Amazing! I wish I had done the complete Trifecta package from the beginning instead of spreading it out and purchasing each treatment separately. I had significant ED issues and low testosterone. I had taken prescription testosterone shots for a few years, but the acne and the ups and downs were hard to handle. My wife convinced me that it was time for a change. After visiting several medical offices, I found Avanti. First I did testosterone pellets with Kellie Mcfall. Huge, huge difference. For me, pellets did not cause the acne I experienced with shots, NO MORE ROLLERCOASTER UPS AND DOWNS and they last 4-5 months. I saw improvements in energy and performance. Getting my testosterone up and stable probably resulted in a 30% improvement with my ED and definitely improved my drive… but I wanted more. Second, I opted for the P-shot. As much as I worried about the shots, they numb you and it was almost painless (no worse than a flu shot). This made an immediate impact on my ED, probably another 30% improvement. P-shot seemed to result in restoration of the tissue (thicker, harder). Third (after 2 of my 3 P-shots) I started shockwave therapy. This paired with the P-shot was amazing. Within weeks I could tell a huge difference with improved blood flow. It is now very rare that I have any ED issues (it was about 75% of the time before treatment). What would I do differently? I spread my treatments out over an extended period of time, thinking maybe this one approach would be enough. Although each helped, they each attack the problem from a different angle. The three combined (the Trifecta) produced the real results. If I did it all over again, I would go for the whole package from day 1. With ED, we want it gone not just reduced. For the results I got, I would do it all over again at Avanti without hesitation. You get a 1st class facility, treatment and staff at a competitive price. More