NEW to testosterone replacement therapy (TRT) & Concerned My Docs a Quack.

NimbusTim

New member
NEW to TRT & Concerned My Docs a Quack.

So I'm a new poster to these forums, however I'm a long time poster on many other Bodybuilding forums.
I'm coming here for some input as I've recently had some generic check up blood work done, with the inclusion
of a full testosterone panel. We added this to the blood work, as I've been suspicious of this for various reasons.
I got a call and my total test was 214. I'm unaware of the free numbers, as she did not give them to me. Upon knowing
this, and knowing I'm scheduled for a Vasectomy on Tuesday, I began to do further research on testosterone replacement therapy (TRT). Once I got to the
doctor, all he said was "You flunked your testosterone test, but don't worry I'm going to give you a shot for that." There
was no mention of "long term effects", "this is going to be a life long deal", etc. Basically he subscribed me 100mg of Test C
with enough refills to get me through almost 4 years (10 vials). He said he wants to see me in 6 weeks to evaluate my levels
and wants to get me in the 400's.

So I then begin to start asking the questions about monitoring and testing estrogen. He simple replied, "No, I don't test for
that...it's not needed." I then asked him about Human Chorionic Gonadotropin (HCG) and again, "There is no need for it".

Basically he does not know what he's doing. I'm hoping that I can talk to my Urologist (who seems really laid back and cool),
and see if he does any testosterone replacement therapy (TRT) treatments in office. I would see about going to a Endo, but my insurance requires that I get a
referal and I don't think my doctor would do it at this point in time.

I will be paying for the script itself out of pocket....and really cannot afford much of a company that doesn't accept insurance
for office visits, blood work, etc.

Does anyone have any input, help, advice?
 
I was kinda in the same boat as you with my GP......its a shame that these doctors do not have a clue on how to properly treat us for low t. Give Todd (site sponsor) @ IMT a email and see if he can help you. I'm six weeks in with my protocol and feel great. email- info@increasemyt.com
 
yeah your urologist should have more knowledge.

your doc is prob like estrogen is a female hormone there's no need to test that, your a GUY. herp derp
 
The sad thing this information isn't that hard to research. Are doctors just that lazy or just so cocky they don't care?
 
The sad thing this information isn't that hard to research. Are doctors just that lazy or just so cocky they don't care?

Its not just that but I assume that is the case with some. We have a shortage on docs and people forget MD's usually have a "practice" this means they practice medicine. They know physiology but have to learn as they go on how these drugs are affecting there patients.

Charles Huggins did a study in 1938 that said testosterone gives your prostate cancer. For 70 years we have been using androgen depravation therapy to treat prostate cancer. This basically means they give you something that wipes out your androgen production, something like Triptorelin which is used to chemically castrate bulls. I actually just read an article the other day where a korean ( i think) guy got charged with child rape like 4 times and they are letting him out of jail since he agreed to chemical castration.

Fast forward 70 years and Dr Morgentaler from harvard presented shifting the paradigm http://www.urosource.com/fileadmin/European_Urology/european_urology/Morgentaler%20best%20art.pdf

He then turned around and did 4 small scale studies on prostate cancer, men had like stage 2 I think, and testosterone supplementation decreased there risk of cancer.

So my point is for 70 years all the doctors thought is bad and wouldn't even consider it, so there was no need to know what it did in the body.

Thats why all the research at first showed that it gave you cardio problems, cause the only information they had was on bodybuilders doing bodybuilding doses.

Once they monitored supplemental doses, all the risk factors actually reduced instead of increased.
 
good post Oak.

the book testosterone for life talks about this as well. doctors need to continually educate themselves. i work in IT and i always have to keep up with the latest technology. doctors should do the same with medicine.
 
The sad thing this information isn't that hard to research. Are doctors just that lazy or just so cocky they don't care?

I think a lot of it doctors are like your general mechanic, they can fix your chevy truck or ford focus but when a lambo or semi comes in they probably can fix it but it goes to somebody whos in the speciality. But I think more of it is that a lot of docs are into test results and numbers vs true diagnosing. Also GP are very busy and deal with so many things, vs that specialist has the time and contacts that deal solely with that one thing. I agree the research is there and is fairly simple. I just dont think GP have the time nor is it practical, but really the issue lies in that if a GP doesnt know they should refer you on.
 
Thanks for all the responses. I will definitely shoot IMT a message today and see what they have to offer. I also called and spoke to my Urologist Nurse yesterday and gave her a brief explanation of what was going on. She informed me that he has alot of experience in TRT/HRT and that I should definitely bring in my blood work the day of my Vasectomy. Being that he's a little younger (probably mid to upper 30's), and was very easy to talk to....I'm hoping his ideology of testosterone replacement therapy (TRT) is more open that my regular doctors. I mean...why would I want to go on testosterone replacement therapy (TRT) for life to only achieve 400 levels....atleast put me at the upper end of the scale. Also, being vain or not, I don't care to have atrophy year round........and not to mention the physicological effects. From what I've read, Human Chorionic Gonadotropin (HCG) should go hand and hand with testosterone replacement therapy (TRT), as well as monitoring Estrogen and a number of other factors.

Either way I'm excited at what the future holds.

Also, a little off base, but does anyone know of a discount card or something that can be used to cheapen the cost of Testosterone at a cash price? I know certain brands of drugs offer discount cards and/or rebates. Not that it's really expensive out of pocket, but every bit helps.
 
This brings up the question on an average basis who is the best person to see for this a GP, Urologist or Endo. Right now I am dealing with my GP but have a referral to a Uro in a month. I just want everything that is needed and somebod that will monitor it.
 
This brings up the question on an average basis who is the best person to see for this a GP, Urologist or Endo. Right now I am dealing with my GP but have a referral to a Uro in a month. I just want everything that is needed and somebod that will monitor it.
I saw an endo a couple weeks ago and it was a complete waste of time. I have low FSH and low LH and he basically said since my test came back with in range (296,301,342) he had to send me back to my GP. After this I went with IMT.
 
good post Oak.

the book testosterone for life talks about this as well. doctors need to continually educate themselves. i work in IT and i always have to keep up with the latest technology. doctors should do the same with medicine.

I too work in IT and I couldn't agree with you more. Just like there's mediocre doctors out there there's mediocre IT professionals, lawyers, etc as well.
 
I saw an endo a couple weeks ago and it was a complete waste of time. I have low FSH and low LH and he basically said since my test came back with in range (296,301,342) he had to send me back to my GP. After this I went with IMT.

Thats my concern as well, my GP agreed on Human Chorionic Gonadotropin (HCG) and an Aromatase inhibitor (AI) but wants me to see the endo first. My concern with the Va is they are going to see it till im within the range as well. But so far beyond being slow with appointments and acting they are doing things right so we shall see.
 
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