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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Question about low Testosterone and what should I do next
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<blockquote data-quote="Nelson Vergel" data-source="post: 9696" data-attributes="member: 3"><p>Many endocrinologists are very conservative and not well trained on testosterone replacement therapy unless they are younger ones who got TRT training in medical school. Most are great when dealing with diabetes, thyroid, and sometimes adrenals.</p><p></p><p>My TRT doc is my primary care physician who is a family doctor and has learned a lot about hormones in his 20 years of experience. You do not need an urologist or endocrinologist as sole sources of testosterone replacement.</p><p></p><p>In the United States, most doctor who take insurance treat men with low T if their total T level falls under 350 ng/dL (12 nmol/L) and who have symptoms of low T (lack of sex drive, low mood, erectile issues, fatigue, etc). Doctors who do not take insurance may treat men with total T under 450 ng/dL after ensuring that natural ways to increase testosterone failed.</p><p></p><p>To determine if the doctor you are about to see is knowledgeable, ask some basic questions to determine their level of knowledge and comfort about testosterone. Some may feel insulted to be asked questions like these, but if they are it's probably not going to be a good match for you (of course, be nice and diplomatic when asking questions!)</p><p></p><p><strong>Questions to ask a doctor/clinic administrator about testosterone treatment:</strong></p><p><strong></strong></p><p><strong></strong><em>How many men does he/she treat for hypogonadism?</em></p><p><em></em></p><p><em>Does he/she offer HCG therapy, in addition to testosterone for testicular atrophy? (Many doctors do not know how to use HCG.)</em></p><p><em></em></p><p><em>Does he/she use Arimidex (generic: anastrozole) to keep estrogen down in case of gynecomastia (enlarged breasts) or other high estradiol related issues?</em></p><p><em></em></p><p><em>Do they provide other therapies that can complement testosterone replacement?</em></p><p><em></em></p><p><em>Does he/she allow patients to self-inject at home?</em></p><p><em></em></p><p><em>Does he/she work with any compounding pharmacies to access cheaper and customized hormonal products? (Some doctors worry compounding pharmacies have poor quality control)</em></p><p><em></em></p><p><em>How many times do you have to go see him or her?</em></p><p><em></em></p><p><em>Do they share blood work results with you?</em></p><p><em></em></p><p><em>What is the set-up lab/doctor fee and approximate drug costs per month?</em></p><p><em></em><strong></strong></p><p><strong></strong></p><p><strong></strong>Prepare yourself before the first visit. It will set the tone of your patient-doctor relationship.</p><p></p><p></p><p>I invite anyone who hates to read but wants to watch a video before they call a potential doctor so that they know what to ask to take some minutes to watch this:</p><p><strong><strong></strong></strong></p><p><strong><strong><a href="https://www.excelmale.com/?s=16-Practical-Tips-for-Testosterone-Replacement-Therapy" target="_blank">https://www.excelmale.com/?s=16-...cement-Therapy</a></strong></strong></p><p><strong><strong></strong></strong></p><p><strong><strong></strong></strong>Before your first visit, do your homework so that your doctor will know you are educated. Educated patients get better care. Read these posts:<strong><strong></strong></strong></p><p><strong><strong></strong></strong></p><p><strong><strong><a href="https://www.excelmale.com/forum/threads/most-important-testosterone-hcg-anastrozole-trimix-etc-fact-sheets-on-excelmale.1804/" target="_blank">https://www.excelmale.com/forum/threads/164...s-on-ExcelMale</a></strong></strong></p><p><strong><strong></strong></strong></p><p><strong><strong></strong></strong>I hope this answered your question.</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 9696, member: 3"] Many endocrinologists are very conservative and not well trained on testosterone replacement therapy unless they are younger ones who got TRT training in medical school. Most are great when dealing with diabetes, thyroid, and sometimes adrenals. My TRT doc is my primary care physician who is a family doctor and has learned a lot about hormones in his 20 years of experience. You do not need an urologist or endocrinologist as sole sources of testosterone replacement. In the United States, most doctor who take insurance treat men with low T if their total T level falls under 350 ng/dL (12 nmol/L) and who have symptoms of low T (lack of sex drive, low mood, erectile issues, fatigue, etc). Doctors who do not take insurance may treat men with total T under 450 ng/dL after ensuring that natural ways to increase testosterone failed. To determine if the doctor you are about to see is knowledgeable, ask some basic questions to determine their level of knowledge and comfort about testosterone. Some may feel insulted to be asked questions like these, but if they are it's probably not going to be a good match for you (of course, be nice and diplomatic when asking questions!) [B]Questions to ask a doctor/clinic administrator about testosterone treatment: [/B][I]How many men does he/she treat for hypogonadism? Does he/she offer HCG therapy, in addition to testosterone for testicular atrophy? (Many doctors do not know how to use HCG.) Does he/she use Arimidex (generic: anastrozole) to keep estrogen down in case of gynecomastia (enlarged breasts) or other high estradiol related issues? Do they provide other therapies that can complement testosterone replacement? Does he/she allow patients to self-inject at home? Does he/she work with any compounding pharmacies to access cheaper and customized hormonal products? (Some doctors worry compounding pharmacies have poor quality control) How many times do you have to go see him or her? Do they share blood work results with you? What is the set-up lab/doctor fee and approximate drug costs per month? [/I][B] [/B]Prepare yourself before the first visit. It will set the tone of your patient-doctor relationship. I invite anyone who hates to read but wants to watch a video before they call a potential doctor so that they know what to ask to take some minutes to watch this: [B][B] [URL="https://www.excelmale.com/?s=16-Practical-Tips-for-Testosterone-Replacement-Therapy"]https://www.excelmale.com/?s=16-...cement-Therapy[/URL] [/B][/B]Before your first visit, do your homework so that your doctor will know you are educated. Educated patients get better care. Read these posts:[B][B] [URL="https://www.excelmale.com/forum/threads/most-important-testosterone-hcg-anastrozole-trimix-etc-fact-sheets-on-excelmale.1804/"]https://www.excelmale.com/forum/threads/164...s-on-ExcelMale[/URL] [/B][/B]I hope this answered your question.[B][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Question about low Testosterone and what should I do next
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