Testosterone levels normal, doc won't increase dose, options?

[blinkyvx]

labs 9/23/19 assumed levels would drop as i was doing 14mg EOD dosing M/W/F. Last 14mg dose 9/20/19. Symptoms persist, which i told Doc in my msg he then stated "levels look good keep at current dose" and ignored all symptom related question/statements. I then sent another msg stating "yes levels are borderline low/normal and I do not want to treat numbers, but symptoms" He has not replied I assume he won't Free T was 7.6ng/dl range 4.9-19.8 , and bio test was 316 range 119-800 [ this is off the top of my head]

Funny my HCT was 53% at last visit, but he didnt bother to recheck it! [yes i donated blood]

TRT clinic? doctor shop? What kind of doctor should i go see? Tank test levels and wait to re check?

Currently doing every day shallow IM dosing of 14mg
no morning wood, low libido, no real zest for life, low motivation, still some moodiness

 

[Systemlord]

Your HCT is the problem, you testosterone is suboptimal and increasing it will increase HCT which is already high. No sick care doctor or any respectable doctor would allow for a dosage increase with high HCT.

If you donate too often, you risk crashing ferritin and it looks like you will need to donate often if you ever get to an adequate FT level. If I'm not mistaken Defy Medical will only accept you if your HCT is below 52 percent.

Dehydration can increase HCT and also sleep apnea, do you snore and make noises while sleeping?

 

[blinkyvx]

I mentioned he didn't bother to recheck my HCT at my draw on 9/23/19 right? 9/23/19 was also my only time donating, only plan on donating when allowed every 4 months or however red cross is.

Not sure on sleep apnea i feel i do ok sleep wise, i know the lab draw day when it was 53% i was probably not well hydrated... i know to drink lots of water and avoid caffeine now though. Wife doesnt think i snore.

HCT wasn't the issue, he stated my T levels are fine, not my HCT was to high. I dont think asking to re-check HCT will help his narrow view..

I can get HCT re-checked, if defy will treat testosterone or increase my dosage? To treat symptoms not numbers?

 

[Systemlord]

Your doctor only cares about keeping numbers in range and getting paid, he doesn't care whether or not the patient has symptoms.

A lot if sick care doctors operate in this way, if doctors really cared about the patient, they would leave managed healthcare and start a private practice where they can affect the health of their patients to a greater degree.

Insured healthcare limits what doctors can do and when they can take action on behalf of the patient.

 

[blinkyvx]

Yes i went to a telemedicine TRT clinic, they are getting me 200mg cyp a week , to dose how i choose, 25 IU of Hcg 2x a week [ they say this is great for penile sensitivity?] and something for estrogen management to take as needed. all for $133/month, labs separate but sine mine are recent more werent needed.

 

[Systemlord]

HCG increases penile sensitivity, if you say so. This clinic is blowing smoke up your... because they are intrested in profit, not patient health.

25iu of HCG is a ridiculously low dose, it wouldn't do anything. Run from this clinic because TRT can get complicated quickly and it doesn't sound like this clinic is ready for when things don't go right..

You need to shop around a little more, Defy Medical is a telemedicine clinic which has an excellent reputation at around the same price, only difference is the doctors are fantastic.

 

[blinkyvx]

it may [probably] of been 250 IU and i wrote things down wrong. I was looking into defy as well.

On the sensitivity thing, i don't say so they do, I am skeptical of that as well. Not much harm in trying Hcg as many use it..

This clinic are doing follow up labs in 4 weeks to see how i respond to new dose. and i still can go to my primary for most labs on my own as well...

May try 150mg a week and see how things go and not immediatley double my dose from 100mg to 200mg

 

[blinkyvx]

Update:: went to teleclinic 330$ a month got a 200mg/ML 10ML bottle for 200mg/week dosing, or however i see fit.

- I started daily dosing at 28mg now on for a week. I get some wood at odd hours 5 to 7 am some times, so maybe im sleeping through them? Other than dosing ive changed nothing?

Lack of morning wood on this daily dose route, last estradiol was <20 AS "abnormal" range <47.

-On 100mg 1x a week i got morning wood on days 2/3 but days 4/5/6 weren't as great with mood or morning wood...?

first day back at gym, and checking self out in the mirror, i got some obliques, no love handles, 165LB and 14% via my tanita on the "athlete" setting. So im looking good despite not doing anything, attribute this to fasting and T product...

Strength also felt decent for not going in over a year...

 

[Vince Carter]

28mg/D is too much.

Im curious about your SHBG level, do you that, recently?