Looking for some advice!!

**juicestavi** · 12-28-2013, 04:02 PM

Ok so I'm 27 but I really feel like I could have low t.

Haven't cycled in 2 years but probably went through 6/7 cycles from 23/25. Always pct. But I don't feel like I did a few years ago.

I don't train like I used to but I'm mildly working out and cant control my weight. Always feel drained and to Top it off I feel like my dick is a little softer.

So how do I find a doctor in my area? What kinda doctor do I see? Also if I do have low t. Will the amount of test they give me make me normal or jacked again and will i make my dick what it used to? lol

**MuscleInk** · 12-28-2013, 04:11 PM

Originally Posted by juicestavi

Ok so I'm 27 but I really feel like I could have low t.

Haven't cycled in 2 years but probably went through 6/7 cycles from 23/25. Always pct. But I don't feel like I did a few years ago.

I don't train like I used to but I'm mildly working out and cant control my weight. Always feel drained and to Top it off I feel like my dick is a little softer.

So how do I find a doctor in my area? What kinda doctor do I see? Also if I do have low t. Will the amount of test they give me make me normal or jacked again and will i make my dick what it used to? lol

Do you have a family physician or PCP that you see normally? I would start there and discuss the symptoms. You need blood work first. It may be testosterone or other hormones (e.g. T3 or T4) that are causing your symptoms. There could be other non hormonal factors as well so a full hormone panel with E2 sensitive assay, CMP, CBC would be the minimum panels ordered.

If your testosterone is low, your PCP may treat you, refer you to a urologist or neuroendocrinologist, or do nothing at all (if your levels are within normal range even though low).

You need to rule out other factors before you jump the gun and assume its low T, so blood work is absolutely necessary.

**juicestavi** · 12-28-2013, 04:18 PM

Ok that's what I was thinking is I'd have to start with blood work. I don't have a doctor. Haven't been since I was a kid. Is there a particular type of doctor to see to deal with steroid use and what not?

**MuscleInk** · 12-28-2013, 04:41 PM

Originally Posted by juicestavi

Ok that's what I was thinking is I'd have to start with blood work. I don't have a doctor. Haven't been since I was a kid. Is there a particular type of doctor to see to deal with steroid use and what not?

Depending where you reside, health insurance may or may not be an issue. In most cases you would need a referral from a primary care physician (PCP) to see a specialist (neuroendocrinologist or urologist) once blood work is done. Some PCPs will attempt to treat low T (if that is the problem) but most PCPs are painfully ignorant on TRT approaches and proper management.

I'd try to find a doctor in your area. Lowtestosterone.com is another option but again, other causal factors need to be excluded.

Do NOT indicate to a doctor that you used steroids .

**juicestavi** · 12-28-2013, 04:51 PM

I was looking at the lowtestosterone.com. I'm in Tampa and Miami would be the closest so that's a little drive.

So I guess I find a doctor in the area. What should I say to him to get all the test I should have ran?

**Mrass32** · 12-28-2013, 04:57 PM

Originally Posted by MuscleInk

Do NOT indicate to a doctor that you used steroids.

Why do you suggest not being upfront about previous use? I have an upcoming appointment with a new doctor and planned on giving my history and we're I'd like to be concerning TRT. Several others on this board also felt being upfront was best option.

Juicestavi
I searched for doctors in my area that were certified with A4M.com there are several references to A4M on these boards.for you to look up.

**MuscleInk** · 12-28-2013, 05:03 PM

Originally Posted by juicestavi

I was looking at the lowtestosterone.com. I'm in Tampa and Miami would be the closest so that's a little drive.

So I guess I find a doctor in the area. What should I say to him to get all the test I should have ran?

Describe your symptoms as you have done here (lethargy, weight gain, low libido, loss of strength, somnolence, etc.). Most doctors with half a brain should include a hormonal panel to at least check your cortisol, thyroid, and testosterone in addition to standard blood panels (CBC, CMP).

**juicestavi** · 12-28-2013, 05:17 PM

Any idea of cost without insurance?

**MuscleInk** · 12-28-2013, 05:17 PM

Originally Posted by Mrass32

Why do you suggest not being upfront about previous use? I have an upcoming appointment with a new doctor and planned on giving my history and we're I'd like to be concerning TRT. Several others on this board also felt being upfront was best option.

Juicestavi
I searched for doctors in my area that were certified with A4M.com there are several references to A4M on these boards.for you to look up.

I've been practicing medicine for 18 years. As a physician, yes, I'd like a full history including a list of drugs used, prescribed or otherwise as this will help with a differential diagnosis. The big problem is, if you tell me that you used ILLEGAL drugs and I include that in your Hx and PE, it becomes part of your permanent record. Many insurance companies would NOT authorize treatment if you used/abused illegal drugs and may withdraw coverage entirely. Not exactly the position you want to be in if you are in need of therapy for some condition.

So no, I disagree (despite my professional position), being upfront with your doctor can back fire. There are however some exceptions. I don't know what kind of a relationship you have with your PCP, nor do the members here giving you advice. Perhaps he/she is the same PCP you've had since you were a young boy and the PCP is more like a family member than a pseudo-stranger who manages your health. If you have a very strong and long term relationship with your PCP, then admitting your use may not pose a problem since your PCP may chose not to report that.

Even as an MD, I have a PCP that I see occasionally. She knows of my anabolic use history, the compounds I used, and the cycle lengths. I have known her for more than 10 years, our sons go to school together, and we have a shared professional courtesy among us which excludes documentation of my anabolic and HGH history. She doesn't approve, but that is largely due to her limited knowledge of anabolic benefits and she's more focused on the health risks.

The OP in this thread doesn't have a pre-existing relationship with a PCP. Without the benefit of a longer term relationship, any PCP he visits may document his anabolic uses.

Notice that I am not saying the PCP must notify authorities. HIPAA regulations do protect patients (to a degree, said protections are not infinite safe harbors), however, if his former use is documented, he may face considerable struggles getting paid coverage for his care.

**MuscleInk** · 12-28-2013, 05:21 PM

Originally Posted by juicestavi

Any idea of cost without insurance?

Depends on the clinic. In California, costs range from $250-$650 per month for cash paying patients. Costs generally include T-therapy, ancillaries (AI and HCG in some cases) as well as blood work scheduled around 3-4 months.

**Mrass32** · 12-28-2013, 05:38 PM

MuscleInk,, Thanks for the very informative explanation.

I dont want to throw off the OP's thread to far but started one several days ago in the HRT/TRT forum,, *1st time doc*.
sorry cannot post links or pm due to post count.
If you would have any recommendations for me that would be great.
Thanks

**MuscleInk** · 12-28-2013, 06:16 PM

Originally Posted by Mrass32

MuscleInk,, Thanks for the very informative explanation.

I dont want to throw off the OP's thread to far but started one several days ago in the HRT/TRT forum,, *1st time doc*.
sorry cannot post links or pm due to post count.
If you would have any recommendations for me that would be great.
Thanks

Mrass,

Sending me a PM reminder about that thread. I'm heading out for several hours but have half a dozen PMs I need to reply to so if I see yours there I'd be happy to contribute to the other thread.

MI

**Mrass32** · 12-28-2013, 06:20 PM

Originally Posted by MuscleInk

Mrass,

Sending me a PM reminder about that thread. I'm heading out for several hours but have half a dozen PMs I need to reply to so if I see yours there I'd be happy to contribute to the other thread.

MI

I'll have to get my post count up first. LoL
Thanks

**MuscleInk** · 12-28-2013, 06:22 PM

No worries. I'm sure I'll find the thread.

**mockery** · 12-29-2013, 01:35 AM

could be lack of vitamin D, start off small and easy

i felt the same way around 27 , just old age and my out come was low test. i had never used drugs, just was me getting old.

**mockery** · 12-29-2013, 01:40 AM

oh and my low test could have been brought on sooner since i ate complete crap foods, wasnt active and played games online 12-16 hours a day. hadnet trained in the gym for many many years. never saw day light. pretty much was a waste of skin. So poor lifestyle and P.gland tumor = feeling like sh*t for many years, dr(s) argued it was chronic fatigued syndrome untill i met a kiwi dr that informed me that it doesnt exsist or at least its mixed views in the medical field if it does. Got my full blood work back, test was around 200.