Finding a TRT Physician

[kelkel]

Hi Ace! Regarding #2 we are referring to his guidelines and methodology. In otherwords, his papers listed on his site that go through his logic and reasoning for TRT, HCG, AI's. He will not list a protocol as there is no "one size fits all" in trt. It needs to be tailored to the individual. There are relative norms and ranges but everyone is different and it all depends on bloodwork. Some guys here get by on 80mg per week and others are at 200mg. We all are different and it takes time to get dialed in.

[Ace111]

I see.
I might have to start doing 3 and 5 because the endo I'm seeing doesn't believe in optimal levels, as long as you're in range, even low normal then you're fine according to him.

[kelkel]

He'll change his opinion when his time for TRT rears its head. Good luck Ace and keep us informed. Start a thread!

[bass]

Kel, can you add this link TimeRoman posted to your first post?

http://forums.steroid.com/showthread...or-by-zip-code

[kelkel]

Great post bwats! Welcome to the forum.

[j2048b]

im new here and have been on trt since august of 2011, and from my experience if u cannot find a good aag online, then just use google earth and type in compounding pharmacies and it will bring up a crap load in the area u choose, and do as stated in the OP, call the pharmacies and ask for referalls and then call the docs to gauge their knowledge of the practice, make sure ur insurance is taken and go from there, good luck!

im about to switch to a local doc myself, as i hat pinning myself, it just plain sucks to me,

[melendfi]

j2048b, thank you so much for the tip!! I just found a few of these around me in west central New Jersey.

[kelkel]

But do you want to depend on that doc every week for the rest of your life? What gauge needle are you using and where are you pinning? j2 read some of the threads here on pinning with insulin syringes. It may be easier for you. And welcome to the forum. Stick around!

[R3NZ]

I wonder why all Eurologists dont have all this knowledge about TRT , isnt part of their specialty?
While ago I was trying to get info from this doctor at Kaiser and he had no clue..

[Vettester]

I wonder why all Eurologists dont have all this knowledge about TRT , isnt part of their specialty?
While ago I was trying to get info from this doctor at Kaiser and he had no clue..

Kaiser isn't up to speed at this point, but my GP has actually got a little better, and has had willingness to learn a few things from my protocol, which I go to a clinic outside of Kaiser. Avoid their Endo in Fontana at all costs!

[kelkel]

It's just not part of their training. It's basically a speciality but is slowly becoming more common as the $$$ potential has been noted. Always look for the A4M Certification if possible.

[bratski2]

I currently am getting injections of HRT. My urologist first had me on injections but i had to travel to his city which was 45 minute drive twice a month. Beside the fuel costs and co-pay this started adding up. I also wasn't feeling much better, I had read a online chart and for the amount of test I had in me was equal to a 101 year old man and after injections i was equivalent to a 80 year old man. my level should be 636 for my age weight and height and the best they did is 299.
So i said buggar with this I will get my doctor to do this for me, I fought with him for three weeks telling him my hormones were too low. His idea of injections is 1/2 of what my urologist gave me and the nurses are bloody idiots that enjoy giving painful shots.
Obtaining a different doctor I then got him to prescribe me the same amount as my urologist. I asked around if there is a naturalist or a real MD plus a homeopathic doctor near by only to find one back in the city of my urologist.
Besides HR injections he gives me steroids or something not sure what. Within 30 days my strength has come back, wake up in the morning with rock hard erections, i look at women like i did when i was young and can get an immediate erection and losing a nut is strong and feels great. I am losing weight, my fatigue is gone so much better concentration. My medical pays for the injections and i have to pay out of pocket for the pills. Yeah fuel costs and more money out of pocket BUT I FEEL HUMAN AGAIN and to me it is work that.
Doc said to me one of the problems doctors don't want to get involved with giving higher doses of HRT is the fact of federal rules with steroids. They are highly monitored by the government each time they prescribe it. Since steroids were so widely abused and got a bad name for themselves it places professional doctors to think twice. I honestly think the real reason is that they don't offer correct doses is the fact they don't take it themselves and really have no clue.

[flozoya]

Good Info, New bie here. I have been reading my A$$ off and its been paying off. You guys & ladys have been very supportive.
I have set up my appointemt for my blood work and now i know what to ask and look for, some what anyway... more so now then back then.
I will post results and once again thanks...
P.S I also spoke to my doctor about this to some degree, he seem like he was will to run with me but will know more when i see him.
I hope it goes.

[jonny141]

anyone know someone in Pittsburgh, PA

[kelkel]

anyone know someone in Pittsburgh, PA

Here's some right from the A4M search engine...

http://www.a4m.com/directory.html#directory_search_form

[jonny141]

Hey, THanks for the link but does anyone know any of these personally that they used before and would they recommend anyone of them from the pittsbugh, pa area....thanks for all your help...

[Tzm24]

Any advice for a canadian not getting the right attention

[xthedukex]

good reading !!

[NotNATTY]

cool

[Chauffeur]

I just now realized that the list of recommended labs includes IGF-1 and IGFBP-3. Any insight as to why Dr. Crissler suggests ordering those labs?

I did some Googling and it looks like growth hormone deficiencies are extremely rare (one site mentioned 1 in 10,000 affected).

Is there some other significance to ordering those labs other than establishing a baseline value?

Dr. Crissler also says that IGF-1 will rise with TRT. Is that something that I should be concerned about?

[Denver42]

Thanks for the write up....... I'm getting my BW done tomorrow..... I was given some horrible advice and took Super test (crypro, Enathalte, and Porp) at 1gr a week for 7 months, with some Tren for a month, and some Win for a month.... thanks to everyone on here my symptoms are low libido, ED, the list goes on and on....

Anyone know a Dr. you can actually trust in Denver that knows WTF they are doing as I definitely need help.... Expecting E2 to be super high, and Test to be super low....

I'll post my Pro Lab results on a new thread as I'll need help reading them and advice on what to do....

I can't get HCG for another 2-3 weeks...... Last pin was 10 days ago and I'm feeling the effects of no HCG and after the Clomid and Nolva...... Would it be bad to do 1/2 cc of cycpro now to help until I get the HCG?

Long post.... sorry, but need some serious advice and help.....

Thanks everyone!

[buildingnyc]

HI--Trying to find a TRT doc in the NYC area (Westchester)--any help? Thanks

[prenes]

Looking for a good TRT physician in the Dallas TX area.

[Frankdtank]

This was just what I needed read before my BW and consultation. From what I've heard,the place I'm interested in is all about helping. My previous GP was telling me I was within normal ranges,lol,that's over 6 years ago....at least this time I'm more knowledgeable and better prepared. Thanks

[Simon1972]

We have Reps standing by the Phone if you like some advice on testosterone replacement or HRT, nugenmed.com Please Call us.

what are your prices..spell it out please.

[tdh96]

THANKS FOR THE INFO. YOU'VE BEEN A REALLY BIG HELP. JUST WANTED TO LET YOU KNOW I'M FOLLOWING YOUR ADVICE AND STILL READING/LEARNING. I'VE POSTED A FEW INFORMATIONAL ITEMS FOR THE FEW DIABETIC trt FRIENDS HERE. IT TOOK ME AWHILE TO FIND THIS BUT NOW I WILL HOPEFULLY HAVE A BETTER B/PANEL DONE AND WILL BE TALKING TO YOU AGAIN, BROTHER!

[pharmacuticali]

sorry to get in on this thread. i havent had a physical in a long time and i was curious about asking my primary care physician, which i have not seen yet, hes new. but how would i go about asking him to test me for everything?

[kelkel]

Explain to him how you feel. He's your doc, he should listen. If he's indifferent to it then it's time to find another one. Hence this thread! The above initial list is a good start and gives you baselines that you need if you end up in the TRT world. Most people here wish they had good initial BW to reference later on. It really does help. Print it out, take it with you. Also do your best to educate yourself on your issues prior to seeing him. The more you know the better you will be treated and your opinions won't be dismissed quite as easily. Your doc will also put more effort into preparing for your visit when he knows your not a lemming.

Good luck pharma and welcome to the forum. Post your results in the TRT forum after your visit. We are very good at interpreting BW here and can basically make sure your doc is treating you responsibly.

[Stevens03]

I found this doctor and he doesn't live too far. They want to set up a consultation, physical, and blood work for $880. This is a little steep but if it's what I need, I'll pay whatever.

I was wondering if someone could take a look at the doctors website and give me their opinion. I would have to PM you the link to the site because I cannot post a URL yet.

Thank You!

[pharmacuticali]

so i went in yesterday, for an irrelevant reason, stupid fungal infection. prescribed me some 3 stupid little pills i need to take once a week. anyway, i went and told them to do a comprehensive blood test. so how do i go about asking for the results?

[kelkel]

Stevens: Just put spaces in the link that we can close. Ex: spot injections .com

Pharma: The results are yours. When you go for your BW at the lab fill out the HIPAA form and they will either mail it, fax it or depending on the lab, you can pull it off line. Always best to have results in hand before your doc appt so you can research and not go in blind.

[Stevens03]

Good call, Kel. wernermd .com/index.php

[kelkel]

Doesn't look bad. He mentions DHT and E2 which is a good thing. I would still call and ask his staff if he basically treats people along Crislers protocols, which is what you are looking for. Then check with your insurance about reimbursement, etc. Also, does this doc write you the scripts to get filled elsewhere or is it one of the offices that also require you to purchase from them?

[Stevens03]

Where exactly is Dr.Crislers protocols on his site? Thanks for look at the site Kel!

[kelkel]

There is no real list. I refer to his methodology of treatment. As in treating the person, not just their bloodwork results. Also the ability to use T, HCG and an AI if needed. Many doc's will dole out T but refuse an AI or HCG as it's "not needed." If they are knowledgeable in TRT then they know who Crisler is.

[MRNJ1992]

Good info-going to get all the bloodwork listed. My levels of T are so whacked out Im just tired of being tired. Thanks

[BigBadBob]

Awesome thread! I'm 48 now. Did a few cycles in my twenty's and thought i knew a little something. Now I realize how uninformed i was and am amazed at the knowledge of you guys'. Thanks for taking time to help so many people. about five years or so ago I was in pain management for an auto accident. My doc sent me for blood work and said I was a little low. Gave me gel for a while which seemed like it helped a little. Then he says my levels were ok and stopped perscribing. Don't have any insr. now so have been performing some experiments of my own. Can't thank you guys enough and I mean everyone who ever puts up a post!

[kelkel]

Glad it helped Bob! Stick around and keep learning, you're not alone. Be care with the "experiments" and remember there are private labs you can use for bloodwork such as privatemedlabs.com. Discount coupons are also available if you search.

Kel

[NE333]

I was told that TRT Physicians are not likely to take on patients under the age of 35 etc. Is that true in all cases?

[kelkel]

Not true at all thankfully. People can develop pituitary tumors (I did) or have testicular trauma or other pathologies that can both land you in the TRT world. If someone is under 35 with low T then the cause needs to be discovered first and foremost.