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