Cialis 2.5 mg - works for anyone ?

"i think you said, i should go on TRT to lose weight, but i want the opposite actually, dont want a life long commitment to TRT, would rather lose 50 lbs and see my testosterone increased and you admitted it should increase after 50 lbs weight loss"

You probably arent going to raise your T enough to matter by losing weight. I didnt mean to indicate otherwise. Sorry if I gave you the wrong impresssion about this.
The reason you are hypogonadal isnt because of the excess adipose tissue. True, it does increase the aromatization of T to E2 and and decreases T production via its effect on the HPG axis feedback loop.You will probably raise your T a little by losing weight. But if you do , you will still be in the lower percentiles of the normal range.
Your problem is much more likely to be caused by either insufficient pituitary LH secretion (secondary HG), reduced ability of the testes to respond to LH or simply not enough Leydig cells to make enought T (primary HG).
You need a proper workup to determine the cause and extent of the issue.
There are countless clinical studies enumerating the benefits of normal T levels and the problems a lack of it causes.
Dont have time to get into that now.
Perhaps someone else will.

Thanks for your input.
I'm aware optimal testosterone levels are healthy.

I'm in the situation I am and I still want to try to get my levels up without TRT.
I'm aware it might not be possible and thanks for exmphasising it.

I still hope at leat for small, but nticeable imnprovement.
In fact, I look quite bad, dont have gyno, maybe a little pseudo-gyno, and a huge "beer gut".
My estradiol levels are prolly high, havn't measured yet.
I think, before I go to a dr i could measure estradiol (like i said, it's just a matetr of paying for the labs and you get the labs that you want, without a presciption, but estradiol costs much more than serum T so I haven't done it yet) and if it's too high, try to get it down with DIM?
Is DIM safe, meaning no side effects and no way to do any further harm?

I don't want to give the false impression that I think I am smarter than doctors, although I always do huge research on health topics, I obviously dont have their practice. On the other hand, I know, just on reading this forum that many doctors in the US aren't knowledgeable in TRT and male hormones, so it must be even more true for my coutry, where hardly anyone is on TRT.

anyway, I have found a good job recently and here's a potenail girlfriend on horizon after a huge period of 'silence', so I got more motivation now, lost 10 lbs in last 2 weeks, around 45 more to go.

I'll order a measurement of total T on my own in a month and then again in a while and assumign i'll do a significant progress with my weight loss, if there's not sufficient T raise and no real improvement in my ED/libido symptoms, I'll obviously do a fucll check up after finding a competent doctor.


In the meantime, assuming Prelox won't do shit, I think I'll rather ytake cialis when needed for 2-3 months, instead of finding the first random dr who will get me on TRT even thouh he has no idea about it.

I know pde-5 inhibitors sometimes don't work in hypogonadal men, but I expect it still to get me at least to an average sexual performance. I asked in this thread about the lowest dose, since Im just the kind of person who doesnt wan t to get the meds when not 100% needed.

BTW this thread is few months old, nowaday if I had to take cialis today, I'd probably take either 10 mg or divide 20 mg into 3. Some guy would just take the biggest dose of viagra after his first failed erection, as for me, I'm more cautious and slow so to say.

Also, I saw a guy posted (nvm his nickname, in fact he's a great contributor) who is on like 15 meds per day and 10 supplements.
I don't want to go to that direction. I also don't want to spend all life doing T and adjusting it, doing all the check ups and spending time on health forums.

For me, the perspective of being natural in the optimum range seems like something worth pursuing, so I'll just take the chance and do all my best now and not jump on TRT.. at least not yet.

In fact, something happened and brought me from 295 to 359, so who's to say I can't get it to eg. 500-550 ng/dl, with further supplementation, exercize and 45 lbs weight loss?
 
UPDATE 1-US FDA OKs Eli Lilly's Cialis for enlarged prostate
http://www.reuters.com/article/2011/10/06/fda-cialis-idUSN1E7951ZG20111006

Thu Oct 6, 2011 6:01pm EDT

* Cialis can work for both impotence and enlarged prostate

* Cialis posted sales of $1.7 billion in 2010

Oct 6 (Reuters) - U.S. drug regulators approved Eli Lilly's (LLY.N) Cialis drug to treat enlargement of the prostate on Thursday, expanding use of the blockbuster impotence medicine.

The Food and Drug Administration said Cialis could be labeled for treatment of the signs and symptoms of a non-cancerous enlarged prostate, called benign prostatic hyperplasia (BPH), and also be used for people who have both BPH and erectile dysfunction.

About half of men over 50 suffer from prostate problems, which can cause difficulty urinating.

"BPH can have a big impact on a patient's quality of life," said Scott Monroe, director of the FDA's division of reproductive and urologic products. "Cialis offers these men another treatment option, particularly those who also have ED (erectile dysfunction), which is also common in older men."

U.S. researchers reported in the journal Urology in 2008 that impotence drugs could help reduce the symptoms caused by an enlarged prostate.

The FDA said it has approved eight other drugs to treat BPH, including Merck & Co's (MRK.N) Proscar, GlaxoSmithKline's (GSK.L) Avodart and Pfizer's (PFE.N) Cardura.

In an interview in July, Eli Lilly CEO John Lechleiter said he expects the longer-lasting Cialis to overtake Pfizer's Viagra to become the market leader for impotence drugs.

Cialis, which the FDA approved for impotence in 2003, posted sales of $1.7 billion in 2010, up nine percent from the previous year, while global Viagra sales climbed 2 percent last year to $1.9 billion.
 
Low-dose oral tadalafil once daily can significantly improve the self-esteem, confidence, sexual relationship satisfaction and NPT of ED patients.

[Efficacy of low-dose tadalafil on ED as... [Zhonghua Nan Ke Xue. 2010] - PubMed - NCBI


In this first study of men with diabetes and ED, once-daily tadalafil 2.5 and 5 mg was efficacious and well tolerated, suggesting this may be an alternative to on-demand treatment for some men, eliminating the need to plan sex within a limited timeframe.

Efficacy of tadalafil once daily in men with diab... [Diabet Med. 2008] - PubMed - NCBI
Medscape: Medscape Access

I think sooner or later I might end up on this drug.

I wonder about one thing however.. alcohol.
Im not a heavy drinker but once every 2-3 weeks I tend to drink a good few beers with friends, ocassionally also some vodka. If I was on daily Cialis, that wouldn't be advisable anymore I guess?
 
UPDATE 1-US FDA OKs Eli Lilly's Cialis for enlarged prostate
http://www.reuters.com/article/2011/10/06/fda-cialis-idUSN1E7951ZG20111006

Thu Oct 6, 2011 6:01pm EDT

* Cialis can work for both impotence and enlarged prostate

Oct 6 (Reuters) - U.S. drug regulators approved Eli Lilly's (LLY.N) Cialis drug to treat enlargement of the prostate on Thursday, expanding use of the blockbuster impotence medicine.

The Food and Drug Administration said Cialis could be labeled for treatment of the signs and symptoms of a non-cancerous enlarged prostate, called benign prostatic hyperplasia (BPH), and also be used for people who have both BPH and erectile dysfunction.

I have been using doxazosin for BPH for about a year now. I noticed that when I took 25 mg of Viagra that my BPH symptoms were better for part of the day. I got a script for Cialis and got 30 5mg pills at the beginning of the year (insurance now covers about half the cost). I decided to cut them in half to try 2.5mg, plus still taking the doxazosin. I've been taking both for 10 days now, but have not noticed any difference than without the Cialis. I did some research and discovered that in the trial that 2.5mg helped for ED, but the difference in BPH symptoms was not significant. I'm going to up the dose to 5mg starting tonight to see if I see any difference over the next few weeks. The 2.5mg dose is working very well for my mild ED though. :D

New Study Shows Cialis(R) Significantly Improved Study Endpoints in Men with Both Erectile Dysfunction and Signs and Symptoms of Benign Prostatic Hyperplasia – Rx Times Pharmacy Magazine
 
I have been using doxazosin for BPH for about a year now. I noticed that when I took 25 mg of Viagra that my BPH symptoms were better for part of the day. I got a script for Cialis and got 30 5mg pills at the beginning of the year (insurance now covers about half the cost). I decided to cut them in half to try 2.5mg, plus still taking the doxazosin. I've been taking both for 10 days now, but have not noticed any difference than without the Cialis. I did some research and discovered that in the trial that 2.5mg helped for ED, but the difference in BPH symptoms was not significant. I'm going to up the dose to 5mg starting tonight to see if I see any difference over the next few weeks. The 2.5mg dose is working very well for my mild ED though. :D

New Study Shows Cialis(R) Significantly Improved Study Endpoints in Men with Both Erectile Dysfunction and Signs and Symptoms of Benign Prostatic Hyperplasia – Rx Times Pharmacy Magazine


I have talked to sveral men that have tried 2.5 mg cialis/daily. 4 of 5 swear that it is great for mild ED. My limited experience with several MDs is that they "don't like to" prescribe 2,5 mg of cialis daily. Docs still think the "gold standard" is viagra for ED (and they might be correct) at various doses that they want their patients to experiment with.

I have tried viagra and Levitra but never cialis. This thread has peaked my curosity. I want to try 5 g of cialis daily for 2 weeks to see what happens?
 
I have talked to sveral men that have tried 2.5 mg cialis/daily. 4 of 5 swear that it is great for mild ED. My limited experience with several MDs is that they "don't like to" prescribe 2,5 mg of cialis daily. Docs still think the "gold standard" is viagra for ED (and they might be correct) at various doses that they want their patients to experiment with.

I have tried viagra and Levitra but never cialis. This thread has peaked my curosity. I want to try 5 g of cialis daily for 2 weeks to see what happens?

My ED is not bad now that my hormone levels seem to be good and have been for over a year. I do think that Viagra gives the best erections. I've used Viagra, Silagra, Caverta and ADC's Manly. Manly is very weak. Viagra and Silagra work exactly the same for me. Caverta seems to take longer to work, but lasts longer. Generic Levitra did little for me. I have just started Cialis.

I can get by without anything. Getting an erection at night is not really possible, but I'm mostly fine in the morning and get night time erections. We normally have sex in the morning (retired) and Viagra 25mg when I get awake works great. I started daily Cialis 10 days ago and have been taking 2.5mg at 8PM. Erections are possible by the time we go to bed at 10 or 11 and are almost as good as Viagra 25mg in the morning. Morning erections are between nothing and Viagra 25mg, but closer to Viagra. Since my main reason for trying Cialis is BPH, I am going to 5mg starting tonight because of the study showing that 2.5mg did little for BPH. I think that Viagra is still the best, but the effective time is low. If Cialis works for you then daily is the best since you can have sex anytime.

By the way, if you take 5 g of Cialis daily, you might need a cart to carry that thing around. [:o)]
 
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I have slowly changed my dosage of my 3 BP/ED drugs over the past 2 weeks to make sure that I did not lower my BP too much. I am now up to Cialis 5mg and doxazosin 8mg. I have also slowly lowered my fosinopril from 40mg to 10mg. BPH is much better and average BP is 118/70. I'll continue on this for a few weeks and see if anything changes. The only problem is the copay of $75 for 30 Cialis 5mg. If I used 20mg and cut them it would cost even more. Maybe ADC.
 
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After my last cycle of Stakabol which was a stack of 3 methylated compounds, I'm left with the sex drive of a 6 year baby boy 8)..Watching porn is like watching a tennis match...This is extremely damaging to me because I literally have women waiting to fornicate with me and I usually have the higest sex drive out of anyone I know...I have access to Viagra and Cialis and would like to hear feedback on cialis and its effectiveness....
 
This is extremely damaging to me because I literally have women waiting to fornicate with me .

Next time you have that problem, just ask brother.
I will take care of them for you.
Look, I don't do this for just anyone, but since you
a member here I will hook you up no problem. ;)
 
I found Cialis to be way better than Viagra for the simple reason it lasts longer. 5-10mg and I was good (REALLY GOOD) from Friday - Sunday. Viagra worked great as well, but only within the few hour window afterwards.

*Note that is 5-10mg once every 3-4 days. I suppose 2.5 daily could work. I accidently took the 5 mg back to back days and it actually hurt in the morning.

-Jim
 
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Really! I just talk to him. He likes it... And I talk a lot... LOL

I would like to point out how I find it so comical that folks still smoking, drinking coffee, and other forms of vasoconstrictors have the audacity to worry with these drugs. And of course A doc will write them in leiu of a constrictor prescribed, OTC, whatever, but present... I can guarantee you that I would have to be on 2.5 permanently to even slightly offset the constriction associated with ampetamines or nicotine. IT TAKES A LOT OF TALK....:D

With all the hard work and coercing I have done to be able to get it up under my normal conditions - If I ever quit nicotine and Adderall again, I am going to be a walking priapism....:rolleyes:

on Sirius radio, the BTLS show would often have on a urologist who specializes in male sexual health...he'd swear up n down that as long as u didn't induce priapism, ED drugs were a great way to maximize the health of male genitalia.

daily dosing of cialis is also a proven way of relieving the symptoms of benign prostate hypertrophy (BPH). levitra can do the same, if ur on a CYP450 3a4 inhibitor. dosing is 5mg cialis daily, unless ur on such a liver tweaking med, then it'[s 2.5mg daily (levitra, same dose)
 
I get some side effects from PD5s and Cialis seemed much worse. So I don't want that in my system for a long time.
Try getting 100 mg Viagra pills and a pill splitter for great cost savings. 1/4 pill works very well and 1/8 is usually enough. If you get them from ADC, they are dirt cheap. I find on an empty stomach, the effect takes only about 15 minutes so no need to be taking unless you will need it.
 
BTW, someone on this thread was wondering about Viagra going bad. I had some that was over 5 years old and still worked like new.
 
I use 5mg every three days. It doesn't give me diamond cutters but has helped immensely as a bandaid while my hormones have been all jacked up.

20mg doses tend to give me better erections for up to 90 hours+.

5mg doses work best as daily dose which is why they are referred to as cialis daily. For more information on this daily dose concept look up
Code:
http://www.erectiledysfunctionclinic.co.uk/news/oral-medicines/cialis-daily-analysis/
 
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