Keeping a medication reserve

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CKO

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I just wanted to provide some feedback on how to set yourself up for success with telemedicine. After learning the hard way, it's important to ensure you have at least a three to four week reserve on your medications. Sometimes your telemedicine provider may push back on this, but a reserve is essential when you're dealing with medications. Having managed numerous medical facilities, I can assure you there's always a push for a "just-in-time" supply chain style. This is almost never appropriate in medicine and it shouldn't be used personally either

My example: Patient with a popular telemedicine provider. On TRT, HCG, AI since November 2020. I haven't felt overly successful with the treatment and wanted to go on Enclomiphene after my Dr. appt, which should have occurred mid January. My labs, in early January, take 3 weeks to come back. Im not allowed to schedule an appt. until the labs come back. Once the labs are back, the doc is scheduled out 2.5 weeks, so I wait. I notify the clinic I'm running low on meds, but I do not reorder them. I meet with doc, we agree to enclomiphene, order placed 2/9. I'm very short on all meds at this point. Houston has a freak storm which shuts down Empower and delays everything. As of 2/25, my meds are basically gone and the enclomiphene is lost somewhere with FedEx (delivery date shows pending).

Long story short:. Always keep a reserve. Don't do what I did.
 
Defy Medical TRT clinic doctor
I've been lucky with my doctors in agreeing to prescribe a little more then I need for TRT and thyroid. For example my prescribed Test dose is 120 mg/week, but I only use 84mg/week. So over time I build up a comfortable surplus so I will hopefully be able to bridge any gap in issues such as you described.
 
I also use telemedicine, I've never came close to running out of testosterone or HCG.

I am very diligent and keeping up with all my prescriptions.
 
My testosterone cypionate prescription is for 200mg per week but I’ve only used 140-160mg per week. Therefore over the past eight years I have saved up a good supply. However, I had enough on hand that I’ve delayed refilling in order to get more of it used up before it goes past date.
 
I just wanted to provide some feedback on how to set yourself up for success with telemedicine. After learning the hard way, it's important to ensure you have at least a three to four week reserve on your medications. Sometimes your telemedicine provider may push back on this, but a reserve is essential when you're dealing with medications. Having managed numerous medical facilities, I can assure you there's always a push for a "just-in-time" supply chain style. This is almost never appropriate in medicine and it shouldn't be used personally either

My example: Patient with a popular telemedicine provider. On TRT, HCG, AI since November 2020. I haven't felt overly successful with the treatment and wanted to go on Enclomiphene after my Dr. appt, which should have occurred mid January. My labs, in early January, take 3 weeks to come back. Im not allowed to schedule an appt. until the labs come back. Once the labs are back, the doc is scheduled out 2.5 weeks, so I wait. I notify the clinic I'm running low on meds, but I do not reorder them. I meet with doc, we agree to enclomiphene, order placed 2/9. I'm very short on all meds at this point. Houston has a freak storm which shuts down Empower and delays everything. As of 2/25, my meds are basically gone and the enclomiphene is lost somewhere with FedEx (delivery date shows pending).

Long story short:. Always keep a reserve. Don't do what I did.
Agree. Similar experience with Nandrolone order right now. It is low dose MWF so I can only order one bottle at a time. I like to have one in reserve. I waited a little to long to reorder. Takes 8 days to process order and then freak storm in TX.
 
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Unfortunately I still don't have my meds. Ordered 2/9, shipped 2/19 (FedEx 2nd day air), stuck in Houston still. I guess a 4-6 week reserve may have been more appropriate. Unfortunately, I'm now doing a cold turkey transition from trt, while I wait for the enclomiphene. Ugg.
 
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