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Mister Fixit

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Everything posted by Mister Fixit

  1. There's a name for it - 'small man syndrome'. Think back a few hundred years. Does the name Napoleon Bonaparte spring to mind?
  2. Thailand is a mongrel country, with people from numerous neighbouring or not so neigbouring countries, just like Britain (especially me!).
  3. Yup, I read somewhere in the last few days that over 70% of Russians back Putin and his attack on Ukraine. They may well live to regret that they have been brainwashed for decades now that their country has become the new pariah of the world, when they can't get petrol, smartphones, and even bread.
  4. @mokwit @MarkyM3 Many thanks for your technical contributions, chaps and when I've re-read them about 6 more times I will respond! ???? I have tried half a dozen times or more to get my free testosterone checked in Thailand and have been told the same number of times that they don't test for it here, only total testosterone. I read something above about calculating it from total test, but I speed-read both posts and only got the gist. The thing is, I am due to see the andropause doc again on Tuesday next week, the 31st, so I would like to get some ducks in a row beforehand. What's a 'must test for' that I haven't already had? (It's probably been mentioned in one of your posts, but could we make a list of what else to check? The other interesting thing is the mention of bone density because I was told about 11 or 12 years ago that I have osteopenia, and take 1500 mgs calcium and Vit D twice daily. I had a back X-ray the other week and that has deteriorated since the last one 3 years ago, but that's mainly cartilage thinning - but even I immediately noticed my spine was now not straight and has started to curve to the right slightly. I did have the L5 vertebra slightly misplaced 3 years ago but that has now expended to the L4 and the L2 and L3 are going too. I don't have a lot of back pain though. A twinge here and there, but then again I've lost a total of about 55 kgs in the last 4 years which must have helped, at least somewhat. Let me digest all the stuff you've sent and thanks again for your help.
  5. I just carry on doing my bits of part time teaching English and hence assist Thais in bettering their life. If I could play the cello, maybe I would help you with that too.
  6. Nowt really te dee wi' ye, is it, wor kid? It's been gannin' alang for a geet few months noo, marra, 'n' Aa've pretty well accepted what's gannin' on by noo. Just is lang as Aa kin get a bit uh legower once a week, Aa'm happy. Ye canna change gettin' owld, but ye kin at least try t' slow things doon.
  7. No problem. ???? Yes, Sidegra are 250 baht at the Nana pharmacy I use, but at the hospital they were only something like 152 baht. They worked well too! ????
  8. Sorry for the delay in replying to your post and PM. There's been too much going on. Not too sure about them being Imperial measurements, which are UK. Thai hospitals tend to use US measurements. But I'm not familiar enough yet with all of them to be 100% sure of what's what. I don't have a range for the E2 so I don't know if what is in that report above is high, low or average. It just says 46.90 pg/mL (which suggests a metric measurement). Do you know what the range should be? I have read conflicting reports. How did you find the Nebido injections? I have heard they take up to 4 minutes to do! ???? And I'm 72. I'll reply to your PM later. Maybe better to keep it that way because I've asked about this quite a lot over the last few months and I'm probably boring people by now! ????
  9. I didn't buy the Cialis from there, I got them from a small pharmacy near Nana. I said that in the OP. But Phramongkutklao, the Army hospital near Victory Monument have them but they cost 472 baht each and as you can buy them at pharmacies around Nana for 2,000 baht for a strip of 4, so just go there. Much easier. I doubt you'd get in to the Army hospital. I was wangled in by an old girlfriend, an Army nurse there about 11 years ago. Then a few years later, an old student who happened to be a nurse there heard my ancient knees cracking and got her husband, also a doctor there, to refer me to the orthopaedics department. I am very happy with my treatment there in all the departments I have been to.
  10. Tried this once, complete rubbish for me. All it did was give me indigestion which put me off sex. Also I would say it didn't give me a full erection, maybe a 75% to 80%-er and it didn't last long.
  11. @WaveHunter @rcuthbert @jackdd Just wondered if you guys have any comments on my figures above, seeing how you helped out so much in the past?
  12. Unless you want to lose weight, in which case only a reduction in intake will work. Anyway, I have lost 55 kilos overall and maintained the loss after starting strict keto 4 years ago. Best thing I ever did. You can stick your balanced diets because if I eat almost any fruit or vegetable, my weight zooms up - I have a high sensitivity to carbs from those and proved it time after time.
  13. Yes, I think you are right in your penultimate paragraph. I initially took my wife because the doc had suggested it, so that she could discuss MY ED problems with the doc and her perception of how things were, and perhaps by speaking in Thai together she could tell him better what had been going on. Also, to speak to him about the problems she had been having with her periods, whether or not she has started the menopausal process. Instead, she seems to have discussed her, what do seem to me the anxiety/depression problems that you hit on, with him and that's why she ended up with venlafaxine. I had no idea of any of this - she had never said a word, although I could see she was moody and quiet at times. Whenever I asked her why, she just fobbed me off. Last week she told me she didn't want to worry me with her problems due to the 'greng jai' concept (which I disagree with). How can I help if I am not told what's going on? And like a typical middle-aged traditional Thai woman, she was reluctant to voice her feelings anyway. She now tells me that since taking the meds, all the pain and tension in her neck, shoulders and upper back has gone and she no longer has whirling thoughts in a whizzing brain, so that's all good. I am happy for her to continue, now that I know what was going on. She takes them about 6 pm and is usually asleep between 9 and 10 pm as they make her drowsy. It's hard to say how she is during the day at the moment as she can't open her traditional Thai massage shop so just mooches about cooking or watching TV. I work part time and tend to sit at my computer in another room for the rest of the time. Generally though, after a bit of zombie-like behaviour for the first week, she seems to have settled down with the meds. We just need to be sure that the meds are managed well and when she decides to come off, that the withdrawal is well managed. As to the lipids, yes, I know that eating a lot of white rice is a problem for many Thais, and why so many have high cholesterol and are often diabetic, as well as adding all that unnecessary sugar to their food. She tends to mix white rice and that 'rice berry' black rice but not always. She never adds sugar to food, but she does eat a few sugary things, mainly fruit, rarely chocolate or biscuits. About 3 months ago, before we went to the hospital, she started exercising for about 30 minutes every evening, mainly hula-hoop and stretching and bending exercises using the hula-hoop as a prop. We're due another appointment at the end of the month so I think it's best to leave things to develop and see what the doc has to say then.
  14. I have written about this in a number of previous threads but I wanted to update people with how things have been going at the Andropause clinic I have been attending. Readers of previous threads will know I had been having testosterone shots every 3 weeks since 2015 and after a visit to the endocrine clinic, they referred me to the andropause clinic. At the same time, I started fortnightly shots of 250 grams of testosterone enanthate – here are the dates so far. 7 May Saw endocrine doc, started fortnightly shots 20 May 13 days 4 June 15 days 17 June 13 days 1 July 14 days 16 July 15 days 29 July 13 days Next shot should be 12 August. I have noticed quite a difference in 3 months – my beard is much stronger (I could get away with not shaving daily, but not now), my pubic hair has grown thicker (but I trim it short it for hygiene reasons - in the past I have been prone to bouts of tinea cruris - jock or dhobi itch), my short term memory is somewhat better and I have managed to have sex successfully at least once a week (although still using an ED med). So we have managed. Sex can be temperamental – I still find that erections can fade away and return, sometimes 3 or even 4 times, but we always end up with an orgasm one way or another. Twice we have had a real good old ding dong session without any fading away. When it does fade away and we can’t be bothered to keep trying, we have developed a technique where we can still satisfy each other. I first went there on 15th June after I had started on the fortnightly testosterone shots. The very nice doc there said too high a dose could affect haematocrit so he ordered blood tests. I went back 2 weeks later on the 29th and haemoglobin and haematocrit were both fine, a touch low perhaps. Then he bought in a colleague and they had a long confab, resulting in them suggesting that I try Nebido at 6,300 baht a pop every 3 months! AND there will need to be a series of shots while they titrate the dosage. At the time, I still had about 12 or more testosterone enanthate ampoules at home, so we left it that I would use those up first and then talk again. I have 7 left so at one every 2 weeks will take 14 weeks so we still have 3½ months to get organised. Then we returned 2 weeks later and he finally tested my oestradiol after I’d asked him previously. Having this tested had been mentioned by a few people in previous threads. I attach a copy of the report. I am pleased to see that my PSA still remains well below 4. My testosterone was OK at 9.36 with an upper limit of 14.90 ng/mL. That seems fine to me and he thought so too. In terms of the oestradiol, it says 46.90 pg/mL, but there is no range mentioned. I have Googled and had conflicting results – Healthline says 10-40 pg/ml so mine is somewhat high. Then I read a study abstract here https://pubmed.ncbi.nlm.nih.gov/7614406/ which said 10-82 pg/ml was normal – quite a difference! Then I read on a website that levels were ‘Normal total estradiol levels in men are somewhere between 20–55 pg/mL (2.0–5.5 ng/dL) and 10-40 pg/mL (1.0-4.0 ng/dL), depending on whom you ask.’ https://tctmed.com/estrogen-in-men/ So, which is it? Does my figure look normal or too high? Another thing I have learnt. I am now starting to believe that the pharmacy where I get my ED meds are selling, not necessarily fakes, but not true potency. I used to use Sidegra but found it wasn’t as potent as Kamagra which I had always used before. I stopped the Sidegra and moved back on to Kamagra but found I was having to increase the dose to 1.5 tablets (or a 100 ml gel and half a 100 mg tablet which seems to work better) to get anything like a decent lasting erection, but even they were patchy. I even bought a pack of supposedly ‘genuine’ Cialis from there, but the first one I took wasn’t much good, but the second was amazing. Really worked well and no problems. So I wonder if there are QC issues with what they sell or something. Even more interesting was the doc suggesting I try Sidegra. I told him it had stopped being as effective and I’d stopped 18-24 months ago, but he suggested I tried again and got it from the hospital pharmacy so it will be authentic. I did and that night – wow! We were at it for getting on an hour and not a hint of a droop until about 45-50 minutes in. Any comments on attached test results?
  15. Late to the party, but Strattera (atomoxetine) IS available in Thailand. It costs an arm and a leg though. I asked for some at Sritanya, the Government mental health hospital in Nonthaburi at the Ministry of Public Health. It was about 4,500 baht for a month's supply so I decided not to because it can take up to a month for results to be seen. If it didn't work for me, what a waste of money - I can get 4 months worth of Ritalin for about the same amount. However, if it works for you and the amount is OK for you, then try Sritanya (there's an MRT stop there on the Purple Line) and take a Thai with you because although the doctors all speak some English, most of the staff at registration etc don't.
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