STEEL ERECTIONS... Or just iron?
SteroidsA growing number of people complain about lack of sex drive and poor erection quality.
Among AAS users, this mostly comes from people running 19nor's and/or those with overly high serum estrogen levels.
Before you start popping pramipexole/cabergoline/AI's like there's no tomorrow (mind you, they're still mandatory in some instances ) check your iron/ferritin status by a simple unexpensive blood test.
Iron deficiency(indipendentedly from Hemoglobin/red blood cells level) is directly associated with impaired Dopamine function and increased Prolactin release.
For those considering vitamin B6 (not a fan personally) for PRL control, careful with dosing:
Pyridoxine has both dopamine-enhancing and dopamine-blocking properties: on the one hand pyridoxine (like dopamine) depresses the release of prolactin from the pituitary gland; on the other hand, in oral doses of 10–20 mg it rapidly reverses the therapeutic effect of dopamine.
Keep also in mind that A LOT of people have small gastric ulcers with limited but steady blood leakage without knowing as they're 100% asymptomatic.