I was able to get the max 200mg/week prescription from my Endo based on needing extra supply for work travel and on the condition I don’t provide any labwork with Testosterone (Free or Total) above the reference ranges (i.e. no supraphysiological labs allowed), which I think was a fair deal. We don’t need to be treated like children when it comes to this stuff but some doc’s out there still do unfort.
I think all docs should at least prescribe 20mg-40mg/week extra so you can build up extra supply for logistical reasons, especially if you head away on vacation or are out-of-country and can’t fly back just to pick up your prescription renewal. This is especially the case if you can only renew your prescription monthly rather than get a 3 month supply each time (I think this depends on state laws?). When I was on 100mg/week prescription and on monthly renewal, I would go weeks after month-end with no testosterone to inject as I was travelling, so went to Endo and said “wtf type of treatment protocol is this” and they understood. I also don’t come across to my Endo as wanting to get jacked with muscle so maybe that approach helped too in reducing skepticism…
On clomid, I was given the option to try, and it wasn’t a requirement. Testing for whether you are primary or secondary hypogonadal via clomid is maybe more a nice-to-know than a need-to-know? What was more important were the pre-diagnostic tests the Endo did to rule out any OTHER factors that could cause low testosterone (disease, pituitary tumor, thyroid, diet/drinking, hereditary factors, etc.).
Yea but I only have one testicle as stated so I don’t really think I’m the same as everyone else as far as natural production. I don’t see how they can deny it since I have one testicle and extremely low numbers for my age.
I don’t intend on playing games going back and forth with him. I’m the patient and I plan on being direct with him. If he doesn’t go the route I want I plan on going to telemedicine.
Some docs have a superiority complex and don’t really like patients questioning them. Hopefully he is receptive. Being down a ball should help your case, I’d hope anyways.
I use Dr Saya @ Defy, not sure what others are common right now. I almost went to tier1 but didn’t, you’d have to make a trip to TN for the first visit if you used them but supposedly he’s pretty good too
Go to youtube keith nichols and his wife anghie nichols. you will get one on one treatment, answers and real help. He is my doctor and many others here. During Covid you dont have to travel either.
Defy is a clinic. Tier1 is not . tier1 is the steakhouse and defy is the drive thru at mcdonalds.
I mean no offense to defy patients, but ive used defy and many of my friends have. Since my doctor is tier1 i know the difference. You wont know until you actually work with someone like tier1.
I think a better analogy would be McDonald’s vs a Brazilian steakhouse where you pay one price and get all the meat you want
Defy will pretty much give you what you want at this point, but you have to pay for each visit and it’s usually a 2 week wait to get in with Saya. Some of the less busy docs there can get you in in a day or two and they are somewhat helpful via email but nothing great.
Tier1 is a lot more $$ up front but you get unlimited access to Nichols for a year, no pay per consult type stuff
Meds kind of are what they are in terms of prices… both places you buy what you need and it’s separate from the consult fee or fees.
Labs, same thing. You pay for what you need more or less.
He can put in an order with labcorp or quest diagnostic and you just go to your nearest provider. A few states don’t allow that though NY, for instance.
Doctor wanted to run some blood before going over trt treatments. I’m going in tomorrow to hopefully start treatment not sure if it will be gel or injection.
Latest test results
Lh-6.5
Fsh-12.5
Prolactin-5.5