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Old 20 March 2018, 08:57
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Quote:
Originally Posted by Polypro View Post
You need a new doc IMO. This is typical of non-specialists (and I don't mean even regular Endo's either) - they went through one 2hr block in medical school and haven't kept up with the latest research/real world results.
Seems a quick look at Testosterone.com would provide them better information.

Quote:
Originally Posted by Polypro View Post
50mg EOW is f'n INSANE! Just enough to suppress what little production you had, but not enough to do anything therapeutic - no doubt you felt worse.
Yeah, I had zero motivation, and I was tired all the time regardless of the amount of sleep I got.

Quote:
Originally Posted by Polypro View Post
He should have started you on 100mg/wk and waited at least a month to do another blood draw - your natural production doesn't immediately stop - it trickles down - so in the first week or two, your numbers are a combination of natural and exogenous - it's a false read. After a month you will get a true read on what the levels are.
Can you just write me a prescription, 180 a week sounds good? I just need to be more assertive when it comes to speaking with my doctor.

Quote:
Originally Posted by Polypro View Post
My idiot (original clueless D.O.) did the same thing even though I protested - had me draw blood after a week: I was 850'ish and he claimed success. I said "watch what happens in a month" and emailed him the results of bloodwork I had done myself: I was back down to 550. He fired me after that, LOL! <--- Yeah dude, I know more than you. Best thing that ever happened because It forced me to quit being a cheap ass and go to one of the the best TRT guys in the country.
I didn't know your doctor could fire you as a patient. I wouldn't mind paying to go to the TRT clinic in Cleveland, but the price seemed outrageous to me ($1,800 for six months). If that's the going rate for people that know what they are doing, I assume it's a small price to pay. When I spoke to them about my labs, the doc at the TRT clinic told me my doc was treating it incorrectly.

Quote:
Originally Posted by Polypro View Post
I also see your guy never pulled Estradiol? (and didn't Rx an Aromatase Inhibitor) I'd love to know what your Estrogen is at right now? You have any nipple sensitivity? For men, it has to be the LC/MS Sensitive Estradiol test, don't let them run the normal one - it's inaccurate for males. But maybe your not a high aromatizer and don't need an AI at your current dose? You probably will if you go higher though.
I don't have any sensitivity issues, but I am going to request that the next time I am in to see him. Maybe I should make that call now for him to add it to the requested labs.

Quote:
Originally Posted by Polypro View Post
Your situation is why trying to do TRT through insurance is just a crap shoot PITA, unfortunately. You either have to spend weeks/months conducting interviews with prospective doctors on your plan to find one that knows the deal, or you get the type of treatment you (and I) got. And now he wants to pull you off!? What did he do to fix your Pituitary? Shake-My-Head.
My TRT started with primary care Cleveland Clinic Doc, but he didn't find the cause (pituitary gland, initially). That's when he did the 50mg every other week. Then my primary care VA doc said she wanted to find out why I had low Test in the first place and sent me to the VA Endo, he did the Cat-scan, found the pituitary issue (he related it to the TBI issue) and increased it to 100mg because of the fed back I gave him. My Primary care VA doc was satisfied with that. Just a couple weeks ago a new Endo took over at the Cleveland VA and called me in for an appointment. He thought my pituitary gland looked fine and wanted me to start to gradually decrease my injection amount every week until I wasn't on it at all. He explained that my dose was too high and he wants to find the cause.

This is where I start to get frustrated because I know what looms with being back to low levels of Test; back to feeling like shit. Every Doc has their opinion of what should be and what shouldn't. Maybe I need to call around and send my lab results to other TRT clinics or even take a day trip to a better Clinic and see what the prices are because $300 a month seems expensive. That's probably because I know if my Doc knew what the hell he was doing the medication would be really cheap with my insurance.

Seems I would have to get off of Test completely for a while for the TRT clinic to reevaluate my labs, maybe that's off.

Quote:
Originally Posted by Polypro View Post
Luckily, paying out of pocket for TRT isn't that expensive (but I guess that's an individual call). That's what I'm doing.
Not to mention they actually specialize in the treatment. As you originally said, I need to find a new doc. If you didn't mind, could you PM me what you pay for your treatment from the TRT clinic?
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