HCP's visit to Dr.Mariano

Sexual Reboot Forum HCP's visit to Dr.Mariano

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  • #304

    Tory

    HCP’s visit to Dr.Mariano

    So I finally met Dr.Mariano yesterday. I have to say that I was a bit excited and thrilled while I was driving to Monterey. I have read so much about the man and knowing that he is one of the best doctors in the USA obviously made me very curious and excited. Well anyway so I went to his office and was in the Waiting Room. Five minutes before my appointment a relatively young man dressed neatly with a nice sport jacket on came up to me and said hi. Little did I realize that he was Dr.Mariano. Wow, the man is quite young for his incredible reputation. Before meeting him I had this picture of him as an experienced old man with scholarly looks and a big white beard. So I was totally blown away at how he actually looked.

    Dr.Mariano greeted me and then took me to his room and asked me to be seated. He sat in his chair and started working on his Mac. I first told him how old I was and what my current symptoms were. As you guys know my main symptoms are weak libido and extremely weak erections. He asked ton of questions and I kept answering them with as much details as possible. He asked if I experienced anxiety, fatigue, insomnia, tiredness, hot flashes, weak memory/concentration etc and was very surprised when I said I did not have any of those symptoms. Dr.Mariano mentioned that usually in cases of libido and erection issues there will be other problems. He then measured my body temperature, weight, blood pressure, checked my arms, eyes, and hit gently with a small tong (not sure what it is) on my arms and legs. He said my blood pressure and temperature are fine but I have thyroid issues based on the skin thickness in my arms. I told him how I used to have a head full of hair and how I am bald now. He said that the baldness in the vertex point is typical male pattern baldness caused by DHT but the frontal loss is a clear indication of thyroid problems.

    Dr.Mariano then continued with his barrage of questions and once again said he was surprised that the only thing that got compromised in my body was the libido and sexual function. He then looked at my labs of the past four years carefully and explained how my body is fighting the inflammation caused by excessive Norepinephrine signaling. He explained that Norepinephrine is the signal of stress and it is what makes us ejaculate. People with premature ejaculation also have excessive Norepinephrine signaling (makes sense). I asked him why I feel erections when I am half asleep and lose it the moment I fully wake up and he said that Norepinephrine is what wakes us up in the morning. It is the signal of stress. Without it we would be sleeping all day totally relaxed. Since my body already has excessive Norepinephrine signaling I feel erections when my body is in a very relaxed state (sleep) and start losing erections the moment Norepinephrine kicks in to wake me up in the morning. So essentially he is telling that my (our) Nervous System has shifted to a stressed state. I asked what about men that have regular sex with their girlfriends.. Wont they have this Norepinephrine signaling?? He said they will also have BUT  it is not excessive signaling for days on together eventually upsetting other related biological systems. As chronic masturbators to porn we knew this was the case but it was good to officially hear it from a well known doctor like Dr.Mariano and not some charlatan like Dr.Lin. I also thought that even though I am an engineer I was able to understand all the things that he was talking about… Thanks to years and years of reading about this disease on different forums. By the time this ordeal is over I guess we would become half doctors

    Dr.Mariano then looked at my Testosterone levels and was SHOCKED. In 2007 my Testosterone was 598 and in 2010 it was 315. He said men usually loose 100 points of Testosterone over a span of 10 years. So that would mean that I have lost 30 years worth of Testosterone in just 3 years. Dr.Mariano said the Testosterone level that I must have had at age 65 has come to me at just age 35. I felt shattered when I heard that. He then looked at my climbing blood glucose levels and said that I am pre-diabetic technically but in his personal opinion he would consider me as Diabetic. My high DHEA-S values were indicating that my Adrenal Glands were fighting stress and inflammation. He said that so far my Adrenal Glands have been successful in fighting the stress BUT Cortisol output has slightly declined. I asked him why I am only feeling erectile dysfunction and not any other symptoms and he said that my body has been successfully fighting off the stress and inflammation and other imbalances and the only system that had collapsed was my sexual system. He said that usually when there is an infection inflammation would follow suit and the body will mount it’s defences to get rid of the infection. But in my (our) case there is no real infection and my body is just shooting in the dark and fighting an enemy that does not exist and is unable to come out of an endless loop. He then went on to explain how the brain and the body are really in two different compartments separated by the Blood-Brain-Barrier (BBB). So even if our bodies’ thyroid levels are fine it is not good enough if the brain does not get enough of it. Having good thyroid hormones but not having the brain sense (and use it) is akin to a car that has it’s gas tank full but none available to the engine. He also said that the brain relies on glucose for energy more than proteins and vitamins and if it does not get enough glucose it will signal for more Norepinephrine secretion and make use of it. This further results in more Norepinephrine levels and subsequent inflammation. In all these biological events cascade endlessly and feed off each other. He also told lot of other things but this is all I could recollect now.

    Diagnosis: After all the discussion, tests, and review of my blood test results he diagnosed me with the following – lack of libido, erectile dysfunction, diabetic, low Testosterone, and sub optimal Thyroid signaling 

    Solution: His treatment plan is pretty much the same as JS and Manbearpig. Yes guys, he said he wants to first improve nutrition and see if Testosterone can come up instead of replacing it. I asked about HRT/TRT a total of 3 times but he said his treatment plan is a two-fold approach 1) Prevent my Insulin Resistance from turning into full blown Diabetes and 2) Improve Nutrition. He prescribed me Metformin for my high blood sugar and Fish Oil (for inflammation) and Vitamins (for nutrition). I asked what if this does not do the trick and he said if that is the case then a more direct intervention like Dopamine Agonists or TRT can be considered but for now he wants to fix me from the ground up. I think that since my Testosterone was 598 when my blood sugar was normal he wants to lower my sugar levels and see if that (along with nutrition) can boost my T levels. He also asked me to get blood work for a ton of stuff (including all the stuff we have in our sticky list) so that he can get a better understanding of what is going on with me. So my action items are to first get a blood test, then get started on the supplements and Metformin he prescribed me. Once the blood test results are in we will meet again for further discussion and treatment plans. 

    My thoughts: Like JS and Manbearpig I was also seriously wondering if these fish oils and vitamins can fix me. But I have met with one of the best doctors and the man looked at my problem from so many different angles and has come up with this plan for now. So I think my best option is to just follow it. In the past I have taken fish oils and vitamins but have never consistently taken it even for one whole month and all the while I was also looking at porn and ejaculating like crazy. So there was no chance for my body to fight off the inflammation and renutrify itself. May be now it’s time for me to take this seriously and give this a shot. This is the only thing I can do now. I have never had sex so I am not too worried about having to wait for some more time. I am going to dedicate the next 6 months (rest of this year) to fight this disease and end this ordeal once and for all. It looks like a long time for now but I know that time passes on so quickly and before I know it is going to be 2012. Who knows, may be I will be completely healed by then if I give this my best shot.

    Psychological impact: I will be honest guys, I wept in the car on my way back. The fact that I had lost 30 years of Testosterone really had shaken me very very badly. I gave myself the androgens of a 65 year old man. And the only person I have to blame is myself. If this does not give me sufficient motivation and will power to get well I don’t know what else will. Wish me luck.

    There is another way that you can stop porn addiction, chronic masturbation and recover your sexual health without fighting it with willpower. With the right mindset you won't even relapse. You can learn more about the recovery program here

    #305

    Jason

    HC I told you man. But you sould be proud you took the first step and no matter what its good shit.

    Everyone on this forum is fucked up beyond belief. The sooner you get down to fixing your issues the better for u.

    If his aproach doesnt work for you then thats fine. Im sure that in a few months he will tune you up homonally no problem. especially with your levels and your age.

    HC…..when i first came here you were a broken hopeless man. At least you know your issues are real now and its not some mystical energy power kumbaja shit going on in your body.

    Good job man the light is there at the end of the tunnel. You just have to get there.

    #306

    Lawrence

    also I might add I hope you understand why iv been such a hard asshole toward everyone.

    Iv known for some time these problems are fuckin serious and for real. I was simply tryin to pass that info onto people so they could finally get beter.

    But I had assholes tellin me just abstain blah blah . Im glad you can further add your experience to this forum.

    #307

    Bo

    good for you for finally seeing the doc man.

    I feel for you but don’t be shaken up by anything. 30 years of testosterone.. 50 years.. whatever.. numbers dont mean shit. Like js said everyone’s hormones here are fucked thats for sure so you’re no different. We should all be happy that it can be totally reversed by just getting on meds.

    Good luck. Everything will work out.

    #308

    Tyron

    good work man

    i say just stick on his plan for now

    i personally know that correcting my vitamin d deficiency fixed my testosterone to normalish levels so something must give

    nutrition in absorbeable form is major important and should not be neglected

    im pretty sure we’re all deficient in vitamins and minerals

    if that doesn’t work hopefully energywise a shot of testosterone per week will give you aweseome energylevels like it has done for me

    good choice starting the journey with a competent doctor, just ride it out and report back you can be fixed

    #309

    Marcelino

    Thanks a lot for the support guys!!

    I forgot to mention this in the original post. I actually asked him this question “so doctor on top of taking Metformin and the supplements I also have to cut down on masturbation right?” and he said “well it is definitely healthy to lower the frequency but you don’t need to completely stop it. The human sexual component is a ‘use it or lose it’ system. So if you stop it altogether the brain will eventually sense it and shutdown the sexual circuits and will fine tune some other circuit. For example, if a man becomes blind his brain will sense it and shutdown the visual circuitry and fine tune the hearing circuits. This is why you can notice that blind people often have sharp hearing”. So regulating masturbation is better than total abstinence

    JS I wanted to ask you this – did Dr.Mariano take a picture of you when you went to see him? While talking to me yesterday he suddenly picked up his iPhone and said “I want to take a picture of you” and shot a picture. It was a bit surprising for me. I haven’t had any doctor do this

    Do you guys have any brand recommendations for Fish Oil and Vitamins? I want to make sure that I am taking some good stuff this time. Also Dr.Mariano has asked me to take Vitamin A, dosage 10000 IU, 2 at lunch. I am confused if it is a total of 10000 IU or 10000 IU each (totaling 20000 IU). I feel that more than 10k is very high dose. Need to clarify this with him.

    #310

    Danial

    Na no picture for me. He told me to take 30000 iu of vitamin A a day so your good dont worry.

    #311

    Vincenzo

    Damn I wish he had taken a picture of me lol maybe your a special case.

    Dude nice, this is the first step. And your right about us all becoming like miniature doctors hah.

    I had an appointment with him yesterday night on the phone said the exact same things to me.

    maybe one day we’ll all be fuckin healed.

    But i agree, stick to his plan for now until you find something better, and you will if you keep trying.

    #312

    Randolph

    nice to hear that HCP, stick with his plan for 3 months at least and then asses if there is a difference or not.

    Good Luck

    #313

    Jasper

    nice to hear that there is some hope …………

    so what fish oil u taking …….???

    i should do the same i think as where i live there is no doc with this ……

    when ever i go to see a doc …………. really expensive one , they said you are depressed because of your daily life routine i know its not true …….

    they put me on depression drug and panic attack drug …

    so i would like to try the things this doc have given you ……

    1) fish oil

    2) vitamin A

    3) metaformin ????????/ what is that …..

    and at last GOOD luck !!!!!!!!!!!!!

    #314

    Christian

    He asked if I experienced anxiety, fatigue, insomnia, tiredness, hot flashes, weak memory/concentration etc

    i have the above symptoms too !!!!

    #315

    Clint

    Dude those were prescribed to me after being examined by a doctor and based on my previous lab tests. Why do you want to take medicines prescribed for some one else??

    Which country do you live in?

    #316

    Rolland

    I don’t have those symptoms. Please read my post carefully.

    #317

    Rueben

    yes i know u dont that awesome , u lucky …….

    its i think POIS !!!!!!!!

    #318

    Rudy

    It may or may not be POIS. Don’t make your own assumptions. A bigger danger than not seeking help is seeking the wrong type of help. The fact that you have nerve pain as one of the symptoms makes me think that your issues are deeper.

    Where do you live?? USA?? if yes you can easily find a good doctor and get help. Don’t listen to me or Dr.Sameer7777. Go find a real doctor that will understand your problems and help you.

    #319

    Dylan

    What city/state is Dr.Mariano located in?

    #320

    Rafael

    Does this doctor cost alot? Does he have a website or anything?

    What type of doctor is he?

    thank you for posting your stories. Everyone says go see a doctor, but there arent any doctors around here that i can go and see that will be honest and try to help me. I’ve gone to many.

    You give me hope that there is at least one doctor that’ll actually look into it, and not try to melt my brain with anti depressants, and tell me to go on nature walks. lol

    #321

    Woodrow

    Dr.Mariano is in Monterey, California.

    Check out his webiste http://www.definitivemind.com and also the discussion forums.

    #322

    Nigel

    I would follow his protocol strictly for at least 1 year.

    Then move on if you don’t get results.

    Quote:

    I have had some docs do this before.

    Quote:

    Take this prodoct you get omega 3 plus Vit A&D you can’t beat it.

    http://www.radiantlifecatalog.com/product/fermented_cod_liver_oil/All-Superfoods-and-Supplements

    its a lil pricy, but a bottle will last awhile.

    you only take a little amount

    #323

    Albert

    Ill be honest I dont think his vitamain and lifestyle protocol will heal you. OR show to much improvement. I think your case is to far gone for that . ( just tryin to be realistic not pessimistic I wish you all the best)

    But I also think mariano is gona listen to you eventually and get you on the right kind of meds alot sooner then lets say me and manbearpig. Once that happens im sure stuff will gradaully start getting better.

    I truly believe that sexual exhaustion can only be revered naturally if your are a very slight case.

    Thats just my opinion though but once again best of luck you made the right move.

    #324

    Carrol

    my doc always give me anti depressiona and anti anxiety drugs …….

    they think i m crazy when ever i talk to them about my problems …..

    one thing i dont know why only vitamin B complex which have i think b1 b6 b12 injections helps me ………i think its general weakness ……..thats why …. but atleast it helps me a bit …….

    thnaks alot

    #325

    Clifton

    Max, my current plan is to follow his protocol for 6 months (rest of this year). One year is too long I think. I am really desperate to have sex and can wait for another 5 to 6 months… but that’s about it.

    JS, to be honest even I have my doubts but I am seeing this as Step 1 in the recovery process and not the final step. Let me fully dedicate to Step 1 and do things religiously and see if anything changes. I haven’t yet taken the blood test he asked me to take. So once I take and the results come in he might see something there and modify the protocol accordingly. That will be Step 2. If nothing works then I believe he will opt for direct interventions.

    #326

    Horacio

    ya absolutly at this point its your call I was just stating my opinion. As long as you can afford to work with him long term then it sould just be a matter of time. Whether its 5 months or two years depends on a few factors but you def took the right steps.

    #327

    Rey

    One of the things he has listed in the blood test is – Plasma Catecholamines.

    What exactly is that? I have never heard of that before.

    Other than that he has the standard stuff (TSH, T4, T3, RT4, RT3, Total Testosterone, IGF-1, etc)

    #328

    Gregg

    Iv gotten that test done several times. Catecholomines = dopamine, norepinephrine, and epinephrine. So it will directly tell you how stressed your nervous system is and how sympathetic it is.

    In my case all mine are exteremly low. very very low. Which is why it is crucial everyone investigate their own personal biochemistry because if we all just went off Dr. Lins theories or whatever then we would all have super high catecholamines. Obviously not the case in me. My prediciton is though that others will in fact have high catecholomines. I wouldnt be surprized if the alot of the hard flacid people did.

    Though i will add the test isnt super acurate. Im sure he will explain that part to you but important none the less.

    Also……I highly recommend you get all your testin done at labcorp and not quest diagnostics.

    Labcorp offers better tests and gets faster resutls. Quest diagnostics sucks in my opinion and I have a whole folder full of blood work.

    #329

    Dustin

    But a high Dopamine is good, isn’t it?

    Unfortunately my insurance covers only Quest Diagnostics

    #330

    Jim

    no cuz my case is my dopamine is super high / but my serotonin is low so my dopamine to serotonin ratio is off.

    #331

    Alan

    Removed

    #332

    Marty

    dude first off this post is about HC

    second, we cant fuckin help u if u dont even tell us where ur from.

    #333

    Adolph

    Why does he ignore what we say?

    #334

    Perry

    It really all depends. CJ has a good point where its important to have a balance btw serotonin and dopamine.

    I mean as a matter of fact if ou low serotonin and high dopamine then a shitload of that dopamine could be going straight to norepinephrine causing all sorts of flight or fright symptoms.

    Also to much dopamine can cause desensitization to the receptors I would think.

    But I would say for the most part its a good thing. I will tell you this, my dopamine is in the toilet and it sucks donkey dick. I know many of my depresive symptoms and sexual symptoms are related to it. Most people think that serotonin is the key happiness neurotransmitter but in fact its more dopamine, though ofcourse serotonin plays some part as well.

    #335

    Jules

    Sometimes I think this dude is a troll . I mean I dont care I think people who troll are funny as but if hes not a troll then hes one of the I ever came across.

    Modified

    #336

    Forest

    I was just starting to think the same. His posts sound the same every time and from the way he is writing things I feel that he is not in the USA. His sentences appear broken and fragmented. yea whatever….

    Dr.M told me that my Serotonin must be high… He also speculated that my GABA system should be in good levels too. He made these statements after observing me during the discussions and hearing my symptoms. Hopefully the Plasma Catecholamines component of the blood test will reveal more info.

    #337

    Zachery

    i dont believe he can’t speak english because hes doing a bit of a good job typing.

    #338

    Richard

    that would be very good news indeed for you. much easier to fix .,

    #339

    Leigh

    actually he lives in the uk

    #340

    James

    this is annoying, removed some posts

    #341

    Jefferson

    actually he lives in the uk

    UK? then he can go and meet our very own Dr.Pimp

    #342

    Mitch

    actually he lives in the uk

    UK? then he can go and meet our very own Dr.Pimp

    im from the netherlands dude

    it’s only a 50 kilometre swim across the canal though so feel free to consult with me

    #343

    Rickey

    actually he lives in the uk

    UK? then he can go and meet our very own Dr.Pimp

    im from the netherlands dude

    it’s only a 50 kilometre swim across the canal though so feel free to consult with me

    that’s even better dude. you and sameer can party in Amsterdam

    #344

    Clay

    my doc always give me anti depressiona and anti anxiety drugs …….

    they think i m crazy when ever i talk to them about my problems …..

    one thing i dont know why only vitamin B complex which have i think b1 b6 b12 injections helps me ………i think its general weakness ……..thats why …. but atleast it helps me a bit …….

    thnaks alot

    #345

    Rhett

    Max, my current plan is to follow his protocol for 6 months (rest of this year). One year is too long I think. I am really desperate to have sex and can wait for another 5 to 6 months… but that’s about it.

    JS, to be honest even I have my doubts but I am seeing this as Step 1 in the recovery process and not the final step. Let me fully dedicate to Step 1 and do things religiously and see if anything changes. I haven’t yet taken the blood test he asked me to take. So once I take and the results come in he might see something there and modify the protocol accordingly. That will be Step 2. If nothing works then I believe he will opt for direct interventions.

    #346

    Jospeh

    ya absolutly at this point its your call I was just stating my opinion. As long as you can afford to work with him long term then it sould just be a matter of time. Whether its 5 months or two years depends on a few factors but you def took the right steps.

    #347

    Shannon

    One of the things he has listed in the blood test is – Plasma Catecholamines.

    What exactly is that? I have never heard of that before.

    Other than that he has the standard stuff (TSH, T4, T3, RT4, RT3, Total Testosterone, IGF-1, etc)

    #348

    Jackie

    Iv gotten that test done several times. Catecholomines = dopamine, norepinephrine, and epinephrine. So it will directly tell you how stressed your nervous system is and how sympathetic it is.

    In my case all mine are exteremly low. very very low. Which is why it is crucial everyone investigate their own personal biochemistry because if we all just went off Dr. Lins theories or whatever then we would all have super high catecholamines. Obviously not the case in me. My prediciton is though that others will in fact have high catecholomines. I wouldnt be surprized if the alot of the hard flacid people did.

    Though i will add the test isnt super acurate. Im sure he will explain that part to you but important none the less.

    Also……I highly recommend you get all your testin done at labcorp and not quest diagnostics.

    Labcorp offers better tests and gets faster resutls. Quest diagnostics sucks in my opinion and I have a whole folder full of blood work.

    #349

    Jeff

    But a high Dopamine is good, isn’t it?

    Unfortunately my insurance covers only Quest Diagnostics

    #350

    Jamey

    no cuz my case is my dopamine is super high / but my serotonin is low so my dopamine to serotonin ratio is off.

    #351

    Bradley

    Removed

    #352

    Angelo

    dude first off this post is about HC

    second, we cant fuckin help u if u dont even tell us where ur from.

    #353

    Rayford

    Why does he ignore what we say?

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