Those would be the ones on the internet, not in the rest of the world.
Come on systemlord, going with the “not paying attention” again? If I am reading your posts, and responding, does that not indicate I am paying attention? I just think sometimes you are wrong. I suggest you get to a gym and check it out on your own.
You stated this previously and I really wish you didn’t again. Someone looks stupid, or worse. If your guy told you this then he is either very old, or has failed to keep his patients under his care, or lying. I just looked him up, he is not old, graduated from medical school in 2008, internet stated he’s been in practice 6-10 years. Let’s do some math.
If the doctor works 40 hours a week, for 50 weeks, that’s 2000 hours a year. Let’s say he manages 1000 patients, which I believe is possible. If he spends two hours during the year working with each one, on average, that’s the 2000 hours. You tell me, when you were a patient, how much time did you spend on the phone with you? Apart from phone time, there is time reviewing labs, signing prescriptions, documenting patient progress and phone conversations, talking with staff, etc. What about new patients, those starting will need additional time than the regular follow-ups would.
So, if he has had 10,000, that would be 1000 new ones a year. I think, I hope anyway, you can see the inaccuracy in that claim. Even if it could be true, most would have to quit care. If he kept half of them active, that means what, 24 minutes a year on each? Seriously? Quality care? Do some math on the financialS too, $ee if that $eems rea$onable. Anyway, I’m calling BS.
Once again, you are a special snowflake. You’re right sometimes, and sometimes your advice saves guys, but you tend to put everyone into your oversensitive, fluctuating levels, bucket and that is just not the way it is. Talk to a GP prescribing twice monthly dosing. He’ll tell you most of his patients are very happy.
By the way, I’ll throw this in. Pain management physician I know, taking 200mg every two weeks. Does not feel good. He doubles it to 400mg every two. Feels good for three-four days. Told him to take the 400mg and get labs seven days post injection. Total test in the high 300s, SHBG………wait for it……….5! Told him to take 400mg every two weeks, but split it to four 100mg doses. At 3.5 day trough, total test 800s, feels great. See, I am not opposed to more frequent dosing. Certainly works for some. Meanwhile, said doctor thinks I’m a genius since he has not felt this good in years. Now look at the guy who had SHBG of 3 taking 200mg once a week. His trough numbers are roughly the same as the other guy.
What? Where did I say that? He’s just starting. He has plenty of options once determining whatever he is doing is not working. I do not think he is there yet.
Systemlord, always fun putting some oil and vinegar on the salad.
. But basic math leads me to agree with you in terms of ester half life and how assumptions systemlord has made are a bit ridiculous.