 to identify?
    -Are there tests to detect serious diseases related to the lack of V B12 (such as pernicious anemia, etc.)?
    -Do you have any other suggestions?

    * I want to specify that I live in Quebec *

    Thank you!

    William (Male, 26 years old)

  8. #8
    Senior Member
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    Default

    I doubt B12 is the only factor but oral supplements are enough.

  9. #9
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    Default

    I continued my research and I read that several medicaments could interfere and be at the origin of vitamin B12 deficiency by malabsorption, including psychotropic drugs (antidepressants, neuroleptics) and treatments against high blood pressure (Minoxidil). It could only be that. But maybe not.

    But even if it's a drug that causes malabsorption, it's still dangerous to let the vitamin B12 level out of balance. Hence the importance of finding a doctor who knows about it, how to rebalance it in the best possible way and to have a regular follow-up with blood tests.

  10. #10
    Junior Member
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    Jul 2016
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    Default

    I started the oral tablets Beduzil 1200mcg on November 16th.

    I saw two doctors who told me the same thing. They do not want to do more testing. They told me to start with the tablets, do another blood test in March 2018, and if that does not work, go to the injections. That's what I'm going to do.

    What scares me is that my B12 level was 131pmol / L on October 31, 2017. The critical threshold is 110pmol / L. Down there, there can be irreversible damage. I hope that if the tablets are ineffective, my B12 rate will not have time to go down to 110pmol / L by March 2018. I do not know how fast it is going down.

    Also, according to all the sites I consulted, it seems that testing the B12 rate and treating it properly is much more complex than simply doing blood tests every 3 months and choosing between tablets or injections. I would so like to meet a doctor who agrees to deepen the subject with me. Maybe I should go to private, but it's very expensive.

    For more testing...My family doctor and the other general practitioner I have seen are completely stubborn and do not want to know anything.

    Would it seem that no analysis is 100% reliable, since the analyzes recommended below are not specific to B12 and that rates may increase for other reasons than vitamin B12 deficiency. That said, these assays remain the most reliable current method for detecting B12 deficiency.

    Methylmalonic acid (AMM, measured more specifically in urine than in blood) is the main analysis to identify a deficiency.
    When our cells begin to run out of vitamin B12, our levels of methylmalonic acid increase.
    A person properly supplemented and without deficiency will most often obtain a result less than 1 mmol of AMM per mol of creatinine. Starting from 2 mmol of AMM per mol of creatinine, one can ask questions about a deficiency / a beginning of deficiency. The official recommendations are not to exceed (approximately) 3.5 mmol of AMM per mol of creatinine.

    It is important to ask for the urinary MAH (urine analysis) and not the AMM serum (blood test), the latter being less precise.
    It is to be expected that our doctor and laboratory will know absolutely nothing about methylmalonic acid.
    For clarification: it is better to ask the laboratory to have the analysis sent to a specialized lab (where the analysis is done), if possible, rather than to laboratories that are not specialized in this area. (who do not perform the analysis themselves and subcontract it, which can significantly lengthen the time to receive its results).

    Neurologists strongly recommend that you test your homocysteine (the latter increasing during vitamin B12 deficiency as the AMM) via a blood test.

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