Looking for wisdom and help.

[RepIt]

Good Morning l,

I am new to the forum and have posted an into diving a little in to my history and why I am here.

To summarize it, I am 30 years old experiencing detrimental TRT symptoms and have been for years. I eat healthy and I am active (it's a struggle, but I do my best to stay motivated), and I have little stress. I just didn't understand but overtime I started reading about TRT and have pursued it since with little success from doctors. I am constantly diving through hoops to get it, and I am told to pop pills instead. Been there done that.

So I have been tested by a low t center twice. My SBHG came back low both times with my total T came back in the low range of normal. LowT center will be $20.00+ a week and if it's not covered, I am looking at $400+ a month for TRT outside of insirance. With my new home being built and a wedding on thr 15th, I am not looking to do that..

So I got a pre trt hormone panel last week. The results came back with high LDL (Christmas time is my cheat week, but i had my PC doctor test this past Monday and the levels came back within normal range).

Back to the point, my total test came back at 650ng/dL. But my Free T came back at 6 with the normal range of 8.7-25.1 pg/mL.. estradial sensitive came back 12.1 pg/mL with a range of 8.0--35.0.


Any guidance on protocol? Do I need it? I am aware of the commitment at hand and I am willing to go down that road, but only if I would benefit from it. If so, what should the shot be? I have read so many things and I am wanting a single plave to take advice from. With so many inputs I am confused and it has caused me to hesitate with this. I want a place I can go to, ask dumb questions that a relevant to me, and be helped.

If I did need to, I've read that pinning once a week is good at 100mg a week with out a A.I. as my estradial is low, I would take bloods at 5 weeks and determine if an A.I is applicable, and to dial in dosages.

Any advice is greatly appreciated and I can post full blood work later if need be.

Thanks again.


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[Presser]

Yeah that's quite an out of pocket cost ! And yes 100mg a week would do wonders for you but we have had cheaper online TRT doctors shared here where you can get 200mg a week. I'll try to bump that thread later when I'm at a pc

 

[drtbear1967]

Brother, you could get gear from a UGL cheaper than that.

 

[RepIt]

Yeah that's quite an out of pocket cost ! And yes 100mg a week would do wonders for you but we have had cheaper online TRT doctors shared here where you can get 200mg a week. I'll try to bump that thread later when I'm at a pc

Right on. Please share when you can. I also have blood work results can share as well.

I have been eyeing a source on here, but having a TRT doc would be great if the price is right. If not, I'll go the self administrating route.

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[RepIt]

Brother, you could get gear from one of the sponsored UGL cheaper than that.

Believe me, I checked out *** and I'm liking the international prices. Is that safe tho?

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[BigZ]

Take a look at my response in your earlier thread regarding TRT. Also, we can give you as much advice as you want, but when it comes down to it, we aren't doctors. You need to find a doc who can and is willing to help you. Your best bet is to go to an internal medicine doc or urologist.

 

[yellow snow]

Bottom line is get a legit script for 6 months keep all your containers with your script info on it and refill with UGL. The DEA is looking for easy, cut and dried cases not a case where someone wants to buy a controlled product that he has a script for, but doesn't want to pay 1000% mark up.

However once you start using an UGL the temptation is to add a few more products that you don't have a script for.....................thats when the waters get a little murky!

 

[RepIt]

Bottom line is get a legit script for 6 months keep all your containers with your script info on it and refill with UGL. The DEA is looking for easy, cut and dried cases not a case where someone wants to buy a controlled product that he has a script for, but doesn't want to pay 1000% mark up.

However once you start using an UGL the temptation is to add a few more products that you don't have a script for.....................thats when the waters get a little murky!

Thanks yellow snow,

I gotta find a doctor that will give me a script to self administer. Weekly visits at $20.00 is expensive. It was suggested that I see a urlologist. So I'm working on that now.



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[Muscle mechanic]

Thanks yellow snow,

I gotta find a doctor that will give me a script to self administer. Weekly visits at $20.00 is expensive. It was suggested that I see a urlologist. So I'm working on that now.



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I go to.internal medicine dr
He treats diabetes, blood pressure, cholesterol, weight loss, trt all things adults development and need to be continued to be treated. He doesn't see children or adults that aren't over 35.
My Dr said he can be busier. I only go every 6 months for labs because all my blood work is always good since getting on trt. Went 3 months after 5 months then since its been every 6 months.
He has a sign a flashing one that flashes across that says We Do FDA approved weight-loss and Testosterone Replacement Therapy, Diabetes Sugar Control, Hypertension Treatments Here.
This ad on his sign is how I saw and my wife set everything up for me insurance info everything. I know lots of people who see him for health reasons of adults cholesterol, all things above. He is good Dr. My dad sees him as well for Hypertension, cholesterol he has normal testosterone and Dr won't give to him because he would need to get weight down. He is risk because of 68 and he has prostate estrogen tumor surgery 2 years ago with colon. My Dr also gives me order for phlebotomy every 3 weeks I can go if needed but go every 3-5 weeks at blood bank.

 

[gymjunkie38]

Well honestly bro your not going too get a Dr too prescribe TRT as medically necessary. Your total test was 650 at 30 years old that's not even boarder lime low its actually close too optimal

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[EMW14]

Well honestly bro your not going too get a Dr too prescribe TRT as medically necessary. Your total test was 650 at 30 years old that's not even boarder lime low its actually close too optimal

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This guy hit the nail on the head. 650 is the number many docs shoot for when administering TRT. No way is anyone going to diagnose you with hypogonadism with numbers like that. Same goes for free testosterone numbers.

 

[RepIt]

Welcome to mc

Again, I got it. But please read my post in detail. You would see that was after 13 hours of sleep. The doctors I have seen ,and shown my bloodwork too, have told me I am low t, but I can't afford treatment. Looking for guidance here in which I have.


Thanks for your input though

This guy hit the nail on the head. 650 is the number many docs shoot for when administering TRT. No way is anyone going to diagnose you with hypogonadism with numbers like that. Same goes for free testosterone numbers.

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[EMW14]

Again, I got it. But please read my post in detail. You would see that was after 13 hours of sleep. The doctors I have seen ,and shown my bloodwork too, have told me I am low t, but I can't afford treatment. Looking for guidance here in which I have.


Thanks for your input though





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Not sure what you're looking for. As Big Z said, I am no doctor. All I am is a guy who has experience with low T, and also with struggling to find someone to prescribe for it, which I finally did.

Insurance companies play a major role in treatment guidelines and protocols, as does the CDC. 2 things about that:
1, within the last year and a half or so, the CDC issued a statement that age related testosterone deficiency, which is my problem (I'm 47) is NOT cause for treatment. Therefore, most insurance companies won't pay for it. This depends on the specific diagnosis and how the doc codes it. In my case, it's prescribed specifically for erectile dysfunction/hypogonadism. I also have outstanding insurance. In my case it's being covered, at least for now.

2, Insurance companies insist - and tjerefore it has become common practice - that testosterone be checked first thing in the morning because that's when our total serum levels are highest. Whether or not you have low T depends on what your level is when it's at its highest.

So, if you're looking for a doc to diagnose you with low T and prescribe for you, this is what to expect. That said, I have found that most docs DO NOT understand hormones, or at least not testosterone. And that includes some whobreally ought to, like endocrinologists, whose expertise is hormones! On the reverse side are the TRT clinics. These places make their money by prescribing testosterone and supplying it and everything related. It's in their best interest to prescribe it. Many of these do not deal with insurance at all, though you may be able to submit a claim amd get reimbursed. However, they will be looking at the croteria I memtioned in 1 and 2 above, as well as other factors. To a certain extent, whether or not treatment can be justified is symptom driven - meaning you have to tell the doc the right thing about how you feel and what happe s to you - but the bloodwork has to support it also.

What I suggest you do is read all you can on the subject here. You'll find numerous threads on the subject. Read up on it on other boards as well (though I've found VERY knowledgeable and helpful people here and this is the only such place I spend any time). Educate yourself.

Also keep in mind that everyone is different. For example, it takes 140 mg a week of pharmacy grade testosrerone to get me to 850 ng/dl; there's another guy on this board who gets to 1,000 on 100 mg/week. That's just one example. Everyone's body responds a little differently - or a lot differently. So, just because I got such and so results doesn't mean you'll get the same. This is NOT an exact science. There is more not known than known, it seems to me.

If you're hell bent on doing it, go ahead. But educate yourself first, BEFORE you jump in. Plenty of guys have come here looking for help AFTER they've fucked themselves up!

 

[RepIt]

Not sure what you're looking for. As Big Z said, I am no doctor. All I am is a guy who has experience with low T, and also with struggling to find someone to prescribe for it, which I finally did.

Insurance companies play a major role in treatment guidelines and protocols, as does the CDC. 2 things about that:
1, within the last year and a half or so, the CDC issued a statement that age related testosterone deficiency, which is my problem (I'm 47) is NOT cause for treatment. Therefore, most insurance companies won't pay for it. This depends on the specific diagnosis and how the doc codes it. In my case, it's prescribed specifically for erectile dysfunction/hypogonadism. I also have outstanding insurance. In my case it's being covered, at least for now.

2, Insurance companies insist - and tjerefore it has become common practice - that testosterone be checked first thing in the morning because that's when our total serum levels are highest. Whether or not you have low T depends on what your level is when it's at its highest.

So, if you're looking for a doc to diagnose you with low T and prescribe for you, this is what to expect. That said, I have found that most docs DO NOT understand hormones, or at least not testosterone. And that includes some whobreally ought to, like endocrinologists, whose expertise is hormones! On the reverse side are the TRT clinics. These places make their money by prescribing testosterone and supplying it and everything related. It's in their best interest to prescribe it. Many of these do not deal with insurance at all, though you may be able to submit a claim amd get reimbursed. However, they will be looking at the croteria I memtioned in 1 and 2 above, as well as other factors. To a certain extent, whether or not treatment can be justified is symptom driven - meaning you have to tell the doc the right thing about how you feel and what happe s to you - but the bloodwork has to support it also.

What I suggest you do is read all you can on the subject here. You'll find numerous threads on the subject. Read up on it on other boards as well (though I've found VERY knowledgeable and helpful people here and this is the only such place I spend any time). Educate yourself.

Also keep in mind that everyone is different. For example, it takes 140 mg a week of pharmacy grade testosrerone to get me to 850 ng/dl; there's another guy on this board who gets to 1,000 on 100 mg/week. That's just one example. Everyone's body responds a little differently - or a lot differently. So, just because I got such and so results doesn't mean you'll get the same. This is NOT an exact science. There is more not known than known, it seems to me.

If you're hell bent on doing it, go ahead. But educate yourself first, BEFORE you jump in. Plenty of guys have come here looking for help AFTER they've fucked themselves up!

Thanks EMW.

I have come to realize the same conclusion that most doctors and specialists do not know jack about TRT or hormones. My own Uncle is an endocrinologist and he doesn't deal with it. I visited the LowT center and they cover it, but it's $20+ every 6 days. in which I can't afford.

Thank you for that info. If I can avoid jabbing myself with a needle for the rest of my life, then so be it. Only if it benefits me best though. Blood and everything looks good in terms of overall health. I have visited a counselor to uncover anything regarding my depression, but they told me I was fine..

So who knows, but to me it seems like all the fingers are pointing to low t.. It's beyond frustrating.

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