Previously Replacementt TRT and Weight Loss
Previously Replacementt TRT and Weight Loss
A Clinical, Measured Approach to Men’s Sexual Function
Erectile dysfunction is defined as the persistent difficulty achieving or maintaining an erection sufficient for sexual activity. While occasional difficulty is common, ongoing symptoms may reflect underlying physiologic contributors such as:
ED is frequently associated with conditions such as insulin resistance, obesity, hypertension, and low testosterone, and may serve as an early indicator of broader cardiometabolic risk.
Effective treatment begins with identifying contributing factors rather than relying on symptom-only management.
Treatment is individualized. Not all patients are candidates for every therapy.
-Oral Therapy
Tadalafil and Sildenafil may be prescribed to support erectile function through vascular mechanisms. Selection and dosing are based on response, tolerability, and medical history.
-Adjunctive & Central Therapies
PT-141 (Bremelanotide) may be considered in select cases where central arousal signaling is a contributing factor.
In certain situations, compounded Oxytocin / Tadalafil / Apomorphine troches may be used as adjunctive therapy when clinically appropriate.
-Injection Therapy
For patients who do not respond adequately to oral or adjunctive options, intracavernosal injection therapy (TriMix) may be considered.
TriMix is a compounded injectable medication designed to directly support penile blood flow. Use requires careful patient selection, individualized dosing, and medical supervision.
Apex Testosterone and Weight Loss Institute
16703 Early Riser Avenue STE 281, Land O'Lakes, Florida 34638, United States
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