Dear Dr Herazy,

I have had PD for about 9 months and I am about to start the full PDI therapy programme, based on the advice you give in your book “Peyronie’s Disease Handbook”.  I received the PD Treatment Plan-Large, but I now notice that some of the recommended supplements were not included: Acetyl-L-carnitine, PABA, Neprinol, etc.

Can I assume that you recommend getting started with those supplements in the Large Plan and add others later?

Thanks Peter (based in France)

Greetings Peter,

The large Peyronies treatment plan does not include all available therapy items that could be used.  There are 12 different forms of therapy contained within the large plan, and as you correctly point out there are several that are not included. There are several reasons the large plan is limited to these particular therapies:

1.  Additional therapies might not be needed beyond what is in the large plan.  Many men do quite well on the large plan just as it is, and do not need to spend more time, energy and money using more therapies than these current 12.

2.  The wide variety of therapies in the existing large plan allow for enough opportunity to experiment with treatment dosage to take several months of active work.  If the large plan provides insufficient, then there are additional therapies to include at a later time for further experimentation.

3.  The large plan is time consuming to use as it is currently designed.  Making it larger would only place an unreasonable burden on men who might not need to spend additional time and effort taking an even larger number of pills.

4.  The large plan is expensive at the current level.  Expanding the number of therapies would only prevent men from affording the higher cost of entry.

Stay focused with that large plan; you will be busy.   TRH