I've been on TRT at about 100 MCG E7D with no AI or hcg for 7 years. I need help with some recent ED issues. Blood work: testosterone (264-916 ng/dL) 840 (Day 6 of 7) Estradiol. (7.6 - 42.6 pg/mL) 23.2 Both of these are in range with where I usually am (maybe 100 higher). Would dialing down my dose help? I have Hashimoto's. Could that be the culprit? A/G Ratio. (1.2-2.2). 2.7 Alkaline Phosphatase. (39 - 117). 36 Both of these Are indicative of Hashimoto's. Could this be a Synthroid absorption issue? I take 3ml of liquid cialis daily and 5 ml on days where it's showtime. No amount of Cialis is doing the trick. Libido is good but there is no erection quality. Please weigh in with your thoughts/suggestions. If anyone has experience with Thyroid issues plus TRT I am all ears. Next step is to test SHBG and other factors.