Should I use Neprinol as part of my Peyronie’s disease treatment?

Dear Dr. Herazy:

I hope this message finds you and yours in good health.

It has been only three months that I “found” the PDI website after being suffering Peyronie’s disease for more than four years. I was diagnosed back in 2008 approximately when I went for pain on erections (reflected mostly on the front of the penis) to the current curvature of approximately 25 degrees upwards bending a bit to the right as well.

Due to the initial treatment in my country (Cuba) I got initially Vitamin E and then even direct injections on the plaque of Interferon and sessions of laser.  None stopped the bending process after pain with erection disappeared.  Then I stopped using Vitamin E, suspended laser and the injections and changed to an urologist that has been working on using natural pills made from bee’s propoleo.  I have been taking these pills for more than two years before going to bed (and at least three hours after my last meal).  This Dr. also used as a method the measurement of the curvature and sporadic ultra-sounds to keep track of the degrees of the curvature.  I must say that in more than two years the curvature seems to keep being of the same degree (not healing but not bending either).  Unfortunately for me and others this Dr. emigrated.  He was substituted by another urologist who seems to have more faith in continuous ultra-sounds to compare the process of growth of the plaque.  I skipped going to consultation like a year ago.  It must be pessimism or lack of faith that I will solve this disease.

I have gone through serious stress in my own marriage and I feel somehow ashamed that I would not be able to find a woman that will cope with this disease in my country if I decide to divorce my wife. I have had all the reasons to divorce my wife but I feel stuck with her. You know, being from a Latino country and culture machismo is a big thing.  I am 52 BTW.

Since I found about PDI I designed my own plan which is currently as follows:
1- I am taking daily at breakfasts:
a- PABA (500 Mg)
b- Acetyl L-Carnitine (500 mg)
c- Glucosamine with MSM (500 mg)

2- I also take daily around 3 PM: MSM (500 mg)

3- I take as well a pill daily 3 hours after dinner of Propoleo

I do not have enough resources but I am ready to pay for whatever even if I have to sell my belongings.  So my question to you is what you would suggest someone in my stage of Peyronie’s disease to buy?  I know I should buy your books (re: “Peyronie’s Disease and Sex and Peyronie’s Disease Handbook) but what else, please?

Should I use Neprinol?  Should I go back to Vitamin E being added to everything I am using already?

Being in the Caribbean (and subject to a US Embargo) the only way I would have to get all I need will be through friends living in the States visiting my country twice a year.  I will have to reveal my disease to one of them so to seek his help.  I am ready to do whatever it takes.

Best regards,

M. C.
Havana, Cuba

 

Greetings M.C.,

So sorry to learn of the difficulty you are having in finding and using a good Peyronie’s disease treatment.  You are to be commended for working so diligently to help yourself.

While I understand why you have been forced to try to duplicate a PDI-type treatment for Peyronie’s disease using substitute products since you cannot get them from PDI in the U.S., this is a great problem.   It is very likely that the quality and subsequent quantity of actual useable nutrients that are available to your body are not sufficient to help your tissue heal and eliminate the Peyronie’s plaque.    Just because the label might say there is 500 mg. of PABA or acetyl-L-carnitine in a product does not mean it is of sufficient quality to help your tissue heal, or that it is even present in the pill.   This is why I insist that men who are serious about eliminating their PD will only use those products that I have had good success with against Peyronies.   Correction of this problem is too important to take a chance that you could be using questionable or poor quality therapy. 

As a general comment concerning what you are currently doing,  a basic problem is that you are only using internal-type therapy items and no external therapies such as DMSO,topical copper and vitamin E, manual stretching or non-penetrating acupuncture treatments.

Another general comment is that you are apparently taking those therapies you currently have available but you have not tested or compared during use against the size, shape, density or surface features of the PD scars to determine the correct dosage.   In other words, you are swallowing a lot of pills hoping something good will happen to you.  But that is not how the PDI process works.   I want you to know the exactly correct dosage to make the best progress possible.

Yes, both books are a wealth of practical information; they will help you toward your recovery.  

Neprinol is a great Peyronie’s therapy, but by itself I have not seen it be very effective; it must be combined with other therapies for maximum benefits to occur.  Please refer to the PDI website for more information about this aspect of treatment.In addition, when you order Neprinol from PDI you will be given specific information about how to use it for maximum recovery benefit.  See Peyronie’s disease treatment with Neprinol.

Using vitamin E requires that it is the right kind of vitamin E and it is of excellent quality.   I cannot advise about using what you currently have been taking because I have no idea if it will be good enough to help you; it could be a waste of your time, effort and money.

Lastly, you are not the only person who we help receive PDI therapy products from visiting relatives.  Please send me an email to alert me when you are ready to place your order and I will see to it that we get this done as economically and effectively as possible for you.  Please keep me informed and I will do all I can to help you.  TRH     

 

What assurance is there this Peyronies disease treatment works?

What ass

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urance is there after spending hundreds of dollars on your treatment options that the Peyronies disease will be helped?

Greetings,

Oh, I see. You are looking for me to give you a guarantee that the Alternative Medicine plans will work before you start.

No worthwhile and accepted medical treatment or procedure provides a guarantee of results. Aspirin does not guarantee anything, no blood pressure or cholesterol medication manufacturer can guarantees results, no guarantee comes with Viagra, and certainly no surgeon guarantees even the most minor surgery. Your dentist does not guarantee the Novocain will numb your gum, and that is why he keeps asking you while he is drilling your tooth if you can feel anything (he/she does not know if it is working the way it should). Yet you ask me to guarantee treatment of Peyronie's disease.

Within the world of Peyronie’s disease treatment I seem to notice most often a guarantee attached to ads and promotions for single remedy products that are sold by overseas companies. To keep myself informed about these products and to determine if there might be anything to their claims, I have on several occasions attempted to contact these companies that “guarantee” results. Never have I had any success in having a single one of these companies return a phone call or answer an email inquiring about their products. This, in my opinion, speaks volumes about the worth and credibility of any guarantee from companies that offer such a promise. I think the informed buyer had certainly beware meaningless and silly guarantees for results with a condition so difficult to treat as Peyronie’s disease.

All information found on the PDI website points to the direction that each man must understand that Peyronie’s disease is an extremely tough problem to deal with, hence the lack of interest or effective treatment from the medical community. The condition is marked by many variables and almost no constants that are commonly found in other health problems that make treatment possible. PD is so variable it lacks those benchmarks, due to the variables you correctly anticipate must be part of this response. It is the variables of PD that make PD what it is, and complicate all forms of treatment of it. How long a person chooses to treat his PD is a personal choice, as are other aspects of undergoing Alternative Medicine treatment. I would speculate that on average, a man – if he is going to see results at all – will tend to notice change within the first 3-4 months of care using the PDI concepts of Alternative medicine treatment. Sometimes noticeable change occurs in a few weeks, and other times not at all.

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Further, there is no way to predict or guarantee outcome of treatment because there is no way for me to assure that a man will actually go about treating his PD as he should.

That is just the truth of it. I am sure if you would ask your family medical doctor that same question you would get the same answer.

Perhaps you are simply not aware that 50% of the cases of Peyronies disease will clear up on their own, demonstrating that the condition is indeed responsive to self-repair or self-healing. The PDI concept of treatment for Peyronie’s disease is simply to do as many things as possible – all at the same time – to help and support and encourage the body in its effort to cure its Peyronie’s problem. We are not trying to get your body to do something special like growing an extra finger or raising your IQ 100 points. We are only attempting to assist the body to heal the Peyronie’s plaque like 50% of men will do naturally. It is as simple – and complicated – as that.

I suggest you go to the PDI website to read more about this process of natural healing, at “Peyronie’s Treatment Philosophy.” You simply lack confidence in yourself and this concept because you do not understand it. TRH

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How should I use moist heat to treat Peyronie’s disease?

What do you recommend to use for "moist heat" and to what temperature and for what duration & frequency?

Thank you.

Greetings,

Moist heat is often overlooked as a part of Peyronie's disease treatment because it is common and not flashy or scientific.  It quickly, easily, cheaply and very effectively draws blood to the area of your treatment. Add it to your therapy plan today. 

A moist heat pack can be made by wrapping a towel that has been soaked in hot water around an old fashioned rubber hot water bottle to keep the temperature sufficiently hot for the time it will be used.

Since many people would not have easy access to a thermometer to actually test water temperature,  I will only comment that a good temperature for water for the purpose of making a moist hot pack to use for Peyronie's treatment is somewhere in the area of 105°F, give or take a few degrees either way.   Most people just hold their hand in the flow of water and know what temperature will feel good and still be safe to use.  We always caution to use a safe water temperature that will not cause tissue burns to this delicate area of the body.  I would hope that common sense and past experience will guide everyone to know how to keep themselves from getting burned.

Duration should be at least 10 minutes to bring enough increased blood flow to the area to provide therapeutic benefit; longer if you have the time and opportunity.  I suggest that you should use such a hot pack before you do any of the external therapies: manual penis stretching, DMSO, vitamin E and copper peptide applications, or the Genesen Acutouch pointer therapy. 

It is very safe if you are careful and use common sense.  Do not fall asleep while using a heat pack, and do not use a water-proof electric heating pad because if you do fall asleep with one it can continue to "cook" you while you sleep.  TRH 

Not sure what to do next for Peyronie’s treatment

I have Peyronie’s disease for over 3 years.  Lately, the curvature is 45 degree and bending rapidly. It’s preventing me from concentrating and keeping a firm erection. This condition is starting to affect emotionally.  I avoid having sex.  I’m 52 years old and married for 25 years.

I had taken Potaba pills and did not work. For the past two weeks I have been taken Vitamin E. Not sure what to do next.

Looking forward to hear from you.

Your help is greatly appreciated.    Thank you.

E. Garcia

 

Greetings E. Garcia,

vitamin E by itself is not very effective as a Peyronie’s disease treatment, but then again there is nothing that when taken by itself will be effective.   To get truly good results with your vitamin E you must combine it with other therapy products to support and increase your body’s ability to remove the PD plaque material.

POTABA is not a well tolerated drug and it is not especially effective against Peyronies.  POTABA is a modification of PABA, a member of the B vitamin family, that is made into a drug by adding a potassium molecule onto the vitamin.   This was originally done because PABA received good research results as a Peyronies treatment, but the drug industry would prefer to sell drugs and not low-price and ow-profit vitamins.    So they created the drug POTABA that irritates the dickens out of the digestive track so much that few men can take the drug very long, and it does not work as well as PABA anyway.   For this reason we continue to suggest the use of PABA in Peyronie’s treatment plans.   

Please go to the PDI website and click on the link Start Peyronie’s treatment.    This is a good starting point to begin to put a plan of action together for your recovery.  Keep in mind that an important element of a good treatment strategy is to do a variety of Peyronies disease exercises along with using vitamins, minerals, enzymes and herbs to support your natural recovery.

 

Please let me know if you have any specific questions.   TRH 

What is the difference bewteen the two vitamin E products you use for Peyronie’s disease treatment?

Hello,

I was wondering about these two products:  Vitamin E Factor 400/400 and the other is  Maxi-Gamma E.

I am probably not understanding this correctly which is why I am emailing, but they seem to both be vitamin e.   Is that correct?   If so why take both? I would be taking too much vitamin e if I take both.   If I am not correct could you explain the difference.

Thank you
Carl

 

Greetings Carl,

Yes both are vitamin E products.   But, vitamin E is not one thing; vitamin E is actually a family of eight different but related fat-soluble compounds that exist in diverse forms, all widely found in the plant kingdom. There are two basic groups of vitamin E, the tocopherol family and the tocotrienol family; each of these two forms has four subdivisions called alpha, beta, delta and gamma, for a total of eight variations or forms of vitamin E.    Different forms of vitamin E are found in different parts of a plant; the green parts of a plant contain mostly alpha tocopherol and the seed germ and bran contain mostly tocotrienols.

The product Vitamin E Factor 400/400 is very unique in the world of nutrition because it contains a large amount of all eight members of the entire vitamin E family for broad based support of this important vitamin group. 

The product Maxi-Gamma E is also unique because it primarily contains gamma tocopherol, the one member of the vitamin E family that is most responsible for soft tissue healing hence its importance to Peyronie's disease treatment.   

PDI makes both of these products available – and most men who follow a successful PDI Peyronies treatment plan will use both products  typically taking one of these in the AM and the other in the PM.

Why do you think that taking both would be too much?   Overdosing with vitamin E occurs at a relatively low dose only when synthetic vitamin E is taken.  PDI only supplies natural forms of vitamin E that are organic.  Please see this article   Peyronie's Disease Treatment and Vitamin E for a discussion about the silly vitamin E scare that is going around simply because people do not understand the story behind vitamin E.  You will understand the background of how poor research and bias maligns even a naturally occurring vitamin that is essential for health.

Unfortunately most vitamin E supplements contain only alpha-tocopherol. This information should make it all the more obvious why a Peyronies disease victim needs to carefully choose supplements that contain the complete vitamin E family of tocopherols plus tocotrienols and any that are  especially rich in gamma-tocopherol. Like all families, each member has certain strengths and abilities, requiring a variety of workers to support the necessary tissue changes needed to improve the health and resistance of tissue damaged in PD. Here is a list of the eight forms of vitamin E:

Tocopherol group

Alpha-tocopherol
Beta-tocopherol
Gamma-tocopherol
Delta-tocopherol

Tocotrienol group

Alpha-tocotrienol
Beta-tocotrienol
Gamma-tocotrienol
Delta-tocotrienol

Each of the two forms has its own area of use or activity in the body. The tocopherol forms function as strong antioxidants, with the alpha form being the most active of the four subdivisions. Vitamin E, like all antioxidants, protect at the cellular level against the effects of potentially damaging by-products of metabolism, called free radicals. A free radical is a molecule that has been involved in a chemical process in the body, and in so doing becomes unstable when it loses an electron. Free radicals can cause cell damage by attracting electrons from stable molecules in other areas in the body, thus making additional cells also unstable.

Unless they are connected to an antioxidant, highly unstable free radicals attack the polyunsaturated fatty acids of cell membranes in a chain reaction. This process of losing and gaining electrons might contribute to the development of heart disease, cancer; Alzheimer's disease, arthritis, premature aging and cataracts and even excess scar formation.

Peyronie's and vitamin E connection

The tocotrienol form of vitamin E has shown superior action in maintaining arterial health because of its ability to reduce plaque and fibrous tissue infiltration in damaged arterial walls. This same ability is suspected to result in reduction of scar and fibrous tissue buildup in other parts of the body.

Vitamin E has 75% worldwide approval as a first-line treatment of Peyronie's disease, yet its effectiveness has not been proven to scientific standards. It is the most popular of the alternative treatments used. Vitamin E is perhaps the most researched and tested of the alternative methods for treatment of PD, and yet it has not been researched or tested very much. It has been heavily researched and tested for other health conditions that have the same or similar scar and fibrous tissue formation, and it has proven its effectiveness. Use of vitamin E is based not only on the positive results it gets with Peyronie's disease, but also the positive results scored against other health conditions similar to it.

Maybe your family doctor or local urologist doesn’t recommend using vitamin E for PD, but you can now see there is a lot of science backing up this idea, and there are thousands of doctors from around the world who use it successfully. You are now aware of some of the reasons it is used as a first-line of treatment against Peyronie's disease. If you were going to use only one therapy to improve the health of your tissue and increase your chance of repairing some of the damage of PD, vitamin E should be considered as that one thing.

Using vitamin E – and therefore vitamin C – is the perhaps the most commonly recommended conservative method to assist the healing of the PD scar in traditional medical practice, as well as alternative medical practice.

I hope this information helps you understand the role of vitamin E in Peyronie's disease treatment.  TRH

Do you simply recommend the same treatment products for all Peyronies cases?

My husband, age 56, has been diagnosed by a urologist with Peyronie's disease. He has had it now for a total of about 6 months.

We live in the Chicago area.   Is there any reason for him to come see you to determine what products he should take or do you simply recommend the same products to all.

Thanks.

Greetings,

I think you have either not spent enough time reading the PDI website, or you misunderstand what you have read.

I do not recommend specific Peyronie's disease treatment to anyone, and never have.   I do not treat anyone; I do not have a doctor/patient relationship with any of the men I work with from the PDI site.  Men on the PDI website treat and manage their own PD problems, and are encouraged to directly discuss their self-directed PD treatment with their local treating doctor.   I daily suggest to a few dozen men that they should use the most diverse and broad Peyronie's treatment plan they can faithfully and aggressively follow for a few months.  This happens to be different for each man because their decisions are all different, as well as their eventual dedication and determination are also different.  As each man makes unique decisions for himself, so are their Peyronie's treatment plans completely unique.    

I do recommend that to be most effective, treatment for Peyronie's disease must be unique and specific to the man who has the condition.  In this way, I have never worked with one man who has used a Peyronie's treatment plan that was designed or used like any other man – and I have worked with well over a 1,000 men by now; all treatment is different.

 We currently have four sample PD treatment plans on the PDI website, each one nicely balanced and used by many hundreds of men.  In the description that accompanies each plan you will find that we advise each man can freely add to or subtract from these sample plans or to use them as they are.   Each man must decide for himself how he will best go about his self-directed care. 

Men do not come to me to determine what products they should take.  Men make a basic decision for which plan to start their care based usually on economics and what information they have read about the various therapies.  Regardless of how care starts, care continues and moves in the direction as dictated by how each man's scar changes or does not change in response to his treatment plan.  this change that he monitors concerns the size, shape, density and surface features of his Peyronie's plaque or scar.  In this way each individual man works directly with the response of his body to the Peyronies treatment he has started with, and in this way he not I determines independently what treatment works best for him.  I do not make any treatment decisions.   When someone asks me a question about treatment I offer in response several ideas and information based on my experience and knowledge.  But it is entirely up to each man to observe his scar response to treatment, and based on this direct information to decide how he wishes to proceed with care.  In this way each man eventually follows his own totally unique plan of care.

I recommend that a man uses the treatment products that are found on the PDI website because I have over 10 years experience working with them and I have confidence in them.   Other products you might use could be of questionable value and ability to help your husband recover.   I cannot offer ideas or information about therapy products that are unknown to me. 

Once a man has a diagnosis of Peyronie's disease there is no need for me to meet him in person.   With this form of Alternative Medicine treatment there is no need to meet face to face to discuss details or answer questions about PD treatment.  All of that can be easier and more efficiently done over the phone.   I would be pleased to speak with your husband and answer his questions about the PDI method of increasing the ability of the body to heal and repair Peyronie's disease.   TRH

Could Scar-X work for my Peyronie’s disease?

Wow, I developed Peyronie disease due to a bend during intercourse. When it happened it felt like blood was filling up the bottom side of my penis. It was 2009 when this happened, its now 2012. I was embarrassed to tell anyone. I believe scar tissue has taken over the bottom side of my penis. It actually feels like a tube running all the way down to my testicles. With me doing research, it seems like a severe case.   Could Scar-X work for my condition?

 

Greetings, 

Sudden and forceful bending of the penis during intercourse is a very common mechanism to injury that leads to Peyronie's disease and a curved penis. 

The distribution of scar development you describe is not uncommon; I have many men on the PDI program that describe their scars in a similar pattern and extent.

No where on the PDI website will you find that we suggest anyone treats a problem as stubborn and complicated as Peyronies disease with just one therapy.  Alternative Medicine treatment to be most successful should be broad- based and aggressive.  Using any one therapy, like Scar-X alone, probably would not do much good for you.   Scar-X is a very effective homeopathic formula that is used in Peyronie's disease treatment to develop a synergistic response in the body to increase the ability to heal and eliminate the PD scar.  I suggest you spend a bit of time reading more information on the PDI website to learn how to put these ideas into action.  TRH     

How do I develop synergy to treat my Peyronies disease?

Been searching your site, have ordered Neprinol, but have not found the alternative product suggested for the synergy 'maybe' needed — besides Vitamin E, which I take.

Greetings,

Please read this page from the PDI website, "Synergy and Treatment of Peyronie's Disease."

In this discussion you will learn that synergy results from the combined use of several different therapies, but not any particular therapies.   For successful Peyronie's disease treatment the more therapy and wider variety of therapy products that are used, the deeper and more effective your synergy will be – the more the merrier.

Synergy is a natural reaction when groups of similar things are combined.   Let's take for example people.    If we combine a group of people who are slightly bad, when they get together they will tend to do things and behave in a way that is generally more bad than they would if they were not together.   In a similar way,  if we combine a group of people who are good, when they get together they will tend to do things and behave in a way that is generally better than they would if they were not together.  I suppose you can say that by combining similar things the natural tendency of those things is intensified. This is synergy. There is no limit to the number of things you can add for synergy to happen, and everything seems to be affected by it so you can use any Peyronie treatment you want to cause it to help you.

In the Alternative Medicine treatment of Peyronie's disease we  use different therapies that have been shown to be slightly effective as a Peyronie's therapy.  But when you combine them – the more the better – you get an increase of this ability to reverse  the Peyronies problem.

Further, since no one can tell which of the Peyronies therapies you need most and which you are lowest in, we approach treatment from a broad base that you supply all of those that could be helpful so that you are not missing any and this will also strengthen the effect of synergy on your problem.  Let me know if you have any more questions about the Alternative Medicine treatment of Peyronies disease. TRH

Have you any knowledge about serrapeptase or nattokinase for Peyronie’s treatment?

Hi, I just ordered your massage CD.

Have you any knowledge on the product serrapeptase or nattokinase?

They are in a category of systemic enzymes which are fibrolytic — fibrolytic enzymes break down fibrin and reduce or prevent scarring. Examples of these are serrapeptase and nattokinase. So, more precisely, could a fibrolytic enzyme like serrapeptase possibly reduce the fibrosis in the penis?

Best to you,

Michael

 

Greetings Michael,

Certainly.  Since 2002 PDI has advocated the use of the fibrinolytic enzymes, nattokinase and serrapeptase to treat Peyronies disease.  You may learn more about them here Enzymes (Neprinol, Nattokinase and Fibrozym) for Peyronie’s Treatment.   TRH

 

What is the dosage of therapy that will improve my Peyrnonie’s disease?

I am taking a combination of Neprinol, Vitamin C and Vitamin E. Can you advise me of a good number of each to be taken per day? I am currently taking 6 Neprinol per day, 3,000 mg of Vitamin C and 800IU of Vitamin E per day. Is this a safe amount that will effect Peyronies disease?

Greetings,

As I write repeatedly in these commentaries, there is no way to know ahead of time if any therapy plan is going to be effective for any particular person's Peyronie's condition or what dosage will work for you.  This is why it is essential each plan should be as varied and aggressive as possible, and that it is followed faithfully each day.  Because you will be able to monitor the size, shape, density and surface features of your scar before therapy begins and as it continues you will know whether your plan is working.  If it is working, you continue following your plan. If it is not working, you slowly increase the dosage of your plan until you begin to notice changes in the scar.

It is essential that you not just take your various supplements, but that you "work" your plan.  The PDI concept of determining the dosage of Alternative Medicine to treat Peyronie's disease is based on a simple system followed to prescribe drugs in medical practice. 

This is how your medical doctor fine-tunes the dosage of the drugs he/she gives you:   Your dosage is started based primarily on your age and body weight for that particular drug – everyone starts at about the same dose, but it will change based on response to the drug.  You take the drug as prescribed, you return in a week or two and your doctor asks you questions and examines you to see if your symptoms have changed.  If your symptoms have been reduced to your doctor's satisfaction, your dosage is kept the same.  If your symptoms are the same the dosage is either increased or you are given even more drugs.  You now taken an increased drug dosage as prescribed, you again return in a week or two and your reduction of symptoms is determined.  If your symptoms are now reduced your dosage is kept at this higher level.  If your symptoms are the still same the dosage is once more increased or you are given even more drugs.  This goes on until your doctor thinks your symptoms are under control.  This is how medicine is generally prescribed. 

You can use the same method to determine how many and which of your different therapies to use to change the size, shape, density and surface features of your Peyronies plaque and hence to reduce the curved penis that the scar causes.

As you take the dosage of the Alternative Medicine therapies you are using you monitor the size, shape, density and surface features of your Peyronie's plaque or scar, just as a doctor would.   If your scar shows improvement (smaller, softer, a different shape, more difficult to locate or you have signs of the scar "falling apart," you keep dosage the same.  If your scar is the same size and shape, just as hard and just as easy to locate, you slightly increase the dosage of what you are taking or you add new therapy to your plan.   You compare your scar every 10-14 days, looking for positive signs of scar reduction.  This pattern of increased therapy continues until you find that your scar has begun to improve.

You do not just start popping a predetermined number of pills each day hoping that you get better.  You monitor your scar for positive scar changes and you are fully aware what it will take to make it happen.  This is PDI method of Peyronie's disease treatment.  

The Neprinol, vitamin E and C dosage you are taking is very common, and might even be a little low in regards to Neprinol.  Please refer to the notes and detailed instructions you were given about taking Neprinol when you received your order from PDI.

If you have specific questions about altering your Peyronies treatment plan please contact me directly.   TRH