Doctor Only Wants to Prescribe Testosterone Every 2 Weeks Dose

[Truxter]

Hello. I am very new to TRT. And have a question. I started TRT with 200 mg injected every 2 weeks. Then sought a specialist. Unfortunately, most of the TRT specialists in the US seem to be “cash only” services, not participating with insurance. So, I found a Urologist who listed HRT as a part of his practice. From everything I’ve read, it seems to be better to inject half of the fuse once per week vs all of the dose every two weeks, because this allows for more consistent testosterone levels. The Urologist disagreed and said it’s best to inject the fuse every two weeks. So, I did a test on myself. I took the full dose, and then tested my total and free testosterone at 3 different times over the next two weeks, ordering the lab tests through Ulta myself. This is what I found;
- Day 1 (24 Hours) - Total = 1722 and FT = 425
- Day 8 - Total = 955 and FT = 206
- Day 13 - Total = 398 and FT = 64

I felt this was good information and valuable. I showed it to my Urologist. His first question was who ordered this bloodwork? I says I did. And he was absolutely stunned that this was possible. Then he got angry and told me that if he was going to treat me, that he had to order all the bloodwork and I was not to order any. And then he told me that this information I showed him was essentially useless.

Overall, I felt that while he’s a pretty young guy (40 ish), that he must have done his residency and Fellowship in a VERY old school type of program where “Doctors are Gods” and everyone else is an idiot and lesser being. That somehow we are unable to read and interpret a clinical trial, and don’t understand what a p-Value is. Etc.

I have always believed that more data is usually better. But his level of arrogance in not even considering any other options other than TRT doses every 2 weeks is concerning. I want to switch doctors. But need a specialist who takes standard insurance. Thanks for your response.

 

[Nelson Vergel]

if you self-inject at home, you can do it every week at 100 mg/week. No need to tell your doctor as long as your refills are on time.

 

[Golfboy307]

Most folks on this forum have eventually gravitated away from "traditional" doctors and protocols that you describe. Primarily due to the inflexibility in treatment. While insurance coverage is helpful, you can often find affordable testing (Nelson's Discounted Labs) and functional doctors that charge reasonable cash prices. For instance, I pay around $120 for four months of Testosterone plus needles. My every six-month office visit is $350, and insurance covers my blood tests fully at Quest.

 

[Systemlord]

His first question was who ordered this bloodwork? I says I did. And he was absolutely stunned that this was possible. Then he got angry and told me that if he was going to treat me, that he had to order all the bloodwork and I was not to order any. And then he told me that this information I showed him was essentially useless.

This urologist has a fragile ego, he knows deep down inside he’s inadequate, he can’t handle an informed patient, how dare you take interest in your own health, do your own research and order your own labs and uncover your doctors inadequacies as a doctor.

Good job!

But need a specialist who takes standard insurance.

That’s the problem, there aren’t many TRT specialty doctors in mainstream medicine, they’re into other areas of medicine. The majority of the doctors are playing catch-up, and the real knowledge comes from treating thousands of patients and gaining clinical experience.

You might find another doctor that’s a little bit better than the one you have now, but they’re not going be a true specialists in this field of medicine. The majority of the time they will come up short and leave a lot to be desired.

 

[Seagal]

I felt this was good information and valuable. I showed it to my Urologist. His first question was who ordered this bloodwork? I says I did. And he was absolutely stunned that this was possible. Then he got angry and told me that if he was going to treat me, that he had to order all the bloodwork and I was not to order any. And then he told me that this information I showed him was essentially useless.

Overall, I felt that while he’s a pretty young guy (40 ish), that he must have done his residency and Fellowship in a VERY old school type of program where “Doctors are Gods” and everyone else is an idiot and lesser being. That somehow we are unable to read and interpret a clinical trial, and don’t understand what a p-Value is. Etc.

I have always believed that more data is usually better. But his level of arrogance in not even considering any other options other than TRT doses every 2 weeks is concerning. I want to switch doctors. But need a specialist who takes standard insurance. Thanks for your response.

Those kind of MDs should be the first persons whose job is replaced by AI.

Hope somebody here can provide information about a 'trt physician' in your region who takes standard insurance.

 

[Nelson Vergel]

Some doctors only follow package insert recommendations. This is the package insert for testosterone cypionate: