T Nation

Need TRT Doc in Maryland (found doc new protocol!!!)


#1

Folks, I have seen 2 endocrinologists and both are telling me I should not be on TRT, and def not on aromatase. But I've seen nothing but positive results over the year!

Does anyone have any recommendations for a TRT doc in DC/Maryland/VA area?

Thank you

-lex


#2

Try NavaCenter. I live in MD and that’s the first place I went to when I realized my low-test symptoms needed to be dealt with. I went to the office in Columbia, MD. and they were very thorough. It’s a wellness center though, so it will cost you more than if you went through a GP first. They have a LabCorp on-site and will submit labs to your insurance company, which is great! For Test and AI though it will cost a little bit, roughly $1300 per year. I think they just opened an office in Chevy Chase MD as well.

You can go for months trying to go through the normal medical/insurance process to save a few bucks, and maybe get where you need to be in six months, or you could go to NavaCenter and be “up and running” in 2-3 weeks.

I recently switched to DefyMedical out of Florida, and I recommend that practice even more. They can do almost everything over phone/email, and help you coordinate anything you have to do with a local LabCorp or Doc (for general physical exam) with lots of local places here in MD. They ended up being a relatively inexpensive option for me, and if you research their website you’ll see they provide a really wide range of services.


#3

There is a finding a TRT doc sticky


#4

@Friedman

Thank you very much! I live in Ellicott City! Ill check it out!

-Lex


#5

Hey everyone!!

So its been a while and ended up going to the TRT doc in Columbia. After a few months of trying to dial in T-Injections, just couldn’t get it right. So I decided to go with pellets from the docs recommendation.

First lab results after a month are very promising! Finally after 2 years of trying different protocols.

Still need a few tweaks but very easy to resolve now i think. Current labs after 30 days on pellets.


Dehydroepiandrosterone-436 (H)
Estradiol-21.4
FSH-.04 (L)
LH-<0.1 (L)
HSBG-13
Testosterone-1234
Free T-43.10 (H)
Insulin like growth factor-214


Concerns

  1. Need to research how to manage free-T
  2. Obviously FSH and LH
  3. My libido is not great still ( I do get sex on average 2x a day) (But i don’t seem to get very hard or stay hard)

Any input or suggestions are always welcome

Thank you in advance!

-Lex


#6

Numbers look good, but do change with pellets.

FT is fine.

LH/FSH never need to be checked again when on TRT. Waste of time+$$

Take less DHEA if taking supplements.

Some tadalafil EOD will be great for hardness. Try to concentrate on sensations [sensate focus] and not anything else.


#7

[quote]Friedman wrote:
I recently switched to DefyMedical out of Florida, and I recommend that practice even more.
[/quote]

Not to hijack the thread, but what’s the ballpark cost for DefyMedical? I recently started with a clinic that’s $199/month out of pocket for T+hCG+AI and blood work. Just trying to find the best deal while I build my case to try to convince my endocrinologist to prescribe TRT so that insurance will pay for it.


#8

Many of the clinics are in the business of getting you on reoccurring billing, not looking at your overall health and getting a proper diagnosis. For them, low-T is the diagnosis. For others low-T is the symptom. You should be looking at overall hormone and metabolic health.


#9

I agree with ksman, these docs do seem to want to work you with reoccurring charges. I don’t pay them, I look at my numbers hear what they have to say and pay for what I need and no more.