I have seen my primary doctor who wanted to prescribe viagra for the ED, and a dermatologist who said it was skin thinning due to age and I don't think he actually stopped to look at my information to see my age. I saw a naturopathic doctor and have been working with her. She's been the most helpful. My ED is improving. Skin is still the same but I have more consistent energy, better sleep and feel calmer in my mind and body. So I think the regimen she has me on is really helping. I have had testosterone tests and my free, total, DHT and SHBG are all above the normal range. So there isnt any clear indication as to what went wrong. My naturpath has some theories and is having me do a few genetic tests