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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Should You Be Injecting Testosterone Under the Skin?
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<blockquote data-quote="Nelson Vergel" data-source="post: 4133" data-attributes="member: 3"><p>I do not know of any doctor who tells a patient "show me the study"</p><p></p><p>That is usually asked by a physician to another, or by people like me who are educated advocates in this field.</p><p></p><p>Any doctor can practice medicine within what he thinks is effective based on his experience even if that experience is not based on research and published data. But if a physician wants to bill insurance, then studies have to be available for insurance companies to reimburse. Even with data, may insurers will not reimburse what is not part of current guidelines.</p><p></p><p>So, patients with no extra cash who want to have insurance reimbursement of their testosterone replacement and blood tests will have to seek a physician that is willing to find and use published studies and guidelines. Those with disposable income can afford to pay cash to see a physician who practices based on his experience even if that experience is not supported by published studies.</p><p></p><p>So, studies are important in testosterone replacement therapy. Pharmaceutical companies that jump at generating missing data to get an easy indication approved for drugs that already exist in the market are the real winners. That is why I showed the example of Antares since they will go after the subcutaneous injection indication when there is little data on the subject.</p><p></p><p>I have asked for studies on estradiol because I strongly believe that men have been over treated with anastrozole. I also ask for studies from anyone who says there is a "sweet spot" when it comes to blood values.</p><p></p><p>For me, the smart clinicians are the ones who jump at the opportunity when they see something that works but that may not have data behind it. Those clinicians generate the data to support their statements and become leaders in the field. Some write books with their experiences and present their data in conferences. Bravo to all of them.</p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 4133, member: 3"] I do not know of any doctor who tells a patient "show me the study" That is usually asked by a physician to another, or by people like me who are educated advocates in this field. Any doctor can practice medicine within what he thinks is effective based on his experience even if that experience is not based on research and published data. But if a physician wants to bill insurance, then studies have to be available for insurance companies to reimburse. Even with data, may insurers will not reimburse what is not part of current guidelines. So, patients with no extra cash who want to have insurance reimbursement of their testosterone replacement and blood tests will have to seek a physician that is willing to find and use published studies and guidelines. Those with disposable income can afford to pay cash to see a physician who practices based on his experience even if that experience is not supported by published studies. So, studies are important in testosterone replacement therapy. Pharmaceutical companies that jump at generating missing data to get an easy indication approved for drugs that already exist in the market are the real winners. That is why I showed the example of Antares since they will go after the subcutaneous injection indication when there is little data on the subject. I have asked for studies on estradiol because I strongly believe that men have been over treated with anastrozole. I also ask for studies from anyone who says there is a "sweet spot" when it comes to blood values. For me, the smart clinicians are the ones who jump at the opportunity when they see something that works but that may not have data behind it. Those clinicians generate the data to support their statements and become leaders in the field. Some write books with their experiences and present their data in conferences. Bravo to all of them. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Should You Be Injecting Testosterone Under the Skin?
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