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With all of the science and medical issues, therapeutic options etc, the biggest problem in the TRT field is the doctors.
Doctors do not need to have or evolve critical thinking or deductive reasoning to practice medicine. They are mostly robotic within their sphere of knowledge and ignorance. Listening to informed patients disturbs them.
The biggest problem for guys with hormone problems is finding a doctor who knows what he is doing. Most doctors are ignorant and unwilling and many who are willing are dangerous and stupid. Do not think that a specialist like an endocrinologist or a urologist is going to be able to help you. As a rule, these specialists are some of the worst offenders. An enthusiastic GP is your best bet.
-do you have insurance for docs and labs?
-do you have prescription drug coverage?
-does a doctor take your insurance?
-does your insurance cover compounded drugs?
-do you have any strong preference for injections vs transdermals?
-what country are you in? Any English speaking ex British colonies other than the USA are a problem
How to get a referral:
Talk to your doc first, if he is not willing or able, he may know who is. If he sends you to a endo or uro, he may simply be getting you out of his face.
-Google Earth: http://earth.google.com/download-earth.html
–zoom into your region
–enter “compounding pharmacy” in the “fly to” box
–explore links to web sites, look for patient info concerning male hormones and referrals, start phoning and ask to talk to a pharmacist and explain your needs [factors above] and explain what you are looking for, health insurance issues, and preferences for injected vs transdermal and your needs for Anastrozole and hCG
–compounding pharmacies know regional doctors, the pharmacy need not be close to you.
– start phoning
– local pharmacies will know local doctors
– see above
-Anti Aging clinics:
–They can be good and bad. Many will do the labs and mail all of the drugs and syringes to you. The prices can be very extreme.
If you are paying out of pocket, injections are cost effective. Compounded T creams can be affordable. T gels are $250 - $300 per month, depends on dose. Do not consider pellets or patches.
And write down your history symptoms. Print two copies, one for you and one for your doc. Doc can mark that up and retain and spend less time taking notes and asking random questions. This puts your concerns up front and provides talking points.
describe body and facial hair
did to grow fast or slow and steady as a teen
testes ache or hurt? ever?
get cold easily? a change?
dry skin, brittle nails?
use iodized salt?
eat much sea food?
exposure to chemicals?
ever used hair loss drugs?
Rx and OTC drugs
And just when you thought things could not get any worse: http://tnation.T-Nation.com/free_online_forum/sports_training_performance_bodybuilding_trt/stupid_things_that_docs_do_and_say?pageNo=0