Finding a new doctor for my TRT

[bigadam73]

Hi guys unfortunately I have to switch doctors due to insurance reasons...

I recently scheduled an appointment with my endocrinologist to talk about upping my TRT dose. I'm prescribed 100 mg of test every week.
My last blood test came back with a testosterone level of 540.
Which I feel is too low.
Sex drive crashes mid week, energy levels suffer and experiencing brain fog.

After scheduling my appointment I soon found out that my insurance does not cover my current endocrinologist.

So now I have to start all over.

My question is ....can a primary care physician prescribe TRT?
I'm worried that I'm going to b sent through the ringer again and have to do blood work to prove I have low testosterone.

Also if anyone lives in the CA orange county area and knows a good endo or PCP any help or recommendations would be greatly appreciated.

 

[Dt450]

Hi guys unfortunately I have to switch doctors due to insurance reasons...

I recently scheduled an appointment with my endocrinologist to talk about upping my TRT dose. I'm prescribed 100 mg of test every week.
My last blood test came back with a testosterone level of 540.
Which I feel is too low.
Sex drive crashes mid week, energy levels suffer and experiencing brain fog.

After scheduling my appointment I soon found out that my insurance does not cover my current endocrinologist.

So now I have to start all over.

My question is ....can a primary care physician prescribe TRT?
I'm worried that I'm going to b sent through the ringer again and have to do blood work to prove I have low testosterone.

Also if anyone lives in the CA orange county area and knows a good endo or PCP any help or recommendations would be greatly appreciated.

I’m not sure if it changes from state to state but in Oregon I know my primary does. You can’t just have your medical records released?

 

[bigadam73]

I’m not sure if it changes from state to state but in Oregon I know my primary does. You can’t just have your medical records released?

I’m not sure how it works but I went into my Endo‘s office and got all my blood work printed out ...so I can show it to my new doctor...when I find a new one lol


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[Dt450]

I’m not sure how it works but I went into my Endo‘s office and got all my blood work printed out ...so I can show it to my new doctor...when I find a new one lol


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Do you have the app MyChart? I know I had to opt in for it at my doctors and they just gave me a code and now I have access of all my medical records I can check tests/request medication refills/share records if needed/set up an appointment all just in that app.

 

[01dragonslayer]

I don't know for sure but I really don't see why your PCP won't/cant' prescribe you an Rx for TRT. Endos just specialize but since you now have a base and history of having low T and you explain the insurance issue your PCP may comply.

 

[bigadam73]

Do you have the app MyChart? I know I had to opt in for it at my doctors and they just gave me a code and now I have access of all my medical records I can check tests/request medication refills/share records if needed/set up an appointment all just in that app.

No I don’t ...but that app sounds amazing ! Gonna look into it tomorrow


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[bigadam73]

I don't know for sure but I really don't see why your PCP won't/cant' prescribe you an Rx for TRT. Endos just specialize but since you now have a base and history of having low T and you explain the insurance issue your PCP may comply.

That would be best case scenario. I’ll let you know what happens.


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[OHBRUTUSIO]

Be your own TRT doc

 

[bigadam73]

Be your own TRT doc

Lol yeah been there done that. I kinda like the feeling of getting pharma test through my insurance.

Plus my wife doesn’t question me when she see me pinning. Makes gear usage much easier at home lol.


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[bigadam73]

Well found a new doctor and I'm disappointed once again

He re prescribed me 100mgs TC/week

Blood level came back low 500's 2 days after injection.

My new doc said theses levels were good and he would not consider increasing the dosage even after I explained that I was still experiencing low test sides. Low sex drive, low energy, lethargy.

And then randomly my preexisting gyno flared up BAD! Painful and swollen.
I contacted my doc over the phone and he re read my blood work. He told me not to worry because my estrogen and prolactin levels were in normal range.
I jumped on ugl adex immediately.
My gyno pain went away but it now seems bigger!
Gyno from 100mgs a week of test .....Wtf! I just don't get it

Anyways I'm gonna drop this current doc and start looking again

 

[01dragonslayer]

Well found a new doctor and I'm disappointed once again

He re prescribed me 100mgs TC/week

Blood level came back low 500's 2 days after injection.

My new doc said theses levels were good and he would not consider increasing the dosage even after I explained that I was still experiencing low test sides. Low sex drive, low energy, lethargy.

And then randomly my preexisting gyno flared up BAD! Painful and swollen.
I contacted my doc over the phone and he re read my blood work. He told me not to worry because my estrogen and prolactin levels were in normal range.
I jumped on ugl adex immediately.
My gyno pain went away but it now seems bigger!
Gyno from 100mgs a week of test .....Wtf! I just don't get it

Anyways I'm gonna drop this current doc and start looking again

Sorry to hear that my man. I don't understand why he wouldn't treat gyno...its kinda sounds like he didn't believe you. Good luck finding another. I don't care for docs myself.

 

[bigadam73]

Sorry to hear that my man. I don't understand why he wouldn't treat gyno...its kinda sounds like he believe you. Good luck finding another. I don't care for docs myself.

Dude it’s driving me crazy. I hate how these doctors won’t listen to the patient. If my level is 500 on 100 mgs of test and I’m still feeling the same as before when my level was 110 ....before starting trt ....why wouldn’t you increase the dose to get in a higher normal range ?????

I’m not asking for a tt of 2000! I’d be happy with 700-850 most likely !





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[Dt450]

Well found a new doctor and I'm disappointed once again

He re prescribed me 100mgs TC/week

Blood level came back low 500's 2 days after injection.

My new doc said theses levels were good and he would not consider increasing the dosage even after I explained that I was still experiencing low test sides. Low sex drive, low energy, lethargy.

And then randomly my preexisting gyno flared up BAD! Painful and swollen.
I contacted my doc over the phone and he re read my blood work. He told me not to worry because my estrogen and prolactin levels were in normal range.
I jumped on ugl adex immediately.
My gyno pain went away but it now seems bigger!
Gyno from 100mgs a week of test .....Wtf! I just don't get it

Anyways I'm gonna drop this current doc and start looking again

Sorry to hear about your shit luck with doctors.
Too many doctors go strictly “by the book”
It would piss me off if I had a gyno flare up and it was painful and swollen and all he said was “don’t worry your prolactin and estrogen are in range”

 

[Dt450]

And if all else fails with doctors just self prescribe yourself TRT and use your primary only as a way to do your tests on yourself.
Basically a big fuck you to your doctor lol

 

[bigadam73]

Sorry to hear about your shit luck with doctors.
Too many doctors go strictly “by the book”
It would piss me off if I had a gyno flare up and it was painful and swollen and all he said was “don’t worry your prolactin and estrogen are in range”

Exactly ! Fucking right nipple is swollen and you can feel/see the lump

I had a great time blasting nolva at 40mgs for a few months to get it to shrink...finally it had pretty much disappeared...

Then I started my trt and thought that 100mgs wouldnt call for a AI ....well 5 months later and my body decided to throw me through a loop! Out of nowhere ...gyno flare up !

I’ll post my bloods later and hopefully somebody can figure it out for me. I just don’t get it. Normal estrogen and progesterone...but still gyno ...I’m lost


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[Dt450]

Even with normal estrogen you have to understand that since you have a breast tissue growth that it can still be enlarged.
It’s not likely you are creating new breast tissue. Rather growing existing tissue.
You might just be unlucky and the estrogen that is circulating is just so happening to “targeting” the breast tissue.

I don’t have any studies or research on that. But I don’t think there’s really a definitive answer for something like that. So it’s more kind of my thoughts on how that could happen.

 

[Dt450]

Kind of the same idea behind how people seem to hold fat in different areas.
One thing that I’ve noticed (I’m half Samoan) is that Polynesian men tend to hold more fat in their chest. Which can make gyno look even worse.

So maybe it could be the same concept with estrogen like some guys just get bloated even if they keep estrogen in check. And then some guys get gyno flares unless they are constantly keeping their estrogen slightly under normal levels

 

[bigadam73]

Kind of the same idea behind how people seem to hold fat in different areas.
One thing that I’ve noticed (I’m half Samoan) is that Polynesian men tend to hold more fat in their chest. Which can make gyno look even worse.

So maybe it could be the same concept with estrogen like some guys just get bloated even if they keep estrogen in check. And then some guys get gyno flares unless they are constantly keeping their estrogen slightly under normal levels

Thanks for the info buddy.

What do you think about using nolva on cycle ? Some people I know are against it.

What’s your thoughts ??


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[Dt450]

Thanks for the info buddy.

What do you think about using nolva on cycle ? Some people I know are against it.

What’s your thoughts ??


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I think people are against it cuz it can lower IGF-1.
I think for the most part it shouldn’t be needed if you can get estrogen under control with adex or Aromasin.
But then again some people can kind of struggle with having normal estrogen but still gyno flare ups.
If I were you I’d use Aromasin and if there’s ever sensitivity (assuming it’s not from high estrogen) then I’d use nolva as a more as needed basis until it goes away.

I like Aromasin cuz it’s harder to tank estrogen with it.

 

[OldHulk]

I've asked a couple docs for a script before because my levels while in the "normal" range were very low for my age. They never did. Only time I could get a script is when I went to an anti-aging doc and forked over a good load of cash, funny how that works.