Deficiencies in iron, vitamin B12, vitamin D, magnesium, and protein can each cause distinct as well as overlapping symptoms. Here's a breakdown for each:
1. Iron Deficiency
2. Vitamin B12 Deficiency
3. Vitamin D Deficiency
4. Magnesium Deficiency
5. Protein Deficiency
If you're experiencing multiple symptoms—especially fatigue, weakness, or neurological signs—consult a doctor. A few blood tests (like CBC, serum ferritin, B12, vitamin D, magnesium, and total protein/albumin) can confirm the deficiencies.
Would you like a sample list of foods or supplements to address these deficiencies?
February 6, 2024
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December 6,2023
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Suggested Basic Blood Tests
If you haven’t already, check these once:
Vitamin D (25-OH)
Vitamin B12
Serum Testosterone (Total + Free)
Iron profile
They’ll help pinpoint if a hidden deficiency is causing your symptoms.
The cost of a serum testosterone test in India varies depending on the lab, whether it’s total testosterone or includes free testosterone, and any added services (like home collection). Here's what today's options look like:
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💰 Estimated Costs Across Labs
🔹 Total Testosterone
Thyrocare: ₹670 for a total testosterone test with home collection included .
Metropolis (national chain): Around ₹700–₹850 depending on city .
UniQ Pathlab: Often offers discounts—around ₹370 for total testosterone .
Redcliffe Labs: About ₹350–₹389 for total testosterone with same‑day reporting .
🔹 Total + Free Testosterone Panel
DNA Labs India: ₹2,831.40 for combined total + free test .
Max Lab (free testosterone only): ₹2,000 .
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📌 What This Means for You
If you're primarily interested in total testosterone, expect to pay ₹350–₹850.
If you want both total and free testosterone (a more comprehensive hormonal picture), costs rise to ₹2,000–₹3,000.
Most labs include free home sample collection and same-day/24‑hour reporting.
Total testosterone is sufficient for initial screening. Free testosterone is recommended if total levels are borderline, or if symptoms persist despite normal total levels .
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✅ Recommended Next Steps
1. Choose a lab based on budget and convenience.
2. Decide if you need:
Only total testosterone (~₹350–₹850), or
A total + free testosterone panel (~₹2,800).
3. Book online or via their app for home collection and quicker results.
Would you like help comparing nearby labs, or tips on preparing for the test?
Causes of Premature Ejaculation + Fatigue After Sex
1. Over-Sensitivity & Lack of Control
Some men naturally have high sensitivity or poor control over ejaculation, especially in the early stage of arousal.
It may also result from masturbating too quickly over many years, conditioning your body to finish early.
2. Performance Anxiety or Mental Stress
Anxiety about performance or fear of failure creates mental pressure, leading to:
Faster ejaculation
Muscle tension
Fatigue and body pain post-intercourse
3. Weak Pelvic Muscles
Weak PC (pubococcygeus) muscles cannot hold ejaculation.
4. Hormonal/Nutritional Deficiency
Low testosterone, vitamin B12, magnesium, zinc, or iron deficiency can:
Make you feel tired
Cause body aches after ejaculation
Reduce stamina
5. Too Frequent Sexual Activity or Masturbation
Overindulgence can drain energy if your body isn’t well-nourished or rested.
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🩺 Remedies – Natural & Effective Ways to Improve
🌿 1. Food for Stamina & Nerve Strength
Eat these daily:
Nutrient Examples
Zinc Pumpkin seeds, cashews, eggs, shellfish
Vitamin B12 Milk, curd, fish, eggs
Iron Dates, jaggery, leafy greens
Magnesium Bananas, almonds, peanuts
Protein Moong dal, eggs, paneer, soybeans
Omega-3 Walnuts, flaxseed, fish
➤ Morning Routine:
5 soaked almonds + 2 dates with warm milk
1 banana
Coconut water or lemon water
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🧘 2. Exercise and Yoga
Daily 20–30 minutes of:
Practice Benefit
Kegel Exercises Strengthens ejaculation control
Anulom-Vilom (breathing) Reduces anxiety
Bhujangasana / Vajrasana Improves blood flow, hormones
Brisk walking or jogging Boosts testosterone
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💊 3. Ayurvedic/Home Remedies (Optional)
Talk to a doctor before starting, but these may help:
Ashwagandha churna – for stamina & mental calmness
Shilajit (purified) – for testosterone and fatigue
Kaunch beej – to improve control and vitality
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🛌 4. Lifestyle Tips
Sleep at least 7–8 hours
Avoid screen time at night (dopamine disturbance)
Avoid frequent masturbation if it makes you weak
Avoid smoking, alcohol, or oily food
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⚠️ When to See a Doctor?
If you:
Always ejaculate within seconds before any penetration
Feel extreme fatigue even with mild activity
Lose interest in sex or have poor erections
👉 Then consult a urologist or endocrinologist to check for:
Hormonal imbalance
Prostate issues
Nerve weakness
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✅ Summary
Problem Solution
Premature ejaculation Kegel exercises, reduce anxiety, slow foreplay, zinc-rich food
Fatigue/body pain Improve nutrition, sleep, reduce frequency, test for B12/iron
Hormonal weakness Ashwagandha, Shilajit (with doctor's advice), blood tests
"Reflex ejaculation" or "involuntary ejaculation" — a form of neurogenic sexual dysfunction, where ejaculation happens automatically without physical stimulation, just from a sexual thought.
You also compared it to incontinent bowel — and that’s a very accurate description. In both cases, the normal reflex is firing uncontrollably.
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🧠 What’s Likely Happening:
Your ejaculatory reflex arc — which is controlled by your brain, spinal cord, and pelvic nerves — seems to be:
Hyper-reactive
Triggered by minimal or even purely mental input
Unable to be consciously controlled
This could be due to:
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🔍 Possible Underlying Causes
Cause Explanation
Neurological hypersensitivity Your spinal or pelvic nerves may fire too quickly, similar to muscle spasms or bladder incontinence.
Serotonin imbalance Low serotonin = reduced control over ejaculation. You ejaculate instantly because the "brakes" aren't working.
Lifelong primary reflex ejaculation A rare condition where ejaculation reflex is extremely sensitive from the start of puberty.
Autonomic nervous system overactivity Your "automatic" nervous system may be in overdrive. It controls things like heartbeat, bowel movements, and yes — ejaculation.
Undiagnosed neurological disorder (rare) In some rare cases, spinal cord conditions or nerve damage may cause involuntary ejaculation.
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❗ Is This Dangerous?
It’s not dangerous, but it can feel deeply frustrating and even distressing.
It can harm self-esteem, relationships, and daily mental peace.
You may also feel physically drained, because your body didn't go through a proper sexual buildup.
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✅ What You Should Do Now
1. Consult a Neurologist or Urologist
This is more than a sexual problem — it's a neurological control issue.
Ask for:
Neurological exam
Spinal reflex testing (if available)
Hormonal panel: Testosterone, Prolactin, Serotonin level (via proxy or referral)
Rule out spinal cord compression, nerve dysfunction, or POIS
2. Medications May Help
SSRIs like Paroxetine, Dapoxetine, or Sertraline are known to delay ejaculation reflexes.
They raise serotonin, helping slow down the brain’s sexual response.
Prescribed only by doctors — don’t self-medicate.
3. Daily Management (Until Then)
Use the earlier plan I gave you with some changes:
Add long, slow breathing during arousal thoughts
Do arousal visualization training: slowly build the sexual image in your mind → then stop → control breathing → repeat
Avoid all porn or intense sexual triggers (they fire the reflex too quickly)
Do pelvic floor muscle relaxation (not just Kegels)
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🔄 Comparing It to Incontinence (as You Said):
Incontinent Bowel Instant Ejaculation
Reflex misfires due to nerve or brain signal issues Reflex misfires from mental arousal due to brain or nerve sensitivity
Often requires neurological care Same — needs neurologist/urologist evaluation
Treated with nerve training, medication, or therapy Same approach works here
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