How is TRT in Canada?

MNguy

Member
Hi all,

I’ve recently been considering a move to Vancouver, but I’m not sure how easy it is to get TRT in Canada? I’m currently with Defy. Can they transfer my prescription? Do they have testosterone cream available? Curious if any Canadians can shed some light?

Thanks!
 
Hi all,

I’ve recently been considering a move to Vancouver, but I’m not sure how easy it is to get TRT in Canada? I’m currently with Defy. Can they transfer my prescription? Do they have testosterone cream available? Curious if any Canadians can shed some light?

Thanks!
Should be easy, lots of options now and yes you can get all the same products except the oral test, they won't be available until sometime later this year.
 
Hi all,

I’ve recently been considering a move to Vancouver, but I’m not sure how easy it is to get TRT in Canada? I’m currently with Defy. Can they transfer my prescription? Do they have testosterone cream available? Curious if any Canadians can shed some light?

Thanks!

No, your Defy Medical testosterone prescription cannot be directly transferred to a Vancouver doctor for ongoing management.

Canadian doctors cannot fill or honor US prescriptions for controlled substances like testosterone (Schedule III under CDSA), even for established patients moving provinces/countries.

You will need to find a new provider in Vancouver whether through as GP, urologist, endocrinologist, or T-clinic specializing in male hypogonadism/TRT.

Best bet is through a urologist who specializes in hypogonadism/T-therapy.

You will also need a new set of labs + consult.

Some may require you to come off and get a baseline but those in the know would not make you do this.

Expect baseline or on therapy bloodwork (total/free T, estradiol, hematocrit, PSA, etc.)

Recent Defy labs (within 3 months) might be accepted but must be redone locally.

Who ever ends up taking over your therapy will require you to get bloodwork done + consult and keep in mind that although symptom improvement is what truly matters here if your T levels are considered way too high on your current protocol your dose may need to be adjusted.

Many of the doctors are sticklers when it comes to how high your levels get as many men are overmedicated on T.

Most in the know would aim for a high-end/high trough FT within reason but are not going to be gung-ho when it comes to letting you run what would be considered trough T levels well beyond what would truly be needed as in well into the supra-physiologic range.

You will have numerous options but it will be slim pickings when it comes to doctors that truly specialize in T-therapy.

In general most men on T-therapy are injecting 100-200 mg T/week whether once weekly or split into more frequent injections as in twice-weekly (every 3.5 days), M/W/F, EOD or daily.

The most common injection frequency would be once or twice-weekly.

The majority of men can easily hit a healthy/high trough FT injection 100-150 mg T/week especially when split into more frequent injections.

Yes there will always be this outliers who may need the higher-end therapeutic dose 200 mg T/week but its far from common as in rare.

On the other end of the spectrum you will have some men that can hit stellar levels injecting <100 mg T/week especially when split into more frequent injections.

Even then the most common dose prescribed in Canada is 100-150 mg T/week which as most in the know understand that the majority of men can easily hit a healthy/high trough FT.

Far from common anyone is dishing out those absurd 200 mg/week protocols.

No big deal here as many in the know would prescribe hCG with exogenous T therapy so you would still get an added bump in TT and more importantly FT let alone estradiol.

You have numerous options when it comes to the T-formulations available such as transdermal big pharma or compounded gels/creams, nasal T (Natesto), pellets, IM/sub-q T (enanthate/cypionate), and oral TU (generic Andriol).

Within the next few months Canadians will have access to a few of the newer oral TU formulations Kyzatrex and Jatenzo.

Tlando will follow suit soon too!

TC and TE are the primary authorized injectable esters routinely used for TRT in Canada

The majority of men on therapy are using injectable T.

You will not have access to TP or nandrolone as both are not authorized for sale by Health Canada as a marketed drug product.

Both were manufactured and marketed in Canada years ago.

Do your research and network to try and find someone in the Vancouver area.

I can recommend a few options.

Let us know how it goes!








 
No, your Defy Medical testosterone prescription cannot be directly transferred to a Vancouver doctor for ongoing management.

Canadian doctors cannot fill or honor US prescriptions for controlled substances like testosterone (Schedule III under CDSA), even for established patients moving provinces/countries.

You will need to find a new provider in Vancouver whether through as GP, urologist, endocrinologist, or T-clinic specializing in male hypogonadism/TRT.

Best bet is through a urologist who specializes in hypogonadism/T-therapy.

You will also need a new set of labs + consult.

Some may require you to come off and get a baseline but those in the know would not make you do this.

Expect baseline or on therapy bloodwork (total/free T, estradiol, hematocrit, PSA, etc.)

Recent Defy labs (within 3 months) might be accepted but must be redone locally.

Who ever ends up taking over your therapy will require you to get bloodwork done + consult and keep in mind that although symptom improvement is what truly matters here if your T levels are considered way too high on your current protocol your dose may need to be adjusted.

Many of the doctors are sticklers when it comes to how high your levels get as many men are overmedicated on T.

Most in the know would aim for a high-end/high trough FT within reason but are not going to be gung-ho when it comes to letting you run what would be considered trough T levels well beyond what would truly be needed as in well into the supra-physiologic range.

You will have numerous options but it will be slim pickings when it comes to doctors that truly specialize in T-therapy.

In general most men on T-therapy are injecting 100-200 mg T/week whether once weekly or split into more frequent injections as in twice-weekly (every 3.5 days), M/W/F, EOD or daily.

The most common injection frequency would be once or twice-weekly.

The majority of men can easily hit a healthy/high trough FT injection 100-150 mg T/week especially when split into more frequent injections.

Yes there will always be this outliers who may need the higher-end therapeutic dose 200 mg T/week but its far from common as in rare.

On the other end of the spectrum you will have some men that can hit stellar levels injecting <100 mg T/week especially when split into more frequent injections.

Even then the most common dose prescribed in Canada is 100-150 mg T/week which as most in the know understand that the majority of men can easily hit a healthy/high trough FT.

Far from common anyone is dishing out those absurd 200 mg/week protocols.

No big deal here as many in the know would prescribe hCG with exogenous T therapy so you would still get an added bump in TT and more importantly FT let alone estradiol.

You have numerous options when it comes to the T-formulations available such as transdermal big pharma or compounded gels/creams, nasal T (Natesto), pellets, IM/sub-q T (enanthate/cypionate), and oral TU (generic Andriol).

Within the next few months Canadians will have access to a few of the newer oral TU formulations Kyzatrex and Jatenzo.

Tlando will follow suit soon too!

TC and TE are the primary authorized injectable esters routinely used for TRT in Canada

The majority of men on therapy are using injectable T.

You will not have access to TP or nandrolone as both are not authorized for sale by Health Canada as a marketed drug product.

Both were manufactured and marketed in Canada years ago.

Do your research and network to try and find someone in the Vancouver area.

I can recommend a few options.

Let us know how it goes!








Thanks for the detailed response. Still very hypothetical at the moment, but knowing my options is a huge help!
 

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