Appointment with family doc re: testosterone

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This will be a bit of a longer post, but I think there’s value in it as I think it’s probably a VERY similar story to a lot of guys. Furthermore, a LOT of my friends are totally lost trying to navigate the TRT world.

Okay so this coming Friday (2 days from now) I have an appointment scheduled with my family doc. Here’s how it’s going to go:

A couple of years ago I started seeing a Naturopath to get insight into stuff your normal family doc can’t or won’t dig into with you (we live in a rural part of the country so hormone clinics and functional medicine practitioners aren’t really closer than 4-5 hours away).

Being a relatively healthy guy, I more or less wanted to see where things are at, especially my testosterone as I was more or less curious. Some ED issues as I’ve gotten older and curious about breaking through strength plateaus in the gym, but that’s about it.

After getting a full panel done the ONLY thing that wasn’t optimal was my testosterone. Free test was almost non existent and total was around 349. The ND stuck me on some low dose cream. I asked him what markers we should look for to gauge its effectiveness, and he said, “you don’t feel it? Let’s stick you on some stronger cream!”
After that ‘course’ I came back to him and said what’s next? He then proceeded to tell me that the college of NDs informed him he isn’t really supposed to be prescribing testosterone at all, but that was okay because he had an AMAZING supplement he could set me up with that not only boosted test, it helps with ALL hormone levels…..I asked him why I’d take that when my only issue was low T and he laughed and said, “Because I can’t prescribe Testosterone to you anymore!”

Needless to say, that was my last appointment with him. I can tell other stories that would make your eyeballs pop out about the things that he said to me but that’s a post for another day.

Unable to find another professional to work with me, I turned to online telehealth and tried two different companies That were highly disappointing. One test that I did came back with T in the 340s again, and according to what the company told me they were unable to prescribe testosterone because health Canada’s threshold for TRT is 300. Being as though the normal range is 300-1200 and considering the bio individuality of what one guy feels good at versus another…….I was still unsuccessful in getting onto approved TRT.

My next step was to turn to an UGL. I started on 100-150mgs/week of test-cyp and to say it was Life changing would NOT be an exaggeration. Sleep, libido, erection quality, reduction in anxiety, strength in the gym, overall sense of wellness……regardless of what health Canada says, I am NOT meant to be at 349. And yes, prior to going down this road I have tried literally everything in the book from lifestyle diet and otherwise to increase natural levels on my own and 349 was the best I could get.

Now that I’ve given my backstory leading up to this Friday’s appointment, this is how I’m going to try and drive the conversation. I’m going to more or less tell my doc exactly what I’ve laid out here and tell them that I have zero intention of NOT using testosterone. Im going to ask for a script for pharmaceutical grade test. I expect to be told no. I will then ask what happens if I stop taking testosterone, have my levels crash, get a NEW test, and then have ‘health Canada approved levels’ for prescribed and approved TRT.
If I’m told this is possible, or even if I’m NOT, I’m going to then decide whether or not I keep a relationship with this doctor based on how they answer this next question:
“ so what you’re saying is there’s basically no way that I can get onto prescribed TRT but if I come in with my daughter and a note from the therapist that says she is a boy trapped in a girls body, You’ll give her a prescription for the best top quality grade stuff on the market, and we will be off to the races.”

Sorry for the length of this post, but this has been some thing I’ve wanted to do ever since starting on UGL testosterone and I plan on posting a follow up after my appointment on Friday.
 
The doctor should be able to prescribe test for the reason of ED with low normal test so long as your other markers are good. If you have other hormone imbalances they might prescribe something for that to see if it fixes it first though. It depends on the doctor.
 
This will be a bit of a longer post,
" Health Canada's 300ng threshold for TRT" "health Canada approved levels" ? I call bullshit, I'll bet anyone here $20 these things do not exist. Seriously, prove it and I'll send it, Lite Lunch on me.

This is just practitioner blame shifting cause they don't want to poke the bear. Could it get you a call from the college to explain yourself ? Sure and I can see why they would want to avoid that. But how a bout just being honest
 
" Health Canada's 300ng threshold for TRT" "health Canada approved levels" ? I call bullshit, I'll bet anyone here $20 these things do not exist. Seriously, prove it and I'll send it, Lite Lunch on me.

This is just practitioner blame shifting cause they don't want to poke the bear. Could it get you a call from the college to explain yourself ? Sure and I can see why they would want to avoid that. But how a bout just being honest
I can send you the text message from the ‘Telehealth doctor’ who told me that bullshit.
Just a gong show
 
Have you tried a TRT / hormone clinic yet? Send me a PM if you want. I spoke with them and they discussed, on the first call, doing blood work but even if I am low/middle - they want me to be optimal. Talked about testosterone injections, DHEA, thyroid medications but I put the stop to that convo as my thyroid is fine, and if I wanted and could afford it HGH.
At the time I had an appointment for a telephone call referral to the doctor who would do the blood tests, then send it to a nurse practitioner and pending I wasn't optimal they would deliver it to my door. The HGH, if I wanted it, in a cooler to my postal box for pick up.
I had shit hit my life at the time and I never moved forward - I will be soon.
Keep in mind you pay for most of this yourself albeit TRT prescribed by a doc has always been covered by my medical plan.
Some do but most GP's don't understand hormones. You can game the system with test prop and easily make your total test low enough but if they order other hormone tests such as SHBG, LH, etc. - a good hormone doctor will suspect you were on something.

I have to listen to the VM I have from the company to recall the name - it was a referral from a trusted friend who uses them and told me they look to make you optimal, not just middle of the range.
 
UPDATE:

So I had my phone call with the doc.
I basically told her the same story that I posted on here in this thread. Her response was very simple and to the point:
“ no problem. Just give me your labs from before you started taking testosterone on your own and I’ll make a referral to a guy locally that will give you TRT options”

I ask about minimum threshold, and she said,
“ if you were above the level that he would normally recommend it, but you still want to do it. He will explain the rest factors to you and if you still want to move forward I can’t see there being a problem with him setting you up. Especially if you’ve experimented on your own, and know that you do better on higher levels.”

I guess the Takeaway for me is that I’m probably pretty damn lucky to have such a open minded doctor, and once I meet with the specialist, who I believe is a urologist, I will report back and let everyone know what options he gives me
 
UPDATE:

So I had my phone call with the doc.
I basically told her the same story that I posted on here in this thread. Her response was very simple and to the point:
“ no problem. Just give me your labs from before you started taking testosterone on your own and I’ll make a referral to a guy locally that will give you TRT options”

I ask about minimum threshold, and she said,
“ if you were above the level that he would normally recommend it, but you still want to do it. He will explain the rest factors to you and if you still want to move forward I can’t see there being a problem with him setting you up. Especially if you’ve experimented on your own, and know that you do better on higher levels.”

I guess the Takeaway for me is that I’m probably pretty damn lucky to have such a open minded doctor, and once I meet with the specialist, who I believe is a urologist, I will report back and let everyone know what options he gives me
I was equally lucky but now always remember that things change from here, it's not like cycling well I guess it could be but now your happiness, livelihood and life all depend on paying for medication amd constant reoccurring blood work amd appointments. Also high chances of infertility and any other side effects like acne or whatever. You probably couldn't care less right now but in the future you will have a few times when you realize hmmm now I'm just hornier then the wife always and I have to pay for it. Can be a nuisance sometimes to be handcuffed to a pharmacy or doctor.
 
They can only perscribe you to a certain level legally and they wont go over that, the US seems to be more liberal from what I've read and allow up to 1000 pmol/L were we are pretty much capped at 700 - 800 pmol/ L if we are lucky, I came in at 780 pmol/L with my last set of bloods at .40ml and they didn't modify my script I am with a TRT clinic and that is what they classify as optimal. Don't go for gels push for Injectable.
 
I was equally lucky but now always remember that things change from here, it's not like cycling well I guess it could be but now your happiness, livelihood and life all depend on paying for medication amd constant reoccurring blood work amd appointments. Also high chances of infertility and any other side effects like acne or whatever. You probably couldn't care less right now but in the future you will have a few times when you realize hmmm now I'm just hornier then the wife always and I have to pay for it. Can be a nuisance sometimes to be handcuffed to a pharmacy or doctor.
Bro- words of wisdom but I’m 40, three kids, and the factory is closed for business.
Furthermore, since the wife started on her low dose test-prop, MT2 once in a while, and good god when she cycles Anavar…..
I used to be a god damn pervert compared to her, but now, let’s just say Thank Jesus for cialis and viagra……can’t WAIT to try PT141 on our next hotel getaway.

In all seriousness, With regards to acne, neg-sides, recurring blood work……I believe you’re hitting the nail in the head. We need to understand the costs as posted with what we do ALWAYS. Running any kind of AAS’s or other PEDs……..god damn, even a supplement /. Iranian regime like I run without bloodwork at least 2-3 times a year is foolish in my opinion anyways.
 
They can only perscribe you to a certain level legally and they wont go over that, the US seems to be more liberal from what I've read and allow up to 1000 pmol/L were we are pretty much capped at 700 - 800 pmol/ L if we are lucky, I came in at 780 pmol/L with my last set of bloods at .40ml and they didn't modify my script I am with a TRT clinic. Don't go for gels push for Injectable.
What kind of volume / quantity of product do they prescribe you to buy if your under those markers?
 
I'm on Test E Delatestryl at .40ml a week with 50mg of DHEA alot of benefits don't pay for the DHEA unfortunately.
Sorry can you elaborate?
.40ml a week of what concentration?
Assuming 250mg/ml.
And are you saying you Mr benefits cover the DHEA?
 
Bro- words of wisdom but I’m 40, three kids, and the factory is closed for business.
Furthermore, since the wife started on her low dose test-prop, MT2 once in a while, and good god when she cycles Anavar…..
I used to be a god damn pervert compared to her, but now, let’s just say Thank Jesus for cialis and viagra……can’t WAIT to try PT141 on our next hotel getaway.

In all seriousness, With regards to acne, neg-sides, recurring blood work……I believe you’re hitting the nail in the head. We need to understand the costs as posted with what we do ALWAYS. Running any kind of AAS’s or other PEDs……..god damn, even a supplement /. Iranian regime like I run without bloodwork at least 2-3 times a year is foolish in my opinion anyways.
Right on you know what your doing.
 
Hey everyone, HUGE update regarding my TRT journey and recent experiences at BOTH my regular GP clinic, and then an actual TRT clinic.
Okay, so The first part of this story is 100% a testament to the failings of our bullshit 'universal-malpractice' system of healthcare.

So just to recap.............
This initial doctor I talked to was great- she said it sounded like I knew more about the endocrine system than she did, and as she was no expert she was going to refer me to the Urologist, whom she said was the one to handle TRT locally........dismayed by this stereotypical hand off, I obliged and waited ANOTHER 8 weeks for the 'phone-appointment' with the urologist.

Unfortunately, the appointment came and went, and it was not the Urologist who called........but and extremely young and overly 'eager to prove' locum in the family clinic I go to. She informed me that the Urologist's office forwarded a note BACK to their clinic informing them that they do NOT do TRT (something that took 8 weeks to do, I suppose) to which a THIRD GP made a note that this 'locum' was to call me and provide a follow up.

As far as the phone call went?......This 'locum' proceeded to interrupt me at every turn, and by her own admission, had no appetite to waste any more time than necessary with me on this phone call.
She proceeded to tell me that because I was WELL above the threshold for what would be considered the criteria for TRT, there was nothing she could do........
I asked her what reference range she was using, and she LITERALLY told me that they look for 3 nmol/L or lower.......................this is literally less than 87 ng/dL..........
Anyone with the ability to do a 30 second google search will find that the 'normal range' quite often cited is 300 - 1000 ng/dL, or what could also be described as a range of "low levels for a 50 year old, to optimal target range for some bodybuilders".
I have absolutely zero contextual reference for what this 'locums' point of reference would be for a 'normal and healthy 39 year old male with total testosterone of 150 ng/dL, for example........
To provide even more context to the absurdity of this particular GPs philosophy, when my wife went in to discuss her bloodwork and inquired into testing for HRT (as my wife also has hormonal reference ranges that could benefit from some treatment) this 'locum' accused her of wanting to go onto steroids and tried to write her a prescription for SSRIs instead, claiming that HRT causes heart disease, while antidepressants will make her feel better without any of the risk factors.......I had to ask my wife if she could still smell the cologne of the Pfizer salesman who must have shortly left that office before her.

Needless to say, I wrote a letter to one of the partner physicians in this practice telling her that this experience with this moron was NOT what I had come to expect from the clinic over the past 8 years my family had gone there, and within 48 hours received a call from both the TRT clinic, AND my new doc who's an optimization guy and stoked to take me on- talk about lucky.......

On the TRT front, I have found a TRT clinic here in western Canada that has been amazing. They're not only up to speed on current stuff, they're open to pep's (even though they can't prescribe) including GH even, and I now have RX grade test-C that I've been on for a week or so.

In conclusion to this long winded rant............if there are any CB'ers in the west looking for an absolutely amazing clinic and two doctors that I'd put right up there with Adeel Khan, send me a message privately and I'll let you know more.
 
Most of us speak pretty openly about the clinics we use. I myself run the Science & Humans (aka. Omen), others here go through TrueBalance. Unless yours is super secret and they don’t want anyone to know who they are, you’re welcome to share your clinic as well.
There are plenty of good TRT clinics out there, mine seems to be fairly good at what they do.
It’s no surprise you had issues with your GP, good thing you didn’t have to waste days with an Endocrinologist only to be turned away for treatment.
 
Hey everyone, HUGE update regarding my TRT journey and recent experiences at BOTH my regular GP clinic, and then an actual TRT clinic.
Okay, so The first part of this story is 100% a testament to the failings of our bullshit 'universal-malpractice' system of healthcare.

So just to recap.............
This initial doctor I talked to was great- she said it sounded like I knew more about the endocrine system than she did, and as she was no expert she was going to refer me to the Urologist, whom she said was the one to handle TRT locally........dismayed by this stereotypical hand off, I obliged and waited ANOTHER 8 weeks for the 'phone-appointment' with the urologist.

Unfortunately, the appointment came and went, and it was not the Urologist who called........but and extremely young and overly 'eager to prove' locum in the family clinic I go to. She informed me that the Urologist's office forwarded a note BACK to their clinic informing them that they do NOT do TRT (something that took 8 weeks to do, I suppose) to which a THIRD GP made a note that this 'locum' was to call me and provide a follow up.

As far as the phone call went?......This 'locum' proceeded to interrupt me at every turn, and by her own admission, had no appetite to waste any more time than necessary with me on this phone call.
She proceeded to tell me that because I was WELL above the threshold for what would be considered the criteria for TRT, there was nothing she could do........
I asked her what reference range she was using, and she LITERALLY told me that they look for 3 nmol/L or lower.......................this is literally less than 87 ng/dL..........
Anyone with the ability to do a 30 second google search will find that the 'normal range' quite often cited is 300 - 1000 ng/dL, or what could also be described as a range of "low levels for a 50 year old, to optimal target range for some bodybuilders".
I have absolutely zero contextual reference for what this 'locums' point of reference would be for a 'normal and healthy 39 year old male with total testosterone of 150 ng/dL, for example........
To provide even more context to the absurdity of this particular GPs philosophy, when my wife went in to discuss her bloodwork and inquired into testing for HRT (as my wife also has hormonal reference ranges that could benefit from some treatment) this 'locum' accused her of wanting to go onto steroids and tried to write her a prescription for SSRIs instead, claiming that HRT causes heart disease, while antidepressants will make her feel better without any of the risk factors.......I had to ask my wife if she could still smell the cologne of the Pfizer salesman who must have shortly left that office before her.

Needless to say, I wrote a letter to one of the partner physicians in this practice telling her that this experience with this moron was NOT what I had come to expect from the clinic over the past 8 years my family had gone there, and within 48 hours received a call from both the TRT clinic, AND my new doc who's an optimization guy and stoked to take me on- talk about lucky.......

On the TRT front, I have found a TRT clinic here in western Canada that has been amazing. They're not only up to speed on current stuff, they're open to pep's (even though they can't prescribe) including GH even, and I now have RX grade test-C that I've been on for a week or so.

In conclusion to this long winded rant............if there are any CB'ers in the west looking for an absolutely amazing clinic and two doctors that I'd put right up there with Adeel Khan, send me a message privately and I'll let you know more.
Get some dhea from Dracorex and give her 1/2 a pill a day. Wait two weeks and if she gets no sides like pimples bump up to 20 mg, and no more. plus start getting her to take creatine. Use your fingers to split the pills from Dracorex. Not a knife, I learned tonight that they split amazingly well if you use the edge of your nails, broke in half perfectly with little effort.

Trust me on this, it’s working wonders on my wife. She went from burned out and kinda cranky back to her normal hyper happy self.

Best part is, it’s far safer than hrt for woman.

If it will work on a 60 year old woman, your wife should respond really well.
 
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