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11-19-2014, 04:02 PM #1~ HRT Specialist ~
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7 Common TRT Patient Lies
Just for fun, here are 7 of the most common lies or falsehoods stated by TRT patients
1. Patient: After being on treatment for an extended period of time "I don't know why my testosterone levels are still so low, do you think I should up my dose?"
Translation: I've purposely missed testosterone injections in order to manipulate my blood test in order to receive a higher prescribed dose.
2. Patient: E2 levels are normal, treatment continues, no AI is prescribed, next blood test reveals E2 levels in low single digits "I don't know why my E2 is so low, I haven't been taking anything."
Translation: I've been getting an AI from somewhere else - many patients will finally admit this one and their reasoning, 99% of the time "I read online that an AI is a must and my nipples felt a little sensitive."
3. Patient: After being on treatment for an extended period of time "I don't think TRT is for me and I'm going to discontinue."
Translation 1: I've decided to buy my testosterone from a guy at the gym
Translation 2: I've only been on treatment a couple/few months and my expectations were apparently ridiculous and I want total physical transformation now!
Translation 3: I've forgotten what it feels like to have lowt and will probably be back once I'm pleasantly reminded again.
4. Patient: "I've run out of testosterone, these bottles do not have 10ml in them" Applies to someone running out 50% sooner than they were supposed to if not more than 50%.
Translation: I've been taking 2x the amount prescribed because no pharmacy in the U.S. could get away with selling bottles with less than they're supposed to have in them, not commercial or compounding - they'd be shut down in 5min.
5. Patient: "This testosterone is under-dosed" Applies to a patient whose test levels are beyond optimal.
Translation: I have no idea what I'm talking about and my expectations about TRT are unrealistic.
6. Patient: "I have XYZ issue and need treatment but I don't want to pay anymore. My friend's doctor doesn't charge him extra for this." Applies to someone needing treatment for something that is not related to TRT yet they are paying the doctor for TRT.
Translation: Your friend is lying or you are. Or perhaps you've somehow convinced yourself that if you're on TRT everything now falls under TRT...while that might sound ridiculous to some of you here, it is a thought many seem to develop. TRT revolves around testosterone replacement therapy, if it includes other hormone issues, such as thyroid, IGF, etc. that's HRT and a fuller yet separate issue(s). And of course if you have another more traditional medical concern, well it should be obvious that has nothing to do with TRT.
7. Patient: "The testosterone is making me fat."
Translation: You are making you fat
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11-19-2014, 04:20 PM #2
hahahaha thats some funny shit!
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11-19-2014, 05:45 PM #3Member
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I like number 3
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11-19-2014, 05:47 PM #4Associate Member
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I've got to imagine that you guys at lowT.com run into #4 quite a bit.
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11-19-2014, 06:36 PM #5
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11-19-2014, 09:31 PM #6
I legitimately dropped my first vial. I could just see the dr ruling his eyes when I called. I hated making that call, cause I'm sure it probably happens alot too
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11-19-2014, 10:26 PM #7
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11-19-2014, 10:46 PM #8
Awesome. Thankfully I can be honest with my doc. ?o need to play games. Play but the rules and there is no reason to lie
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11-19-2014, 11:17 PM #9
those TRT commercials are not helping....
..........they totally give people a sense of false expectations.
someone should step in with a reality check!
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11-20-2014, 07:24 AM #10
I love number 7!
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11-20-2014, 10:15 AM #11
I've dropped my vial many times on a tile floor , the sucker bounces two feet in the air and don't break
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11-20-2014, 10:30 AM #12~ HRT Specialist ~
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It definitely happens and people tend to get very defensive about it, extremely. I've yet to ever call anyone a liar and no one here does, but that's often how people take it. Or they'll say something about us and the pharmacy are working together to screw them, which if you think about for approximately 0.38 seconds makes no sense.
There are times when a guy runs out early that can be legitimate, this does happen. It's most common with a new TRT patient that doesn't know how to inject, or rather prepare an injection without wasting a lot of testosterone . But in these cases, we're talking about being a couple weeks early on say a 20wk RX supply, not 50% early.
This can certainly happen, and if it does it's up to both the doctor and the pharmacy providing the testosterone, both have to approve the refill. A lot of people assume that if a doctor writes an RX the pharmacy must fill it, but that's simply not true. If you ever drop a bottle, the best thing you can do is to take a picture of it with the spilled out testosterone around it. Do not clean it up and then just say "I broke my bottle."
If you're talking about that one by Cenegenics, you're 100% right, those don't help anything. Make no mistake, Cenegenics has a good program, but the commercials often fail to mention two very important factors. Their program is not TRT, it's HRT and includes a significant amount of HGH therapy. Secondly, it's going to cost you over $20k per year in most cases. But guys see that 70yr+ old doctor with ripped abs talking about how testosterone is what provided him his new physique. I can hardly turn ESPN on anymore without seeing this commercial.
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11-20-2014, 12:15 PM #13Senior Member
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People are truely comical. Just for sake of comparison in a different industry, I am in the insurance business. About once every 12-18 months someone will test positive for cocaine on there urine test for life coverage. Virtually without exception the response to the failed test is "someone must of spiked my drink" I dont do cocaine. The first time or two I would kinda listen but after 20 plus years its so predictable. Another when someone fails the nicotine test, they are about 99.9% accurate but 5-6 times a year I get to listen to someone angerly try to tell me the test is BS. All could be avoided if they were just upfront to begin with.
Anyhow, LT, as stated above, i could only imagine how many people tell you its under dosed or they didnt get 10mls. I think they would be much better off if they just said they were running a litle experiment instead of lying.....
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11-20-2014, 01:32 PM #14~ HRT Specialist ~
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I have no doubt believing people tell you some crazy things that make no sense when it comes to insurance. When a guy is running out significantly early and makes the "it's undefiled" comment, I always want to ask if that's the case, why isn't this an issue with the thousands of other men receiving testosterone from the same pharmacy and even the same batch? I have asked this before but I don't anymore, it only seems to make things worse and anger the patient, and that doesn't help anything.
As far as being honest with your doctor if you are using more than you were prescribed, it's a touchy situation. The most common reason people give for doing this (if they admit it and some do) is that they feel better on that dose than the prescribed dose. Most level headed doctors will be willing to listen to the patient but it's usually going to come with a warning and a few requirements. If a patient does this early on in his treatment before having any followup blood work, there's going to be very little if any leeway. If a patient was RX'd say 100mg/wk but admits to taking 150mg/wk for the reasons stated, the doctor is probably going to explain to him he will need to get blood work done to gauge this change, if he doesn't the doctor may very well pull the patient's RX. And if numbers come back improper and the patient won't lower his dose back to where the doctor prescribed, he will drop the patient.
The best thing to do is to be honest with your doctor if you have manipulated your dose a bit - he may scold you and he will drop you if you continue to do so, but he will usually listen to you and help you figure out what's best. Of course the better option is not to do this at all and work with what you have and allow changes to come the way they're supposed to based on followup blood work and conversations with your doctor, this guarantees you won't be dropped.
Last little comment on this, the most common thing any doctor hears when a patient is doing things like this is this little gem "I know my body" or I'm in-tune with my body." That may be very true and I'll be the first to tell you that the laws surrounding testosterone may very well be a bit too strict, but they are still the laws and when you start messing with this you're messing with the doctor and his license and ability to practice is far more important to him than anything else - it has to be, otherwise he wouldn't exist and you wouldn't have an RX to begin with. I'm not sure why some patients can't understand this or refuse to accept it.
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11-20-2014, 01:34 PM #15~ HRT Specialist ~
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So have I, several times on the hard tile floor and I've yet to see one break. I'm not saying they can't break, they are glass but they're pretty durable...usually. I'm sure the angle in how it lands makes a difference. I've actually taken a bottle before, placed it upright on the floor and stood on it and it didn't break. I weigh over 200lbs.
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11-20-2014, 07:56 PM #16
I've dropped mine a few times and just bounces and scared the crap out of me
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11-21-2014, 07:17 AM #17Senior Member
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LT,
You bring up one of the most significant points of all that most probably do not even consider/realize, a person " playing" Doctor is actually putting the real Doctors license at risk. No one has the right to do this but I bet it's common place.
In this world we now live in, someone is always to blame.... The term "assumption of risk" no longer exists! In example, football players, are they not smart enough they may walk away with knees that need to be replaced... Of course they are, but it's always got to be someone's fault regardless. Probably a poor example but now a days it seems if something bad happens regardless someone has to be responsible regardless.
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