Thread: Will the doc put me on TRT?
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07-14-2011, 08:26 AM #1Member
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Will the doc put me on TRT?
I specifically asked the doc to test my test levels and I got my blood test back. When the nurse called me she went out of her way to mention that I was withing range on testosterone but I now have the hard copy.
My result is 400 and the normal range is 300-1080. and on the bottom of the copy it says "N testosterone 6mths" so I think the doc knows the test level is low in the range of normal. I have noticed a large drop in my libido over the last year but a huge drop in the last 2-4 months and it has been many years since I did AAS. Another thing I noticed is my wbc is low as well as platelet count.
What do I do from here? I feel that I want to be in the middle to upper middle of the range at my age of 34. Am I asking for something out of the ordinary? What are the chances he will put me on TRT considering I am still in range?
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07-14-2011, 09:35 AM #2Member
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Hard to say. For some docs, if you are in range, they feel you are OK and don't need treatment. Others, as we know, try to get you into the upper part of the range. I'd say that if you emphasize the symptoms you feel you are having, you stand a better chance of getting treatment. It all depends on the doctor and his/her familiarity with TRT. My primary care doc. is happy to write a scrip. for test. as long as my endo. has already set the proper level. He won't however, prescribe test. on his own independent of my endo. He just doesn't want to do that.
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07-14-2011, 09:45 AM #3Member
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K. Guess time to talk to the doc.....asap. My libido could use a boost and when I say boost I mean to get it up off the floor!
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07-14-2011, 10:18 AM #4HRT
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You are in the lower end of the quartile and presenting with symptoms. Anti-aging Doc and Clinics would treat you in a heart beat. Main stream Doc's most likely wont' unless you can find one that understand TRT protocols and would be willing to help you.
Find some compounding pharmacies around you area (Google Maps) and call them and ask if they know any local Doc's who understand TRT protocols and working with men presenting with Low T.
Pretty young guy for such a low level. You may want to find out why that's happening. Did you get your Thyroid checked? What were your LH FSH levels?
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07-14-2011, 10:20 AM #5Member
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Check out the other symptoms of low-t and see if you are having any of those too. The whole mood thing is sort of "iffy". Definately a symptom, but some docs will just try an antidepressant first. Libido and ED are two biggies. Even the PDE5 inhibitors don't work very well if your t-levels are low.
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07-14-2011, 10:37 AM #6Member
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Thyroid check came back find cause I have had hyperthyroidism in the past. No LH or FSH check though...I saw it on the panel paperwork but doc did not check it.
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07-14-2011, 10:39 AM #7Member
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What do you mean by ED? he kept asking me if I was depressed, I said no not the normal depressed depressed feeling that I have felt about 10 years ago. Not like Depression but run down, tired, not really horny at all. I sure hope he either sends me to an endo or helps me out and doesn't try to put me on some bs.
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07-14-2011, 10:43 AM #8Member
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07-14-2011, 11:03 AM #9Member
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Not sure where you are located (and you don't have to say), but I have located several anti-aging docs in my general area (which is midwest). I consider them a "last resort" because they don't participate in health insurance plans. You might have some nearby too if you do some research.
By ED...short for erectile dysfunction. PDE5 inhibitors are the class of drugs that Viagra is in.
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07-14-2011, 11:25 AM #10HRT
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I doubt that his insurance would cover his protocol any way; he's in the normal range.
IMO, you need to find a clinic that knows what to test for and how to evaluate your situation. You need a complete Thyroid and Endo work-up among other things.
See what I told you to do in finding a compunding parma in your area and talk to them; they can be a wealth of info in finding the right Doc.
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07-14-2011, 11:27 AM #11HRT
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A quick search on Google and I found a bunch:
http://www.google.com/search?sourcei...+aging+clinics
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07-14-2011, 12:12 PM #12Member
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Found a few. Time to start calling. Wonder how much this is going to cost me, wonder if just buying some test and doing a mild cycle at 200mg EW would work?
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07-14-2011, 12:32 PM #13HRT
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Generally speaking a clinic will charge:
Initial visit, blood work & consultation: $400 - $500
Monthly Protocol varies but with Test Cyp - HCG - AI - figure somewhere around: $250 - $350 monthly depending upon dosage and type of meds...
This is JUST a generalization some clinics are higher and some lower. Find a clinic that cares more about you then trying to sell you everything including the kitchen sink.
IMO, find a good clinic that cares for you, get the initial eval then after the findings and protocol recommendation make your decision if you want to move forward or not.
I would not recommend self medicating as you will most likely end up hurting yourself or making your situation even worse. You are not a Doctor.
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07-14-2011, 12:39 PM #14Member
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isn't trt from an endo or your doc covered by most medical insurances though? That is a big what if though if my doc or endo is not interested in giving me TRT...
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07-14-2011, 01:04 PM #15HRT
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If you are not clinically diagnosed as primary or secondary hypogonadism and depending upon how your insurance interprets that; the answer is most likely no. Your labs have you at 400 and to be clinically diagnosed primary or secondary your labs would need to be below your bottom range of 300. Your insurance would see you as "normal" and not cover the protocol.
We see it here all the time...
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07-14-2011, 01:06 PM #16Member
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f this.....I got an appointment with the doc on Tuesday, if he isnt interested in helping me I will just start calling Anti-Aging Clinics
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07-14-2011, 01:27 PM #17HRT
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Totally understand your frustration but this is not about your Doc wanting to help you; he does. It's a matter of your insurance coverage. You may want to call them and see if they cover a diagnoses for hypogonadism and if so what are the parameters for that diagnoses.
Your situation is not unfamiliar with us all.
FYI, I was just a tad below 400 with symptoms and no way was my insurance going to cover my protocol so I pay out of pocket. My health is more important to me and especially my wife and kids then anything else in this world so I pay gladly.
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07-14-2011, 02:32 PM #18Member
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calling my insurance company now....
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07-14-2011, 02:40 PM #19HRT
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Good for you man!
Let us know what you find out.
Most likely it will be test levels that will determine treatment or not.
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07-14-2011, 02:55 PM #20Member
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They cant tell me, I guess they make a decision on what the paperwork/test level the doctor submits to them.....
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07-14-2011, 05:32 PM #21
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07-14-2011, 07:17 PM #22HRT
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07-15-2011, 05:29 AM #23Knowledgeable Member
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The bottom line for me is that my cell phone with data plan costs me more a month than my HRT. If I had to, I would cancel my cell phone to pay for HRT.
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07-15-2011, 07:47 AM #24Member
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^^^Well your medical insurance most cover some of that then because I just checked to see how much the anti aging doc wants and it's right in line with what I have been told. $500 for basic consult and blood test and trt monthly at 500 with a monthly blood test.....if this is true I will just self administer a TRT dose and get blood tests done by my GP.
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07-15-2011, 04:50 PM #25HRT
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Keep looking. $500 a month probably includes an HGH protocol which you don't need and you don't need monthly BW either. $250 a month for Test, AI and HCG is more like it (depending upon dosages and injections of course). Like GNBM states, if my family just skipped going out to eat 4 to 5 times a month it pays for my protocol.
I warned you not to self medicate you most likely hurt yourself or get even worse...word to the wise
gd
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07-15-2011, 06:32 PM #26Member
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^^^No offense but you are the only one out a few very well known source that say otherwise, most say to do a basic cycle and do not do pct and when I come off go to the doc have bw done and then the level will be so low that they will then put me on trt
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07-15-2011, 06:39 PM #27HRT
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07-15-2011, 06:40 PM #28HRT
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^^^No offense but you are the only one out a few very well known source that say otherwise, most say to do a basic cycle and do not do pct and when I come off go to the doc have bw done and then the level will be so low that they will then put me on trt
Oh I thought you were thinking of managing your own TRT protocol as a more economic alternative to see a specialist.
What you're contemplating is committing a felony crime: Insurance Fraud.
Deliberately altering your blood chemistry to get a favorable insurance claim.
That way, your insurance carrier can pass the burden and expense of your treatment on to the other members of the insurance plan so they can all pay for it through increased premimums.
Nice.
BTW, you may want to seriously think about making these statements public. Even considering to commit a felony is a crime and you can do jail time for that. These boards, and other anabolic forums, are monitored by agencies like the DEA, ATF, FBI and others so you may want to think about the consequences of your actions.
Also, when guys like myself and GNBM are legitimately paying out of our pocket for our treatment and we see a guy like you who wants to cheat...well you figure it out smart guy.
Just a word of advise and no offence of course.
gdLast edited by steroid.com 1; 07-16-2011 at 10:19 AM.
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07-15-2011, 06:52 PM #29Member
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ill talk to the doc but outside of me taking a low level dose and taking a blood test what is a anti aging clinic going to do different?
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07-15-2011, 08:06 PM #30Associate Member
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The clinic in my are San Diego Male Medical clinic ran a blood work and consult special for $195. I took advantage and my test levels were at 585. At 37, the Dr said the optimal range was around 800. They gave me a choice of test cream or weekly injections of test c. I opted for the 3mts of test C for $600. I am surprised your Doc is not prescribing test c. Also, I believe it may be better off if your Doctor is a GP or Family Physician. From what I understand, they are more likely to prescribe test c or test e then an Endo would.
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07-17-2011, 11:16 AM #31Member
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My doc is a GP.....We will know the outcome on Tuesday.
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