feeling ANXIOUS

[powerlifterty16]

next friday(not this one) have an apt with the urologist who prescribed me hcg back in june.
the pos of this urologist are that he is 2 minutes from my house, does injections, seems to prescribe hcg(he gave me hcg, although told me it isnt a long term treatment so idk), and he is a urologist and not an anti aging clinic out to get my money. i dont pay copays o see him, and basically trt treatment would run me 40 dollars per month(80 dollars for 2 months of pregnyl and 0 dollars for cyp)

cons are i dont think he will give me trt....he has said time and time again that i am young, i may want kids(which i dont want i am 100 percent certain...plus i am not a ladies man anyway and getting sex is harder than winning powerball), and he seems to think read too much on the internet, and that rt has loads of bad effects.

any tips to persuade him my way? btw if he says he wants to do a shot every 2nd or 3rd week, how cna i politely say i want once per week doses? I have a hard tme asserting myself and also dont want him to think i want steroids for lifting...although i do want to get in the proper range for gains to come more easily.

[< <Samson> >]

Depends on the MD, mine was way tough to get full hormonal lab work.

I don't know about the rest of your attitude though, seem kinda down.

What are your #'s? Do you truly need TRT?

[bigdippin]

If you can't at least get 1 injection per week, I would find someone else. Your levels are going to yoyo so much from every 2 or 3 week injections. That's just crazy.

[powerlifterty16]

Depends on the MD, mine was way tough to get full hormonal lab work.

I don't know about the rest of your attitude though, seem kinda down.

What are your #'s? Do you truly need TRT?

why do you say that about my attitude...i just am feeling trapped because i dont have many options for trt treatment and yes i need it last lab work showed 256 tt with free t below range at 23 years old.

[powerlifterty16]

If you can't at least get 1 injection per week, I would find someone else. Your levels are going to yoyo so much from every 2 or 3 week injections. That's just crazy.

well im not going to do the trt if i cant self inject, so i would do once or twice at home each week but would like the dr to be on board.

[bigdippin]

There are tons of options out there. One option is right here on this site. $200 a month, you can do your own injections. If that's not your thing, keep looking and don't settle. This is your health.

[powerlifterty16]

There are tons of options out there. One option is right here on this site. $200 a month, you can do your own injections. If that's not your thing, keep looking and don't settle. This is your health.

yeah this site is very good, but i really dont have 200 at the time per month as pathetic as that sounds.
i actually was offered trt at 19 but declined. i worry a lot about hdl going down.

[phaedo]

With the exception of this urologist, how many other medical professionals have you seen, powerlifterty16?

[powerlifterty16]

With the exception of this urologist, how many other medical professionals have you seen, powerlifterty16?

saw my primary in 2009
a neurologist for headaches in 2009
some neuro surgeons bc i was convinced the probable 2mm that was found was harming me(turns out later mris revealed nothing)
then saw an endo around the same times after primary checked tt at my request.
he was rude and so i set up an appt with dr e barry gordon
dr gordon wanted me on trt bc he is a drug pusher
didnt do the trt, and decided to switch primaries bc i didnt like my primary since he said 277 test was normal
new primary was pretty good...but eventually when endos wouldnt help me she came to the conclusion i was crazy and imagining this stuff..but she believed in me for a while at last.
saw an endo at columbia where my tt was 535 the highest it's ever been i was 21 then...although gordon claimed my tt was 6something when he tested but he refused to show me.
endo had nothing to contribute even though my cortisol was high.
i saw some gastros and a hematologist for other symptoms just to make sure i was all clear there.
then i took a rest from drs for 2 years and just started with a new primary who is terrible.
she refferred me to the urologist, and 2 endos.

i know i sound nuts but hey the bw doesnt lie...i have had 2 blood tests in the mid-high 200s for total t, one blood test in the lower-mid 3's...a few blood tests in the mid to high 4's when i was 20-21, and only one bloodtest was 535...my most recent numbers were 339 and 256 with free t being low.

[zillagod]

....

[< <Samson> >]

are you on trt? wtf do you think you are to take personal shots at this man without knowing his story?

What do I know?

Well, what I do know is that being on shots for the rest of your life better be in a damn near necessity. < That is what I do know


But, yeah bro - If your numbers suck and you feel like crap there's nothing you can just do to make it better without getting on life long TRT.

Sucks for sure going through this kind of crap when you're young though. You say you don't want kids and can't get chix - That's not really a normal life long attitude.


As far as getting a good MD - If you got the bucks the only thing I think would work very well is like this site or another HRT type clinic.

Yet being only in your early 20's and having these #'s I would think any MD would put you on TRT right away. < But apparently that's not the case nower days.


GL Man, it's not like I wanted to rip you a new ass hole for nothing.

[laser]

When you see your doc, discuss muscle loss, fatigue, and low libido, etc.....stick to the points, discuss the problems you are having. Try not to drag it out, know what your going to say prior....write some notes, serious it helps. I just found another Doctor, and it is not easy.
Weekly doses to avoid the roller coaster ride, the ups&downs.....My new doctor, said weekly doses are best to avoid the ups&downs...Try not to lead your Doctor in the discussion, although you can mention points in the discussion if you see it is going south.

[xcraider37]

why do you say that about my attitude...i just am feeling trapped because i dont have many options for trt treatment and yes i need it last lab work showed 256 tt with free t below range at 23 years old.

I think he may be referring to your attitude with women, dude there are tons of women for all of us out there, you just need to show them confidence. Maybe you can't pick up the hot blond sitting at the bar, but you may be able to catch the brunette sitting in the corner, confidence is everything when it comes to women.

[Ryanmcd]

To be honest I think you are WAY over thinking this crap, you make several threads a day and you are chasing numbers, I would look at things like BF, Sleep, Diet and make sure everything that you can do w/o a Dr is good before you go down the TRT road, I wish I did not have to do this shit and its not fun having to take shots all the time.

Maybe set goals for yourself with Work / Gym / Life in general and get off the forums all day because then you just THINK / WORRY and it makes things worse.


Also look at allergies such as gluten, that screwed me up bad had low iron, sleeping all the time and always had a stopped up nose.

[< <Samson> >]

To be honest I think you are WAY over thinking this crap, you make several threads a day and you are chasing numbers, I would look at things like BF, Sleep, Diet and make sure everything that you can do w/o a Dr is good before you go down the TRT road, I wish I did not have to do this shit and its not fun having to take shots all the time.

Agree 100%

But - - - If you feel like ass and you numbers suck, it's just the way it is.

Bringing up your natural test production from the 200's in your 20's sounds like a never ending battle.

[powerlifterty16]

When you see your doc, discuss muscle loss, fatigue, and low libido, etc.....stick to the points, discuss the problems you are having. Try not to drag it out, know what your going to say prior....write some notes, serious it helps. I just found another Doctor, and it is not easy.
Weekly doses to avoid the roller coaster ride, the ups&downs.....My new doctor, said weekly doses are best to avoid the ups&downs...Try not to lead your Doctor in the discussion, although you can mention points in the discussion if you see it is going south.

funny you mention the notes..eery doc i go to gets annoyed and intimidated because i bring all of my records and a list of my history that i go through..on the other hand though it makes it seem less like i want steroids(which i dont want anyway)

as for having confidence kinf of hard to have guts and confidence when u have t of a 100 yr old...i never really was a brave guy..except in the gym and sometimes in school for tests i wouldnt get nervous like everyone else.

[powerlifterty16]

To be honest I think you are WAY over thinking this crap, you make several threads a day and you are chasing numbers, I would look at things like BF, Sleep, Diet and make sure everything that you can do w/o a Dr is good before you go down the TRT road, I wish I did not have to do this shit and its not fun having to take shots all the time.

Maybe set goals for yourself with Work / Gym / Life in general and get off the forums all day because then you just THINK / WORRY and it makes things worse.


Also look at allergies such as gluten, that screwed me up bad had low iron, sleeping all the time and always had a stopped up nose.

im not on th forums all day, and the threads i make are for fun to start conversations...then there are threads like this which i will make before going to a dr when i say i am anxious im not where sweating bullets, but i am nervous he will try to rip me off and not give me trt..which right now is what i want to do. ive been getting blood work tested and life changes for years, 5 to be exact.

[Ryanmcd]

im not on th forums all day, and the threads i make are for fun to start conversations...then there are threads like this which i will make before going to a dr when i say i am anxious im not where sweating bullets, but i am nervous he will try to rip me off and not give me trt..which right now is what i want to do. ive been getting blood work tested and life changes for years, 5 to be exact.

You are starting to sounds like that MarineBuzzard dude when he would DEMAND that the doc write him test, and they are in it to rip him off. The doc is not after your copay and the $40 he get's from insurance what he IS worried about is that you want injections for a cycle and his risk of having a lawyer show up at his office. Do this for a change and just LISTEN and don't say you have seen 20 docs in 5 years and you know this this and this and you want this done now because he's going to tell you to GTFO.

You have to build TRUST with your doc that your not some 20 YO kid that wants to run a cycle because all his buddies are lifting more then him, if you want to go the insurance path that trust is going to have to be in place before anything else, just look at it from his view, 20 YO want test, been doing this for 5 years, 10+docs, I would say cya if it was me too. Either play the game and build trust or call LowT or someone like Crisler like I did and get the info you need then find a local doc to write your meds / do blood work.

If he will not do the shots see if you can do the Gel's 1st because you cant abuse them, if you want shots only it looks like you want a cycle and just do what he says.

[powerlifterty16]

You are starting to sounds like that MarineBuzzard dude when he would DEMAND that the doc write him test, and they are in it to rip him off. The doc is not after your copay and the $40 he get's from insurance what he IS worried about is that you want injections for a cycle and his risk of having a lawyer show up at his office. Do this for a change and just LISTEN and don't say you have seen 20 docs in 5 years and you know this this and this and you want this done now because he's going to tell you to GTFO.

You have to build TRUST with your doc that your not some 20 YO kid that wants to run a cycle because all his buddies are lifting more then him, if you want to go the insurance path that trust is going to have to be in place before anything else, just look at it from his view, 20 YO want test, been doing this for 5 years, 10+docs, I would say cya if it was me too. Either play the game and build trust or call LowT or someone like Crisler like I did and get the info you need then find a local doc to write your meds / do blood work.

If he will not do the shots see if you can do the Gel's 1st because you cant abuse them, if you want shots only it looks like you want a cycle and just do what he says.

not sure if you read the whole post, which is fine bc it was long, but ive seen this dr a few times..idk if he trusts me, but i do know he has said ''at 23 trt is not the best option due to fertility'' i odnt want kids though, and i am sure on that.
he does injections, and he prescribed me hcg for 6 weeks, not sure if he does test sub q though.

[Ryanmcd]

not sure if you read the whole post, which is fine bc it was long, but ive seen this dr a few times..idk if he trusts me, but i do know he has said ''at 23 trt is not the best option due to fertility'' i odnt want kids though, and i am sure on that.
he does injections, and he prescribed me hcg for 6 weeks, not sure if he does test sub q though.

Don't even ask for Sub-Q if he says IM say sure and do it SUB-Q, Also about the kids you do not know that, in 15 years if you are married and she wants kids that may change, at 23 your not even started yet lol

[powerlifterty16]

does anyone have any articles showing that once per week injections are better than bi weekly or triweekly?

[m_donnelly]

I haven't been able to find any studies but many of us can attest to it working. The same goes for sub-q injections; they just work better.

Having dealt with many docs over the years, I would advise you to take a different approach in handling them. I know more about psychotropic medications than my shrink (she's admitted as such) but I always followed her lead in treatment. I knew that a certain classification of medications wouldn't work for me because they all carry the same side effect (akathesia) but I smiled and nodded when that's what she prescribed. I tried the meds, always had the same reaction, flushed them and called her the next week to let her know they fvcked me up again. We did this for a two months and she started tossing out treatment options and asking my opinion. I knew which meds I wanted to try from the beginning (anti-convulsants with less severe side effects) because I had researched them. I got what I wanted and my mood stabilized within three days. I have a double bachelors in human development and I know how to read research so I could have thrown all kinds of stuff at her from the beginning but I didn't. I knew from experience that I had to do what she said for awhile until we built trust. This was also the reason why she was willing to prescribe me test c until I see my endo. Yeah, there's been estrogen issues but I can walk into my endos office and tell him what I was prescribed, when I took it and how it cleared up a decades worth of mental health issues before the E2 levels spiked. BUT, I'm also not going to say anything about estrogen, aromatization,etc. I'll tell him about the hot flashes, tender nipples, mood swings, anxiety, (etc) and let him make the estrogen diagnosis. And, I'm also going to do exactly what he says and if it works, it works. If not, I'll play stupid in the office again and end up getting the treatment I need.

Ill end my rant by saying this; play the game with the doctors. Play the role of the patient (even if you do know more) and you're far more likely to get what you need. I hear people saying time and time again that we need to be our own advocates but most docs will shut down on you in a hurry if you do so.

[powerlifterty16]

I haven't been able to find any studies but many of us can attest to it working. The same goes for sub-q injections; they just work better.

Having dealt with many docs over the years, I would advise you to take a different approach in handling them. I know more about psychotropic medications than my shrink (she's admitted as such) but I always followed her lead in treatment. I knew that a certain classification of medications wouldn't work for me because they all carry the same side effect (akathesia) but I smiled and nodded when that's what she prescribed. I tried the meds, always had the same reaction, flushed them and called her the next week to let her know they fvcked me up again. We did this for a two months and she started tossing out treatment options and asking my opinion. I knew which meds I wanted to try from the beginning (anti-convulsants with less severe side effects) because I had researched them. I got what I wanted and my mood stabilized within three days. I have a double bachelors in human development and I know how to read research so I could have thrown all kinds of stuff at her from the beginning but I didn't. I knew from experience that I had to do what she said for awhile until we built trust. This was also the reason why she was willing to prescribe me test c until I see my endo. Yeah, there's been estrogen issues but I can walk into my endos office and tell him what I was prescribed, when I took it and how it cleared up a decades worth of mental health issues before the E2 levels spiked. BUT, I'm also not going to say anything about estrogen, aromatization,etc. I'll tell him about the hot flashes, tender nipples, mood swings, anxiety, (etc) and let him make the estrogen diagnosis. And, I'm also going to do exactly what he says and if it works, it works. If not, I'll play stupid in the office again and end up getting the treatment I need.

Ill end my rant by saying this; play the game with the doctors. Play the role of the patient (even if you do know more) and you're far more likely to get what you need. I hear people saying time and time again that we need to be our own advocates but most docs will shut down on you in a hurry if you do so.

it was painful to read your post..makes me squirm thinking about how you had to pretend to not know what you were doing with regards to your health....but yeah, if he will prescribe the t and the hcg, ill just politely say id prefer once per week, and i wont fight about sub q ill just buy sub q on my own.

the reason i wanted a study was to show him, just like im doing with a study from harvard showing lowt-high cholesterol...although it's more of an article than a study lol.

[Ryanmcd]

it was painful to read your post..makes me squirm thinking about how you had to pretend to not know what you were doing with regards to your health....but yeah, if he will prescribe the t and the hcg, ill just politely say id prefer once per week, and i wont fight about sub q ill just buy sub q on my own.

the reason i wanted a study was to show him, just like im doing with a study from harvard showing lowt-high cholesterol...although it's more of an article than a study lol.

Just do what he says and after time if he's good he will let you do whatever, it's the SMART way to do it but you can keep telling them how you know more and waste 5 more years.

[powerlifterty16]

Just do what he says and after time if he's good he will let you do whatever, it's the SMART way to do it but you can keep telling them how you know more and waste 5 more years.

well i hope he atleast prescribes it...if he doesnt then i have no choice.

[m_donnelly]

I went through a few doctors before I figured it out. I was never out right pushy or rude but I was "self-advocating" which annoys a lot of docs. Hell, one doc got pissed off at me when I told him I didnt like the spikes in blood sugar a medication caused me. "You dont know your blood sugar levels were high, you didnt test them". I wanted off of that med but he felt I was "self diagnosing" so he wouldn't do it. So, I played the game. I went to another doc, laid out all the symptoms of high blood sugar (without saying "high blood sugar") and I was taken off of the medication and put on one without metabolic side effects.

I'd rather get what I want from them than show them what I know. It's much easier to earn one doc's trust than it is to keep bouncing around. Right now, my shrink isn't comfortable completely taking over my TRT. But, she'll work with me on it if the endo is a tool about it. It's not the perfect situation but it could be worse. But, she has complete trust in me because of the way I've conducted myself over the last few years.

Chances are good that I'll develop the same type of relationship with my endo which will make life easier.

[powerlifterty16]

I went through a few doctors before I figured it out. I was never out right pushy or rude but I was "self-advocating" which annoys a lot of docs. Hell, one doc got pissed off at me when I told him I didnt like the spikes in blood sugar a medication caused me. "You dont know your blood sugar levels were high, you didnt test them". I wanted off of that med but he felt I was "self diagnosing" so he wouldn't do it. So, I played the game. I went to another doc, laid out all the symptoms of high blood sugar (without saying "high blood sugar") and I was taken off of the medication and put on one without metabolic side effects.

I'd rather get what I want from them than show them what I know. It's much easier to earn one doc's trust than it is to keep bouncing around. Right now, my shrink isn't comfortable completely taking over my TRT. But, she'll work with me on it if the endo is a tool about it. It's not the perfect situation but it could be worse. But, she has complete trust in me because of the way I've conducted myself over the last few years.

Chances are good that I'll develop the same type of relationship with my endo which will make life easier.

ok i think im going nuts...at first i thought your original post a few hours ago was from m donnely, then i looked again and i saw a different username....and now it says m donnely again....

[m_donnelly]

It's always been m_donnelly.

[VTX1800]

That right there may just be the best advice I've read on this forum regarding your 30 posts a day. You need to find some confidence my brother. Stop kicking your own ass and go get some pus$y!!!!
=Ryanmcd;6636896]To be honest I think you are WAY over thinking this crap, you make several threads a day and you are chasing numbers, I would look at things like BF, Sleep, Diet and make sure everything that you can do w/o a Dr is good before you go down the TRT road, I wish I did not have to do this shit and its not fun having to take shots all the time.

Maybe set goals for yourself with Work / Gym / Life in general and get off the forums all day because then you just THINK / WORRY and it makes things worse.


Also look at allergies such as gluten, that screwed me up bad had low iron, sleeping all the time and always had a stopped up nose.[/QUOTE]

[powerlifterty16]

im not overthinking anything, and if you've read my threads instead of trying to belittle me you'd know that. i can post on here a s,much as id like, im a college graduate from a top school with a top gpa, and id be in grad school now if it werent for my low t.....im doing perfectly fine. my gym is fine ive been lifting weights for 10 years and am in good shape, and with all due respect(which i think is a little much to give you since you mostly belittle), i have a right to feel anxious after putting up with tons of bad drs for the past 5 yrs. my t is at 256 at 23, and no cause has been found..i deserve trt, and a dr who wants to work with me.
i dont see whats so bad about sub q shots.
i think i deserve more credit man.

edit: srry for the harsh reply, but it;s what im feeling right now.

[VTX1800]

Man I can relate, I finished my bachelors degree on the deans list from a top school as well. I too had low T during those years but I didn't hang my head and say ole pathetic me, I have low T I can't do my homework. I had to man up and get shit done! 3 years after I graduated I finally went to the dr to see what's going on and found my T level was a whopping 50. I didnt say everything was easy, I worked my ass off knowing I wasn't feeling well because that's what I had to do. I was 27 with a 50 t level, I I had your number At that time I would have been proud. Lol
No one is telling you that don't need TRT, if that's what you want then by all means go out and fight for it. If you want it bad enough you will get it sooner or later. Until then just keep your head up and be thankful your T level isn't 50...

[powerlifterty16]

50 is pretty low, im guessing you never found a cause? Even though i graduated with good marks, i still barely got through school, bc i felt like crap..i never paid attention in lectures, never did the reading, and basically just did well on the tests and bc i had good attendance(missed maybe one class in all of college), i got good marks.

i am burnt out though and need to get this fixed before going onto grad school. Grad school will require some more effort...and i dont want to waste my time on a grad degree if i feel like shit anyway.

did u develop normally? 50 is close to female territory? u dont have klines do u? I forgot how old are you?

[powerlifterty16]

it's almost worse not being at a 50 tt level, bc it makes the decision worse.

[VTX1800]

Yeah I developed normally, lol it was due to aas use when I was 25. My t levels just never came back up after I ran pct.

[powerlifterty16]

the endo i saw at the beggining of the month called me and told me im not testosteone deficient, and im in the normal range..i asked her my result..she said 371 range 348-1197....she said to make lifestyle changes which is bs bc my lifestyle is fine compared to most. I didnt want to work with her anyway though, she says ''hcg is not for testosterone''

im not even going to show the urologist tomorrow the 371 result, im just going to talk about the 256 result from last month..last thing i need is for him to tell me a 371 at 23 is fine. **** him.
she also said my igf1 is low -_-

gonna shave my beaard tonight and hope the urologist doesnt remember i had one last time.