T Nation

Can't Find a Doctor to Treat my Low T


#1

I am 33 and have showed symptoms of low t for several years. I decided to get tested and the first test came back 279. About a year later (4 months ago) it was 285. I’ve seen 2 doctors and neither seem interested in treating me. The last doctor I saw told me to get tested again in 3 months and she would only treat me if I was in the 100’s and only try to get me to the 300-400 range. Not interested. That’s like telling someone with diabetes, we’ll get your blood sugar to the low range, not the optimal range. I’m near Joliet, IL. Anybody have thoughts?


Total T Level Undetectable
#2

They dont haveTRT clinics near you? Ones that specialize in TRT? Typically, insurance wont pay for this, its going to be out of pocket for you.


#3

Yes there is one but I’m looking for something insurance covers. They won’t prescribe and only do one shot per week. From what I hear every 3 days is optimal.


#4

At your age, low-T is a symptom and not the disease. You need diagnostics and most docs will skip this.

Labs:
TT
FT
E2
prolactin
LH/FSH - MUST BE DONE PRIOR TO ANY TRT, CANNOT BE DONE AFTER.
CBC
hematocrit
fasting glucose
fasting cholesterol
These can be skipped if body temps, see below, are good
TSH
fT4
fT3 -please not T3, T4

Finding a doc who really knows how to do and manage these things who takes insurance is almost impossible. See the finding a TRT doc sticky. When a regular doc gets good at this and starts to treat a lot of guys, the insurance companies are not interested in the costs and can cause a lot of problems, reporting the doc to State medical boards for over-medication and unnecessary medical services and charges. I have seen that happen and the doc dropped insurance companies and suddenly the medical board did not care about those evils at all. So there are insurance company execs sitting on State medical boards … now it makes sense. Doctors live in fear, had a thread for that years ago.

TRT can improve your quality of life and that might have a large cost component.

Please read the stickies found here: About the T Replacement Category

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.


#5

I only mentioned it because you face what most of the guys on this board face. If you cant find a Dr, then you need to be willing to do whatever it takes to get healthy again.