I need some guidance on this Testosterone Therapy that my family doctor started me on. He was hesitant on putting me on it last year (2-10-2015) when my level was at 258ng/dl. Then I got retested on 3-14-2016 and my T level was at 192 ng/dl. He then started me on Testosterone Cypiona 200mg/ML INJ. It said on the script box to inject 0.5 ML into the muscle once every two weeks. I had the pharmacist walk me thru on doing the injection since I had no idea on doing it. But he said to use 1 ML every two weeks is how the script breaks down. So the following two weeks I had to give myself my own injection which I was nervous and I couldn't get the fluid into the syringe without the air like the pharmacist did. So I did the best I could, and then when I put the needle into the glut muscle, I didn't realize how hard it was to do by myself. I ended up puling the needle out and putting it back in next to the first spot to see if the fluid would come out of the needle better. It didn't seem like it was coming out. It was a total disaster. I finally was able to get it all in and had to hurry and get to work so I wasn't late. Then I got my new refill vile and I had my friend that is on the same thing help me do it. Which went well. I then had the doc appointment and he doesn't seem to be the type of doctor that puts people on the T Therapy. I asked him to help me understand on the dosage breakdown since the script box said 0.5 ML injection every two weeks, but the pharmacist said I should do 1 ML every two weeks. I thought the pharmacist was correct since my insurance refilled my script 30 days after starting on it. After talking with the doctor and his nurse that is in the room adding our discussion to the notes for the appointment, I was still confused because he was saying that I should get 4 doses out of one vile and it should last for 8 weeks, since I do the injection every two weeks. And after telling him how I only got two doses of 1 ML, out of the vial and then got a call from the pharmacy that my refill was ready to be picked up. He even had me confused and he finally said to just do the shot once a month, after I finished the second vial which I already had injected 1 ML out of the vial. So the next two injections I took the 0.5 ML to finish off the vial. I should be due for my next refill so I can take my next dose on Saturday. But now the pharmacy haven't received the refill from the doctor yet. I had my next set of blood work I had done on Tues (6-16-2016) and I got the results of the T Level and it was at 191 pg/ml which is lower then the first two. I have my next appointment on 6-21-2016 which is next Tuesday.
I see a Rheumatologist for my Lupus, a Pain Management doctor, and my Physiatrist for my depression and anxiety and ADHD. And they say that I should see a specialty doctor. I feel with living with the depression, anxiety and no energy, memory loss is bad, no sex drive at all, and my pain, that I should see a doctor that treats hormone conditions to get better tested to see what is going on with me. What kind of doctor treats people on Testosterone Therapy. I need some help if anyone could give me some suggestions. I also started using a CPap at night for the past 2 years.
I take Ibuprofen, Morphine IR, Percocet, Diazepam, Zoloft, Flexeril, Vyvanse, Plaquenil, Vitamin D3-50 50000Units, Testosterone Cypiona 200MG/ML INJ, Miralax, Omega-3, Stress B Complex, One A Day Multivitamen