Prostate enlargement, TRT alternative choices and proactive preventative measures

[TRT@40]

Stats and history:
-late 40s, 6feet, 225lbs, doctor prescribed TRT about 7 years ago, strong family history of prostate issues, including prostate cancer in late 70s for father
-typical symptoms of BPH set in about 6 months ago, very suddenly and not gradually, while on 150mg/week of testcyp
-family doctor finger test confirmed enlarged prostate about 5 months ago
-PSA test of 0.95 (reference 0-2.5) and free PSA to total PSA ratio of 0.47 (reference >0.25); about 4 months ago
-symptom management with 5mg cialis works better than lypocene and/or prostate tonic [Saw Palmetto, Nettle, Golden Rod, Thuja]
-modified carnivore diet with cheese, eggs as normal diet containing carb does not suit well anymore

Questions:
1. What Rx or supplements would you recommend to help decrease/shrink the size of prostate, to start taking now prophylactically? Aside from low dose dutasteride...Cialis is doing great job at symptom management, keeping BP in check etc...
2. What are the alternative choices for TRT instead of testosterone? Yes, avoid DHT derivatives or those that convert significantly to DHT?
3. Since nandrolone does not convert to DHT nearly as much as testosterone, what about low dose deca (100mg/wk) with low dose test of about 50mg (instead of 150mg/wk TRT dose) since some estrogen is essential?
4. Ment or trestolone decanoate? Any thoughts or experience with this compound for TRT?

Thanks in advance, gentlemen...

 

[TRT]

Sounds silly but I saw something about pomegranate juice and prostate shrinking at one point in time. Could have been an article cookie cutting a bullshit study but I’m here for the info as well.

 

[Nidus]

isn't cialis proven to help with prostate growth to counter it?

 

[Ghoul]

isn't cialis proven to help with prostate growth to counter it?

No but daily low dose Cialis is FDA approved to relive the symptoms,

 

[Bigoldguy]

You might look at finasteride...its supposed to shrink it over time.

 

[AlexDavis43]

2. What are the alternative choices for TRT instead of testosterone? Yes, avoid DHT derivatives or those that convert significantly to DHT?

You can also consider routes of administration. I don't recall the differences with Natesto (nasal gel), Androgel, oral TU, etc., but one study showed scrotal application increased DHT the most. Natesto preserved testicular function the most.

There are differences, maybe on prostate risk too.

 

[Excel.exe]

You might look at finasteride...its supposed to shrink it over time.

and do not forget to overlook the side effect it brings if you one of the unlucky ones.

 

[AlexDavis43]

Eand do not forget to overlook the side effect it brings if you one of the unlucky ones.

Erectile dysfunction, right?

 

[Excel.exe]

Erectile dysfunction, right?

or depression or brain fog or more. last year fda put a warning label on it.

lookup post finasteride syndrome. the name is misleading, it occurs while taking finasteride as well.

 

[AlexDavis43]

or depression or brain fog or more. last year fda put a warning label on it.

lookup post finasteride syndrome. the name is misleading, it occurs while taking finasteride as well.

Topical finasteride seems less likely to cause PFS (ref1).

Or not:

 

[DiHydro]

Estrogen causes prostate growth not DHT.

 

[Excel.exe]

Estrogen causes prostate growth not DHT.

why do doctors prescribe finasteride or dutasteride instead of an ai?

 

[Ghoul]

and do not forget to overlook the side effect it brings if you one of the unlucky ones.

And then you stop and for the 13% that get them. they go away.

Finasteride users have a 30-40% lower rate of prostate cancer, and 25% smaller prostates, so they can pee, not dribble.

 

[Ghoul]

Topical finasteride seems less likely to cause PFS (ref1).

Or not:

View attachment 316427

Topical finasteride seems less likely to cause PFS (ref1).

Or not:

View attachment 316427

"Post Finasteride Syndrome" are the symptoms of crashed DHT, which in a small proportion of men, endure far beyond the recovery to normal levels, and are all, unsurprisingly, symptoms that can be induced psychosomatically.

A few years ago the hysteria that the symptoms of low DHT were somehow permanent peaked, and after hundreds of unsuccessful lawsuits against doctors and dozens of studies trying to find any physical basis for these claims proved to be duds, the primary predictor of PFS is how much someone has read about it.

You'd can forgive those ignorant of hormones for buying into this social contagion. After all, when symptoms persist weeks after stopping a medication, and Reddit is telling you it's going to be forever, that's pretty scary. Enough to make you lose your erection. But you'd think people who understand how, for instance, awful crashing E2 is, but that symptoms resolve once estrogen levels return to normal, would know better.

If non AAS using men were routinely prescribed Aromasin, we'd have an outbreak of "Post Aromatase Inhibitor Syndrome".

Today doctors continue to write nearly 10,000,000 prescriptions a year for finasteride in the US alone, at doses up to 5mg for BPH, without concern of losing their livelihoods as it's become clear the threat of being held liable for "permanently ruining men's lives" doesn't withstand any scientific scrutiny, and neither do the countless Reddit conspiracies citing the suppression of PFS "facts" as the result of Big Pharma conspiracies for this drug with a wholesale price of 1¢ per pill.

Avoid "PFS", ie, crashing DHT, by starting at sub 1mg levels, anything from .2mg upwards has shown effectiveness, and titrating up in small increments. For hair loss purposes, .50mg provides around 80% of the benefit of 1mg, with far lower risks of inducing sides.

You'll also keep your prostate size in check and significantly lower your risk of prostate cancer. Unlike "PFS", those are scientifically well established long term effects of finasteride use.

 

[DiHydro]

why do doctors prescribe finasteride or dutasteride instead of an ai?

Good question.
"In this study, 120 men aged 50–70 years with
andropause symptoms and low serum testosterone
levels were randomised to apply a gel containing
androstanolone 125mg (n = 60) or placebo to the upper
arms or shoulders and to the abdomen if necessary,
every day for 6 months.*
During the first 3 months of treatment, men in the
androstanolone group showed a significant
improvement from baseline in their score of early
morning erections, and in their satisfaction with sexual
life. The ability to maintain erections also improved
significantly in androstanolone, compared with placebo,
recipients. Androstanolone was well tolerated.
Unlike other androgens, androstanolone cannot be
aromatised to estrogen. Although estrogen levels were
decreased by 50%, androstanolone treatment had no
effect on prostate size, prostate specific antigen levels,
or International Prostate Symptoms Scale scores. The
researchers suggest that ‘if estrogens play a role in
prostate growth, as has been suggested, the use of
nonaromatizable androgens [such as androstanolone]
may be beneficial compared with that of aromatizable
androgens’.
* If necessary, the dosage was adjusted after 1 month to ensure serum
androstanolone concentrations reached the upper limit of 5.8–11.6
nmol/L.
Kunelius P, et al. The effects of transdermal dihydrotestosterone in the aging male:
a prospective, randomized, double blind study. Journal of Clinical Endocrinology
and Metabolism 87: 1467-1472, Apr 2002"

More studies in these videos:

View: https://www.youtube.com/watch?v=LIua4gQX_9s


View: https://www.youtube.com/watch?v=VzbSux_jues

 

[fike]

I can’t speak to much of what you’re asking, but I am prescribed a low dose of cialis for benign prostatic hyperplasia. I know this is already mentioned above, but it definitely helps relieve my symptoms and has definitely helped shrink the size a bit. I only had very minor enlargement but 5-10 mg of cialis in conjunction with some flomax definitely works wonders.

As far as TRT alternatives, seeing as how I’m too lazy to read the other comments, I’ll just go ahead and post of what I know of. HCG raises my test levels by 200-300 points compared to when I don’t run it. There’s a definite increase from it. Also, I know clomid or enclomiphene will raise test levels. The very first performance enhancer I ever used was 25 mg of enclomiphene if I remember correctly. I wasn’t ready for the TRT commitment yet and this seemed to be a good option. It took me from 700ish to 1000ish.

 

[Bigoldguy]

I can’t speak to much of what you’re asking, but I am prescribed a low dose of cialis for benign prostatic hyperplasia. I know this is already mentioned above, but it definitely helps relieve my symptoms and has definitely helped shrink the size a bit. I only had very minor enlargement but 5-10 mg of cialis in conjunction with some flomax definitely works wonders.

As far as TRT alternatives, seeing as how I’m too lazy to read the other comments, I’ll just go ahead and post of what I know of. HCG raises my test levels by 200-300 points compared to when I don’t run it. There’s a definite increase from it. Also, I know clomid or enclomiphene will raise test levels. The very first performance enhancer I ever used was 25 mg of enclomiphene if I remember correctly. I wasn’t ready for the TRT commitment yet and this seemed to be a good option. It took me from 700ish to 1000ish.

Im about to start the cialis/flomax pair 0.4 Flomax did very little so this is the next step.

 

[Big Sexy]

I’ve been on finasteride for 4 years. My PSA levels come back at .8 everytime. I read somewhere if you take finasteride it masks what your Psa score really is ?

I know for a fact I feel my prostate enlarging on higher cycles due to me having to pee 4x a night but it still comes back at .8

Suggestions ?

 

[Bigoldguy]

My pcp says he's not a fan of finasteride because it can mask prostate cancer but, from what I read, itll actually lower your chance of getting prostate cancer...a double edged sword. Pay attention to your symptoms and, it they get bad, see your doc. Just my opinion.

 

[Bigoldguy]

My pcp says he's not a fan of finasteride because it can mask prostate cancer but, from what I read, itll actually lower your chance of getting prostate cancer...a double edged sword. Pay attention to your symptoms and, it they get bad, see your doc. Just my opinion.

Are you taking fina at a hair loss dose (1mg) or prostate dose (5mg)?