HRT Success with Endos??

[TennTarheel]

I have now been referred to a supposed brilliant Endo for my low test. How much luck have you guys had with Endos? Is there a typical route they usually take per their training and education? Or are most of them vastly different in their approaches? Have many of you found them to believe in adding hcg to your protocol willingly?

I know these are pretty vague questions but I just want to know what to expect from an Endo, if that makes any sense? Thanks guys

[Doug350SD]

I can say from my own personal experience, I went to the local top endo. He immediately told me I had been misdiagnosed and did not need to be on Androgel . He told me to stop using ASAP and come back in 3 months for blood work. So I did as told felt like crap, went back he only tested testoterone serum, which came back at 299, looked at me and said you are good to go... No need to schedule a follow up I don't need to see you again...

Just my experience... I do hope yours goes better and maybe yours will have an understanding of the entire process..

[je909ki]

Same problem here. I've been to two different Endos in my area who are supposed to be good and both seemed clueless on TRT. One Endo told me NO doctor would ever prescribe HCG to patients on TRT. I dropped him after that.
Kelkel told me to look at his sticky "finding a TRT physician" so that's where I'm at now.
Good luck buddy

[TennTarheel]

Yeah, I mean I've done all the research and keep researching. I've called compounding PHarma but they won't really help me for some reason. I have my bloodwork already, know what needs to be done and what I need to do it, but its been difficult finding a doc that will do it. I've seen 2 gps, a urologist, and one HRT clinic so far. 350, you didn't happen to see a Nashville Endo did you? Just wanna make sure

[TennTarheel]

Yeah I've seen 4 docs so far and none of them were knowledgeable enough I'm HRT.

[HRTstudent]

I did the whole thing outlined in the How To Find a Doctor... I was first led to an endo, talked to a pharmacist who praised them and called the office to gather what clues I could. I was overall hopeful.

Long story short, it was a pathetic disaster. Endo's simply don't treat low T unless it is one of the rare genetic diseases. And even then there methods to treat are ancient and outdated.

I thought my situation could be different. I did a lot of leg work. I got first hand testimonial from pharmacist and a patient (not low T patient). I thought my situation was special and took the "mitigated" risk. But it was just the same old BS. If you go to an endo you are severely hurting your chances of finding a decent doctor. Look to internists and urologists first.

Endocrinologists are too overburdened with diabetes to gain the expertise needed to treat low testosterone.

[Doug350SD]

Yeah, I mean I've done all the research and keep researching. I've called compounding PHarma but they won't really help me for some reason. I have my bloodwork already, know what needs to be done and what I need to do it, but its been difficult finding a doc that will do it. I've seen 2 gps, a urologist, and one HRT clinic so far. 350, you didn't happen to see a Nashville Endo did you? Just wanna make sure

No, I live in New Hampshire..

[TennTarheel]

See, I spoke to a urologist and he was clueless. Never heard of doing test/hcg concurrently. Says that 500 to 600 is optimal. Blah blah blah. That was all I needed to hear

[MuscleInk]

I did the whole thing outlined in the How To Find a Doctor... I was first led to an endo, talked to a pharmacist who praised them and called the office to gather what clues I could. I was overall hopeful.

Long story short, it was a pathetic disaster. Endo's simply don't treat low T unless it is one of the rare genetic diseases. And even then there methods to treat are ancient and outdated.

I thought my situation could be different. I did a lot of leg work. I got first hand testimonial from pharmacist and a patient (not low T patient). I thought my situation was special and took the "mitigated" risk. But it was just the same old BS. If you go to an endo you are severely hurting your chances of finding a decent doctor. Look to internists and urologists first.

Endocrinologists are too overburdened with diabetes to gain the expertise needed to treat low testosterone.

^^^^I second this. I work in medical. Several of my peers are endocrinologists and wouldn't know enthanate from cypionate if it bit them in their own glutes!!!

[EZ E]

Best thing to do is to call the office and speak with the nurse since you will never be able to speak with the doctor directly. Ask them if they prescribe injections or only gel, if they let patients self-inject, and if they ever prescribe HCG along with test. You can at least save yourself some time with this. If you don't have any luck w/ the Endos start on the Urologists.

Good luck.

[TennTarheel]

I guess a few of the Uros I've spoken to just didn't have a clue about the hcg aspect for some reason. Really, I think it just depends on that one individual doc regardless of what they specialized in. I mean, my father is a GP and he is very well versed on the newer protocols for hormone replacement. It all depends on how much they try to keep learning and adapting to newer research and findings. Some docs just don't want to learn the stuff and don't try to gain the extra knowledge. Stubborn

[steroid.com 1]

TRT requires special medical training and Endo's are not traditionally trained for it; most A4M Docs are trained properly.

[kelkel]

^^^This. Hence the A4m Search engine like GD referenced. There are no guarantees. Took me three docs to land a good one. Fired the middle one who was a clueless endo and I no doubt new more about TRT than he did. Keep trying using all available resources, even google! Do not make appts and waste time and money. Interview staff first like EZ referenced. You very well may land a regular GP who has an interest and will work with you. That's all it takes!

HRT your last bolded comment nails it. I told my endo I wasn't coming back and he should stick to diabetes as he does not know TRT. I hurt his feelings as he called later in the evening to try to get me back and argue his case. Ahole!

it's a growing field and in years to come it will get easier. LowTestosterone.com will be opening in the near future as well!

kel

[steroid.com 1]

This---->LowTestosterone.com will be opening in the near future as well!

Very near future indeed; wait till you guys see what's happening

[lovbyts]

This---->LowTestosterone.com will be opening in the near future as well!

Very near future indeed; wait till you guys see what's happening

Waiting with baited breath.

I am lucky I have an Endo who just prescribes me test and leave it at that as long as I say all is well and blood test are within range. I started with an HRT clinic for the 1st year then switch to Endo since he is covered by insurance and a LOT closer to where I live. He knows nothing about E2 levels or HCG but I take care of that myself or at least until I can find someone else who does give a damn.

It's not only us gusy though. Women have just as hard of a time finding a doctor who knows or cares anything about hormones.

It's a sad world we live in that doctors/insurance care more about prescribing a pill than finding the problem.

[Vettester]

My experience with an endo was like meeting satan in hell! Not only did this guy not know how to diagnose and administer HRT effectively, he was BS artist. He tried telling me that I could take home cypionate , as it was a "controlled schedule III substance"; meaning they, the doctors control it. When I asked him about the same schedule III on pain medication, he said, "well, that doesn't involve needles, so it's not illegal" (paraphrasing him, but pretty close). He said that HCG was only for those trying to imitate Manny Ramirez. This was in my early stages with discovering secondary hypogonadism. I found this place, the rest is history. Well, that and several docs and clinics later ...

[BuzzardMarinePumper]

My GP Took my blood and looked at the levels and I was sooooooooo low (78) he put me on Androg and my ins paid but this gel did nothing taking as perscribed 2 pumps 2 x's a day and it cost so much $ R/T $around $700.00 and it still cost me close to $100.00 per bottle / pump. I found a Govt program that I could join for $15.00 and the gel would be $15.00 per mth no matter how many I think it was a VA program,

I talked to him and told him about my cost concerns and he said that he had done TRT where he came from TX. and now he is just a country GP in N. GA. and I went back to him last Mon and he didn't even require another blood test and the other one is about a yr old. He said what do you want and I had printed the University of Tulan Med Study right off this forum and the other thread on HCG and the one that goes into detail on the different types of Test and what is sold in the USA and He was knowledgable on sust 250 and said he had pactients in TX bring that in his office and ask him how to take it and he shared with me that he could only tell them what not to do . . . he could not tell them how to use it ? He told me for my extremely low level that he wished he could put me on 4 weeks of Sust 250 but it was not sold in the USA He really was a fan of SUST.. He looked at the TEst list and ask me what I wanted and we went down the list and he called around and tried to find the pheny because of it being fast acting and he finally settled for the only thing he could find stocked in N. GA pharmacys and the was 200mL of Cyp and 1 shoot every other week 1 cc which was 200mL I have changed to .5cc 1 x a week and may go to .25 every 4th day. he even gave me 2 refills and it cost $25.00 for 10cc. I asked him about hcg and he said I would have to see the local endo about that but I am taking my son there tomorrow for a standard Phycial and I am going to leave the info with him and tell him how much I respect his treatment and would he please read up on it and me remain under his care ? I think it is a 50/50 chance he will go for the HCG in Jan when I go back for blood work ?

I can't change the blood work ; what do I tell him so he will keep perscribing this dose or possibly increase the dose I have now. I have already Gynocamasta due to juice abuse in my 20's and had the operation very painfull and so is witch tits ! My Test level being natural and at (78) and already had the glands removed other than to boost my natural test production is there even enough flame left in my testis to produce Test again with any stimulation or even the (tricking them with HCG) ?

[TennTarheel]

I'm allll about Low Testosterone .com!!

[TennTarheel]

Anybody ever heard of Dr. Pasqual Dauphin? I am pretty optimistic in finding him near me. He is an Endo with a specialty in MHRT. Supposedly one of the big names in Andrology research? And he takes insurance!!

[BuzzardMarinePumper]

No but if my GP doesn't work out as I hope ; please give me a heads-up as to what ou find out when you see him ?

If you are living in TN. What part, just in general east west Center ? Depending on my talk with my GP today and how flexable he is I live in North GA. Off of I - 575 Maybe close or far , from where you are but if the trips are 1 x every 3 mths distance with-in a 400 mile drive is OK with me if the Doctor is + to TRT and understands all aspects of it and the other blood levels that must be monitored also

[BuzzardMarinePumper]

I guess a few of the Uros I've spoken to just didn't have a clue about the hcg aspect for some reason. Really, I think it just depends on that one individual doc regardless of what they specialized in. I mean, my father is a GP and he is very well versed on the newer protocols for hormone replacement. It all depends on how much they try to keep learning and adapting to newer research and findings. Some docs just don't want to learn the stuff and don't try to gain the extra knowledge. Stubborn

I don't see your issue if your father is a knowledgable GP and you are at the levels you posted why don't you just let your father assist you in your documented medical condition and unless you are try to get a legal heavy cycle my GP has only knwn me for 2 years and is working with my requested routine with a little real proof for him to go see for himself on the Internet. I say this because my son who I am taking to the doc today, to my GP for a Phycial ( he has just came to live eith me in the past year ) . The reason we are seeing my GP is his mother was still taking him to a pediatricion ( Damn sp all the tme ) The pediotrission was actually looking at [/COLOR][/FONT][/B]Web MD on his PC while we were discussing some new issues/ ( sad )[B][FONT=Verdana][COLOR="#0000FF"] my son is having in school and life impacting attitude he has developed in a drastic time period his of only 3 weeks and going down hill !

[TennTarheel]

My dad can't write controlled substances for a family member. The DEA frowns upon it.

[HRTstudent]

There are some crazy stories about poor docs in this thread, lol!

I bet we could come up with a nice damn thread...

*idea* Look for my next thread if you want to rant and rave (and get the point about endos across)!