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Looking for a little bit of opinion here. I'm currently a patient of Dr Saya and have had a really great experience so far. Someone close to me insisted that I get a second opinion from a local doctor I can meet with in person, and I'm not opposed to seeing someone that my insurance would pay for. I met with Dr Rotman today after seeing recommendations online, and also had a good experience. I'm having trouble deciding which to stay with now!


I did like having an in person discussion with Dr Rotman, and covering little things like mixing T and HCG in the same syringe. However, while he was super nice and knowledgable, I definitely feel like I'm more comfortable with Dr Saya, on a personality level. My only qualm with Defy is that I have found dealing with their office to be slightly frustrating at times. Nothing terrible, just feels a lot colder than I'd like (Dr Saya is the total opposite, I feel completely at ease talking to him). I trust both of them, both have great reviews, but I also feel I'm asking for trouble changing something that "ain't broke."


There's also a slight chance I'll be relocating in the next year or two, and Defy can obviously treat me anywhere. I also don't want to bounce back and forth between doctors, and would like to maintain a good relationship with one of them. I feel I already have that with Dr Saya.


What would you guys do? Any considerations?


TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

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.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

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

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