3 month "Endocrinologist" check-up, LMFAO!!!

[zojo360]

Had my first 3 month follow up with my endo who initially started me on the testosterone road. After finding this forum, nothing that she recommended as far as injection protocol I followed. Currently @ 42mgs E3D cyp IM and am content and more importantly, feeling decent. Here are the tests she ran with results. I have run some tests myself with my G.P. in between the three months to see what was going on with some adjustments. My pre-trt and other tests can be found on other threads.

Testosterone total=631ng/dl (241-827)

(That is ALL she ran for hormones!! RIDICULOUS)

CBC RESULTS:

WBC=8.8 (3.7-10.4)
RBC=5.34 (4.35-5.56)
HEMOGLOBIN=17.0 (13.2-16.8) HIGH
HEMATOCRIT=49.4 (39.2-48.8) HIGH
MCV=31.8 (27.5-33.1)
MCHC=34.4 (32.1-36.1)
RDW%=12.8 (11.5-14.3)
PLATELETS=329 (131-340)
MPV=10.6 (8.7-12.7)

That's it folks!!

Well, how pathetic to say the least at her lack of improper testing on that all important 3 month follow up after starting TRT.

I asked her what about free T, bio-available T and of course the E2 test along with countless others. Her response was "Since your baseline E2 levels, and others were good, there was no need to check again" Can you believe that?? How ignorant. Sure pre-TRT estradiol levels were o.k. but dosen't the introduction of exogenous T cause all that to change and then some? Especially if I was following her doom and gloom of twice monthly shots? Of course it does!! She was clueless and after I salvo-ed my endless questions, I could easily see a blushing to her face along with her staring into her tablet actually looking at nothing. She was patience and tolerant of my questions, stack of print outs, research information, etc and actually seemed impressed but still unmoved. Can't fault her to much. VERY young Doctor who basically is just following her routine in regards to TRT. I explained my protocol to her and after a moment of panic on her part, she admitted that that sounded to be the best way to administer IM testosterone. She didn't believe the small insulin syringe would do the trick and she wanted me to come back on shot day to show her, which I did. Needless to say, she was surprised and perhaps I got her wheels turning to do her own research so she could try a different approach with any luck for the rest of her TRT patients.

So test numbers are not bad @ 42 mgs E3D IM. Need to donate some blood of course. I told her I would like to try to get them in the mid 700 range at trough (according to this particular test and range which actually is LC/MS). She said to go for it and I informed her of my intended change starting now @ 52mgs E3D IM. Of course E2 levels will rise some then stabilize but I will give it a go and test in 6 weeks. (FULL PANEL!!!) After those results come in, been thinking about ED injections. Protocol seems sound on every level with steady TEST and E2 levels to boot...

Thanks all...

 

[CoastWatcher]

The only thing that surprises me is the grace with which she allowed you to - essentially - take control of your protocol. Her ignorance is appalling, but understandable since she didn't know any better - it simply wasn't covered in medical school or residency. She might well have tossed you out of her practice (we've seen that).

Congratulations on maintaining your composure and actually bringing her some needed information. I'm glad things are unfolding so well for you in regard to everything else.

 

[Will Brink]

I asked her what about free T, bio-available T and of course the E2 test along with countless others. Her response was "Since your baseline E2 levels, and others were good, there was no need to check again" Can you believe that??

Yes I can. Seen far worse, so yes, I can believe it. That she appears to at least be trying to work with you still puts her above some out there. Sounds like she's teachable at least

 

[green2145]

Had my first 3 month follow up with my endo who initially started me on the testosterone road. After finding this forum, nothing that she recommended as far as injection protocol I followed. Currently @ 42mgs E3D cyp IM and am content and more importantly, feeling decent. Here are the tests she ran with results. I have run some tests myself with my G.P. in between the three months to see what was going on with some adjustments. My pre-trt and other tests can be found on other threads.

Testosterone total=631ng/dl (241-827)

(That is ALL she ran for hormones!! RIDICULOUS)

CBC RESULTS:

WBC=8.8 (3.7-10.4)
RBC=5.34 (4.35-5.56)
HEMOGLOBIN=17.0 (13.2-16.8) HIGH
HEMATOCRIT=49.4 (39.2-48.8) HIGH
MCV=31.8 (27.5-33.1)
MCHC=34.4 (32.1-36.1)
RDW%=12.8 (11.5-14.3)
PLATELETS=329 (131-340)
MPV=10.6 (8.7-12.7)

That's it folks!!

Well, how pathetic to say the least at her lack of improper testing on that all important 3 month follow up after starting TRT.

I asked her what about free T, bio-available T and of course the E2 test along with countless others. Her response was "Since your baseline E2 levels, and others were good, there was no need to check again" Can you believe that?? How ignorant. Sure pre-TRT estradiol levels were o.k. but dosen't the introduction of exogenous T cause all that to change and then some? Especially if I was following her doom and gloom of twice monthly shots? Of course it does!! She was clueless and after I salvo-ed my endless questions, I could easily see a blushing to her face along with her staring into her tablet actually looking at nothing. She was patience and tolerant of my questions, stack of print outs, research information, etc and actually seemed impressed but still unmoved. Can't fault her to much. VERY young Doctor who basically is just following her routine in regards to TRT. I explained my protocol to her and after a moment of panic on her part, she admitted that that sounded to be the best way to administer IM testosterone. She didn't believe the small insulin syringe would do the trick and she wanted me to come back on shot day to show her, which I did. Needless to say, she was surprised and perhaps I got her wheels turning to do her own research so she could try a different approach with any luck for the rest of her TRT patients.

So test numbers are not bad @ 42 mgs E3D IM. Need to donate some blood of course. I told her I would like to try to get them in the mid 700 range at trough (according to this particular test and range which actually is LC/MS). She said to go for it and I informed her of my intended change starting now @ 52mgs E3D IM. Of course E2 levels will rise some then stabilize but I will give it a go and test in 6 weeks. (FULL PANEL!!!) After those results come in, been thinking about ED injections. Protocol seems sound on every level with steady TEST and E2 levels to boot...

Thanks all...

This is why I self treat.Theres so much information online and I keep tabs on my labs.Not all Dr's are bad but the good ones are few and far between.

 

[jimmyt33]

not surprised in the slightest! I went through several docs last year, very similar experiences - not even mentioning AI's. Also, first gave me a 10mg dose one week, then 100mg the next week! I ended up with E levels through the roof, and they gave me Anastrazole - which didn't work well at all.

It wasn't until I came to them suggesting Exemestane that they got me a prescription - and it finally worked. Also self-dosed to 200mg/week - which I realize is on the high end, but I wanted to see how it feels. The difference in how I feel since leveling things out is incredible, though I still have some things to work on overall.

I would say that if it's not too expensive, get some bloods for the missing biomarkers now - so that you know your baseline, especially for something like E.

 

[ERO]

Perhaps if you go to Discountedlabs.com and run the tests you actually need and show her, it will help with the learning curve. That is added expense of course if you are getting your tests covered by insurance now, but what good are "free" tests if they are not the right ones?

 

[bruin]

Zojo.........I just had a similar expereince, my Dr. relocated and I had an initial visit with my new endo, older man, 60+ who was handwriting notes in my file as he asked me questions.
I could see him restraining his facial movements as he heard that I self inject, yeah daily. Also with insulin. Then to find out Im on HCG. WOW
His responses were, " you have been doing this for how long? "
WHen it came to ordering tests I got the same routine as you, when I asked about all the other stuff and the why's and wherefores, he acted like I had said nothing, totally ignored my question.
THen the coup de grace was that it appeared I was due for a DRE, according to my chart, so he says stand up lean over the table.......Damn, dude it was like a grudge f@ck ! I was in disbelief. He walks out of the room and that is it.
I take the lab form and mark in all the appropriate tests I thought should be performed. WIthin a couple of days I call his office and ask about the new scrips to the pharmacy, and the response is the Dr is unaware of my on any rx and he will not prescribe any. period

 

[johnt]

Zojo.........I just had a similar expereince, my Dr. relocated and I had an initial visit with my new endo, older man, 60+ who was handwriting notes in my file as he asked me questions.
I could see him restraining his facial movements as he heard that I self inject, yeah daily. Also with insulin. Then to find out Im on HCG. WOW
His responses were, " you have been doing this for how long? "
WHen it came to ordering tests I got the same routine as you, when I asked about all the other stuff and the why's and wherefores, he acted like I had said nothing, totally ignored my question.
THen the coup de grace was that it appeared I was due for a DRE, according to my chart, so he says stand up lean over the table.......Damn, dude it was like a grudge f@ck ! I was in disbelief. He walks out of the room and that is it.
I take the lab form and mark in all the appropriate tests I thought should be performed. WIthin a couple of days I call his office and ask about the new scrips to the pharmacy, and the response is the Dr is unaware of my on any rx and he will not prescribe any. period

WOW, you sure it was the doctor that examined you?