What are the prices like for Dr Thomas. I'm not seeing a lot of info on the websiteI know this is a long ago question, but if he wants an endo or urologist specifically, the two best options to take that over would be Dr. Michael West (endo) or Dr. Mark Richman (uro). West especially is known in the medical community in DC here to be pretty liberal with his treatments for not just testosterone but pretty much any endocrine disorder. That can be a good or a bad thing... his office though is a normal medical office, whereas Richman's office is a concierge urology practice that has a membership fee and all that stuff.
I have seen both of them though, and I actually left both practices and now see a guy in Sterling, Dr. Bruce Thomas who has more knowledge in TRT and the research etc. than either of those guys, but is board certified in PM&R (a Physiatrist as they are called), so not an endo or uro.
In general, the DMV area is known to be void of good providers.
Predict estradiol, DHT, and free testosterone levels based on total testosterone
This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.
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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.
Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.
The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.
Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.
DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038