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References:

  1. McVary KT. Clinical practice: erectile dysfunction. N Engl J Med . 2007;357:2472-2481.
  2. Wagner G, Mulhall J. Pathophysiology and diagnosis of male erectile dysfunction. BJU Int . 2001;88(suppl 3):3-10.
  3. Billups KL. Sexual dysfunction and cardiovascular disease: integrative concepts and strategies. Am J Cardiol . 2005;96:Suppl 12B:57M-61M.
  4. Brown JS, Wessels H, Chancellor MB, et al. Urologic complications of diabetes. Diabetes Care . 2005;28:177-185.
  5. Esposito K, Giulgliano F, Di Palo C, et al. Effect of lifestyle changes on erectile dysfunction in obese men: an AUA update. J Urol . 2005;174:230-239.
  6. Stief CG. Central mechanisms of erectile dysfunction: what a clinician may want to know. Int J Impot Res . 2003;15(supp2): S3-S6.
  7. Argiolas A, Hedlund H. The pharmacology and clinical pharmacokinetics of apomorphine SL. BJU Int . 2001; 88 (supp3):18-21.
  8. Bhasin S, Cunningham GR, Hayes F,J, et al. Testosterone therapy in adult men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab . 2006;91:1995-2010.

Your symptoms plus family history scream hypothyroid condition. This would exacorbate weight gain but also, I noticed that the gain coincided with upping carbs to around 75 per day. This may be too much for you. Cut back to 50 for a few weeks to see how you do. It is imperative that you get free t3 and free t4 and antibodies tested. Get Mark Starr MD's book as well as Broda Barnes MD's book. Starr's book is outstanding and gives step by step instructions on how to titrate thyroid hormone. He is also hypothyroid himself and details his own years of misdiagnoses and needless suffering.

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Low testerone treatment

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