Horrible docs and their willingness to ignore Estrogens

Billegitimate

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Wow. My dad, nearing 70 years of age, was recently put on testosterone cypionate injections by his endo. Sounds good so far.

I was getting optimistic when he said the endo gave him the prescription for a vial, he had it filled, and the nurse was going to teach him how to give himself shots. She would do the first, and then he would self inject at home. I was thinking to myself this sounded really good.

21g 1.5" needle into quads. (Uh, aren't we at the point we can consider subcutaneous an option now? Concerns rise, but just barely.) 100mg every two weeks. (Oh crap, concerns just skyrocketed.)

I asked when the doc would do followup bloodwork and if he was testing estrogen levels. Evidently the doc told my dad "There's no need. If you start growing boobs, then we'll just drop the testosterone because it's not working. If not, then you're fine."

And BAM, just like that I want to go beat the crap out of some doc I've never met.

Before I did it, I'd ask:

1) Do the words "hepatic adenoma" mean anything to you?
2) Would even mildly elevated estrogen levels in a man who is already struggling with blood pressure problems seem problematic?
3) If "boob growth" as you put it occurred, would just ending the injections return dad to normal? (We know just cutting off the T would be awful!)

And then the beating would commence. It's malpractice. Malfeasance. Malevolence.

And if my dad's estrogen levels skyrocket and he has a stroke, guess what gets blamed! Evil TESTOSTERONE, because that's what the doc gave him.

And as long as I'm angry at this doc, may God bless all the docs out there that take their work seriously in this area. There are a few pioneers that write books and are well know. God bless them. There are lots of docs that are open minded to learning and work WITH their patients in a partnership focused on health. God bless all of them.

I told my dad he might consider breaking up the shots into at least 2X a week, same total amount, and he listened to my reasoning and said he would prefer that. He said right now the biggest effect was bigger arm muscles..."from the workout I get just shoving that harpoon into my leg!" So we talked about how I do it, and he wants to try out subcutaneous injections.

Man, it really irks me when some doc and his ridiculous concepts have the chance to harm my family. It is unlike any other profession.
 
Good god dude, thats awful. Seems that yes, the doctor has to follow some sort of protocol on the issue but to completely go out there with the "no need unless there are boobs." It would seem to me that the dr would realize that you know a good amount on the issue at hand and would show some decency to the issue and not be a dick.

I know my father is in the onset of the starting the TRT with the dr. With this... god now I tink I may as well be the Dr. Im certainly going with him on his next visit.

Best of luck man!
 
Its our job as patients to help educate the doctors, and not use them if they won't listen. My endo had never monitored estradiol in a TRT patient before, but when I explained to him why I wanted to, he agreed. He was somewhat resistant, but didn't see the harm in ordering the test on my 4 week bloodwork. Low and behold, my T levels were great, going from 144 to 750 on 50mg 2x a week. My estradiol was a bit high though at 49, and he was completely surprise, I think he thought I was just a worrier, but the evidence showed him I know what I'm talking about.

The problem is that out of all the people he's ever treated for Low T, I'm the first that has ever even brought it up. Thinks are changing, new studies are being published, but its up to us as patients to help be that agent of change. Luckily your dad has you to help educate him so he can be a proper advocate for his health, not just listen to a doctor who is misinformed.
 
Here is the thing- its hard enough to get a doc to even go along with trt sometime much less do it correctly. Scary and sad but true. Your Dad needs to do all he can on his own and also work with his doc. I have seen posts of people who take studies and print them out, showing their Dr them and getting them to incorporate things like hcg or a low dose ai etc. Its a fine line, yeah it sucks BUT he at least has a doc that will prescribe him trt, now hopefully his doc Is open minded enough and will listen to your Dad, monitor him properly etc. The quality of life factor matters as much as the numbers do and a good trt doc knows that. If his doc can at least recognize that fact and be somewhat open to listening to your Dad and his concerns maybe this can be salvaged and be beneficial to not only your dad but the Dr ad his future patients.
Your Dad needs to be firm and vocal and involved in his treatment. If the Dr isnt open to that it is time to find another Dr that will be. He has jumped the hard hurdle, he has been prescribed trt, now if he seeks out another Dr it isnt a matter of going on trt, he is on it, its a matter of doing it properly.
Best of luck to you man, I feel your concerns, frustration and anger. I hope this all works out beit with this Dr or another. All the best to your Dad!
 
1.5" needle for quads?
This Doc is dangerous. .
now you know why all those guys had complications from the TRT that scared everyone last fall.
 
Its our job as patients to help educate the doctors, and not use them if they won't listen. My endo had never monitored estradiol in a TRT patient before, but when I explained to him why I wanted to, he agreed. He was somewhat resistant, but didn't see the harm in ordering the test on my 4 week bloodwork. Low and behold, my T levels were great, going from 144 to 750 on 50mg 2x a week. My estradiol was a bit high though at 49, and he was completely surprise, I think he thought I was just a worrier, but the evidence showed him I know what I'm talking about.

The problem is that out of all the people he's ever treated for Low T, I'm the first that has ever even brought it up. Thinks are changing, new studies are being published, but its up to us as patients to help be that agent of change. Luckily your dad has you to help educate him so he can be a proper advocate for his health, not just listen to a doctor who is misinformed.

Any Anxiety or Insomnia at those estradiol levels?
 
Docs just want to prescribe uneducated. I never went to doc, straight to TRT clinic. A friend of mine said he was on so I asked through who and how much, his response was 1cc of test (200mg) every 3 weeks!! WTF?? No wonder hes on such a roller coaster ride. Its crazy
 
Docs just want to prescribe uneducated. I never went to doc, straight to TRT clinic. A friend of mine said he was on so I asked through who and how much, his response was 1cc of test (200mg) every 3 weeks!! WTF?? No wonder hes on such a roller coaster ride. Its crazy

Some do 300 mg T enanthate every 3 weeks.
 
Thats ridiculous. ..just break it up to 100mg a week to stop the rollercoaster and they would have happy patients. Well, happy then the other ways posted.
 
Thats ridiculous. ..just break it up to 100mg a week to stop the rollercoaster and they would have happy patients. Well, happy then the other ways posted.

They won't pin it themselves. ..
they go in for the shot. Doc wont pin them every week.
I asked the doc he said they are squeemish doing it on their own.
 
Makes sense, I hear that a lot. If people could only get over the initial fear of injecting they would be golden and reep such better benefits.
 
Makes sense, I hear that a lot. If people could only get over the initial fear of injecting they would be golden and reep such better benefits.

He Doesn't care either/or. Most ppl are too stupid and don't research whats good for them.
you reep what you sow.
 
Yeah, it's some crazy stuff. Good news is I'm taking him some of my insulin and tuberculin syringes next week and he'll start subq with the syringe that makes the most sense.

The doc won't test him again for 6 months, so in 2 months I'll buy him labs from privatemdlabs and check up on things. If his E2 is high at that point I'll send him to the doc with the lab work.

Gotta remember, docs are just advisors. No different than a mechanic. The mechanic doesn't tell me what to do, neither do docs. I pay for their advice and then make my own choices. But then, I choose to be responsible for my experience on the planet. That's become quite anomalous these days.
 
Yeah, it's some crazy stuff. Good news is I'm taking him some of my insulin and tuberculin syringes next week and he'll start subq with the syringe that makes the most sense.

The doc won't test him again for 6 months, so in 2 months I'll buy him labs from privatemdlabs and check up on things. If his E2 is high at that point I'll send him to the doc with the lab work.

Gotta remember, docs are just advisors. No different than a mechanic. The mechanic doesn't tell me what to do, neither do docs. I pay for their advice and then make my own choices. But then, I choose to be responsible for my experience on the planet. That's become quite anomalous these days.

Great analogy! I hope it all works out for him and you can dial him in to health
 
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