Discussion in ' Men's Health Forum ' started by vantageJan 5, Jan 5, 1. I've been on TRT for a few years. I'm 45 and don't care about fertility, so no issues there, and I completely don't care that my nuts are a little smaller than they used to be. This regimen has worked fine.
New doc old one is retiring is fine with continuing things as-is, but has suggested I consider trying HCG. Some of his patients feel it's an improvement, he says. He's not pushing it, just offering it. So is it worth a try? But I also know that what he says is true -- many guys do feel that it's a good thing to have.
Either way, I have no experience with the stuff and haven't done much reading about it. I clearly need to expand my knowledge before I respond to the doc. So here's my question: If you've tried it, what are the pros and cons, in your experience? What should I worry about? And related Jan 5, 2.
I realize that is subjective, but that's what I've found IME over the last 3 years. Cons  It will make your E2 go up. I've done this and it works but it does takes time and patience to work out the right doses.
If you want to use it with T, I strongly suggest a frequent, low-dose T protocol like eod injections. Divide your weekly dose by 3. Run that way for a while and get a baseline tT and E2 level.
Get labs and adjust accordingly. Instead, switch back and forth between your normal T protocol and HCG only. Last edited: Jan 5, Testosterone replacement therapy is steadily on the rise. The number of men prescribed TRT has tripled in the last decade. But there's still plenty of misunderstanding and flat-out backwards thinking on how it works, what it is, and what it actually involves.
These are the four most common issues you need to understand before beginning treatment or dismissing the idea altogether. Done right, it may be the most significant and helpful treatments of your lifetime.
This is probably the most common, and most incorrect, presumption people have towards testosterone replacement. An adult male taking doctor-prescribed hormone replacement therapy to address a diagnosed medical condition and improve his quality of life is no more "cheating" than an adult male taking doctor-prescribed asthma medication to address a diagnosed medical condition and improve his quality of life.
The TRT patient's medication happens to improve lean body mass, increase libido, and have other side effects we generally consider to be positive. That's okay. People with hypothyroidism taking levothyroxine often see weight loss when their thyroid function is brought back into working order. And people on asthma meds are often able to increase their training intensity because they don't have to worry about, you know, dying during exercise.
Nobody's attacking them for "cheating" because those are a simple result of the meds necessary to treat their conditions. Of course, we're talking about the general public and not professional athletes who participate in organizations that have specific rules about performance enhancing drugs. For them, cheating is a valid scenario. Even in those cases, many sports do have arguably generous or vague rules for TRT exemptions for athletes who do have legitimate low T.
Unfortunately, these cases are often seen with an asterisk —an athlete exploiting a loophole to gain an unfair advantage. We're also not referring to anyone who manipulates their body before getting a blood test in the hopes of influencing the results when they otherwise wouldn't qualify. If you have to temporarily alter your training, sleep, or nutrition in the hopes of skewing your blood labs to come back revealing "low T" in order to get a script written, then understand that you're not going to be on TRT, you're going to be on a low dose steroid cycle.
That's a dick move and you're exactly the kind of patient who makes doctors reluctant to prescribe hormone therapy to guys who actually need it. If you don't have low T, then you don't have low T.
Believe it or not, it's slightly more complex than "Get doctor's prescription for testosterone, inject testosterone, live happily ever after. Here's a list:. If that sounds like too much of a hassle, then you're not ready to responsibly manage your condition. Be an adult and do some homework before you start manipulating a cascade of hormones in your body. The goal is to maximize health and minimize side effects, not vice versa.
It would be great if we could just rely on our primary physician to handle everything for us. Ideally you'd want to hear something like this:. I don't like the look of these numbers, but this is how we'll run the treatment protocol to stay ahead of any problems. Come back in four weeks and we'll see where things stand. Unfortunately, that situation is still rare, so you need to be ready to bring your own info to the table.
Even under the care of an endocrinologist or urologist, specialists who are up-to-date with the most efficient treatment methods, you are your own best advocate, and the more knowledgeable you are, the better. Cluelessly smiling and nodding as your doctor describes why your current treatment doesn't warrant the inclusion of HCG, even though know you're having issues HCG could directly address means you end up receiving inadequate care The other benefit of being an educated patient is the ability to intelligently question a proposed course of treatment that doesn't sound right.Because there are so many variables to consider when calculating the monthly cost of testosterone therapyit can be very difficult to nail down a number.
In fact, the cost can increase and decrease on a monthly, or sometimes weekly, basis as you and your therapist attempt to balance your dosages and concentrations. The involvement of insurance in some applications of testosterone therapy can also affect the cost, reducing the price-out-of-pocket for therapy that your provider deems medically necessary. Again, this guide is based on the national average, which does not account for local pricing levels, which could affect cost substantially in either direction.
The only way to know for sure how much testosterone replacement therapy will cost for you is to seek consultation with a doctor or therapist. Only a professional can help you to figure the total costs of your unique needs, such as:. Contact us today to set up an appointment, and find the program most fitted for you and your budget. How much does testosterone cost.
How Much Testosterone Costs Because there are so many variables to consider when calculating the monthly cost of testosterone therapyit can be very difficult to nail down a number. Pellets — Testosterone Pellets have become more effective than previous with keeping blood level up. The new slower release keep levels optimal for 4 months. As of late this is usually our clinic preferred method.The Hardest Truths People Don't Want to Hear - AskReddit
This is the least viable form. Finding Out Your Unique Cost The only way to know for sure how much testosterone replacement therapy will cost for you is to seek consultation with a doctor or therapist.Forums New posts Search forums. What's new New posts New profile posts Latest activity. Lab Tests. Doctor Finder.
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Conquering Low Testosterone Levels & Sleep Apnea
Because they are cash only and do not do insurance processing, one very common question that I get is the cost of treatment. Many patients do submit lab claims to their insurance for reimbursement on the back end however. Word spreads quickly on the Peak Testosterone Forum and already Defy Medical has an excellent reputation and many forum members going there.
To get some ballpark figure, I queried Dr. Saya as to their current charges as of August of updated February He wrote me back the following responses - see below.
Please keep in mind that these are rough estimates based on the typical patient and can change at any time. You must, of course, actually call Defy Medical to get the numbers for you own medical situation. If "other" labs are added DHT, further thyroid testing, etc then the cost can be a little higher.
Then again, if a FULL panel isn't needed on follow-up i. Once dialed in for some lab draws we can check a limited panel then lab cost can be lower.In men, testosterone is the main anabolic hormone produced by our bodies. Testosterone regulates fertility, muscle mass, fat distribution, red blood cell production, bone mineral density, mood, and libido. Male hypogonadism, or diminished testes function, can result in weight gain, loss of muscle mass, fatigue, an inability to focus, and waking without an erection.
Men can actually experience low testosterone levels as early as their twenties. Now, this method is great if you are symptomatic and your numbers are actually low, but what if your numbers are only on the low end of normal, and you still have significant symptoms impacting your daily life?
Free testosterone free T is the available testosterone active in your body and should be evaluated along with the total, especially when symptoms are present. The most common form of testosterone administered in the U.
Testosterone is a schedule III controlled substance.
It is labeled as such because of the potential to be abused; however, Testosterone is not a narcotic. TRT can be administered three different ways; topical application, pellet implants, or injections. All three methods should be discussed and evaluated based on efficacy, ease of use, flexibility in dosage modifications, potential side effects, and insurance coverage. With this method, you apply a testosterone cream to the skin, typically the shoulders or stomach.
This method can be a good option for older males with thin skin. In my experience, most people have a difficult time getting to a therapeutic level using topicals. The cream takes time to absorb and should not be touched by any females in the home — it can cause masculine side effects, such as facial hair. As you increase the amount needed to get to your goal, it becomes even more difficult and time consuming to wait for it to absorb.
Testosterone creams are also expensive, even with insurance. Pellets are tiny little rods placed under the skin by a minor surgical procedure.
They are supposed to slowly release testosterone into the bloodstream. This release time varies by individuals and is supposed to last about months. If your levels are too high or too low, they will stay that way until the medication dissipates over time.
The procedure itself can result in minor pain, bleeding, bruising, discoloration of the skin, infection, extrusion of the pellet pellet coming outand scarring at the implant site. Pellets are an upfront cost, as they are not covered by insurance.
Testosterone injections are my preferred method of TRT. The half-life of testosterone cypionate is days, meaning you should have an injection in the thigh or buttock approximately every 7 days. This method allows the patient to have a consistent dosing without significant highs and lows. Using blood work to monitor testosterone levels after therapy begins allows for optimal dosage levels.
Injections are covered by most major insurances. As with all sciences, there are best practices to consider.Low T Center is open! Now with interim take-home treatment options to support social distancing. Sleep Issues? Free and Fast Shipping to Your Door! We address the underlying causes of the decline in your sleep, health and energy to help you become the best you possible.
About Our Men's Clinic. The lethargy could be caused by any number of health conditions such as obstructive sleep apnea, low testosterone levels, severe allergies, or even low thyroid. When men suffer from any of these conditions, poor lifestyle choices are made, especially when it comes to diet and exercise which can lead to more serious health problems down the road such as hypertensionhigh cholesterol, and diabetes. We listen and learn about you, your symptoms, and your health goals. The combination of that knowledge along with a thorough analysis of your lab results will be used to prescribe a healthcare plan tailored to you.
During the initial visit, which takes less than an hour, you will complete a comprehensive, men's health assessment. Blood for labs will be drawn, and take and measure other vitals. On the second visit, you will meet with your medical provider to discuss your lab results, health assessment, and goals to create a personalized treatment plan. This also takes less than an hour. The treatment regimen is based on your individual needs. Testosterone and allergy patients typically return every seven to 10 days for treatment, while sleep apnea and thyroid patients usually are seen less frequently.
Once your treatment plan is underway, your medical provider will stay up-to-date on your progress through feedback from you, regular labs, and leading-edge proprietary technology that optimizes treatments to maximize your health and wellness. Order Now. Discover how Low T Center is reinventing men's healthcare.
Make An Appointment. Find a Low T Center near you. Men's Clinic - What's Offered? How Treatment Works 01 Health Assessment During the initial visit, which takes less than an hour, you will complete a comprehensive, men's health assessment.Understanding the options and costs available to you may help you make a better decision, and hopefully change your life for the better.
While other more advanced approaches may be used such as aromatase inhibitors, HCG, etcthey fall out of scope of this article. This is based on the most basic TRT prescription. In most cases, you will likely not get treatment and need to go private.
This diagram illustrates the recommended red range and the questionable orange and yellow range for treatment. Most testosterone prescriptions issued are for injectable testosterone. Other forms such as testosterone gel and testosterone pellets not common in the UK may also be used. Where available, I have listed the prices for all options. NOTE: I have also included how long the supply would last at the average doses.
Not All Testosterone Replacement Therapy (TRT) Is Created Equal
A private doctor is usually the same as your local GP, except that they run their own practice and you have to pay for your consultations and prescriptions. Testosterone Gel e.
It can still be challenging to get a prescription at this stage, so consider yourself fortunate if you do. Prices are likely to be about double or more the cost of going through a private doctor. However, I believe everyone should be free to make their own decisions and take responsibility for their own actions. Use at your own risk. They will usually say something like:. The only way to get testosterone cheaply other than free on the NHS, or illegally on the black marketis via a Private Doctor, as mentioned earlier.
Otherwise there are no other cheaper legal short cuts. If you are aware of any cheaper DIY alternatives, please let me know. Hopefully we can continue to guide men in the right direction for the best and most-cost effective treatment for their situation.
I help men take control of their testosterone, health and lives. Testosterone Replacement Therapy turned my life around and my goal is to help as many men with low testosterone do the same! Thanks to TRT, I traded anxiety, depression and weakness for courage, motivation, strength, love and masculinity.
I'd love to help you do the same. Do you know anyone who has been prescribed Proviron officially by a doctor for low free testosterone caused specifically by high SHBG in the UK? Do you know anyone who has tried these? Thanks for all your great information. Like Derren said below, for more complicated solutions, excelmale. Very helpful community! My test range is I am suffering with ED, low mood increased body fat, reduced facial hair, low labedo.
My FSH is 0. I live in the uk and have a meeting due in 2 weeks with a urologist dr not willing to send me to a endo what treatment am I likely to get?
See what your urologist says and take it from there. You might want to see an endocrinologist too.