I am 28 years old, have had recent T-tests showing even lower levels than before (160s total T). I had all the symptoms and they keep getting worse.
I am looking for an online clinic that is comfortable getting patients into what I see as the “optimal” range of 800-1200 total T. What clinics do you all know of that are best of this? I’m looking at the ones I’ve seen recommended (Defy, Royal, Renew, etc) but it’s difficult to figure out what their approaches are. Especially with the skepticism I get because of my age…I just want to feel better and be in the optimal range for once!
I think all would do what you want. I’d be careful as some of them are practicing illegally. Almost all state statutes require the doctor to be licensed in the state in which the patient lives for telemedicine and some require a face to face consultation prior to prescribing online/telemedicine. Some states, Florida for example, also require face to face consultation before prescribing scheduled drugs. Testosterone is a CIII.
Defy is cheaper than just about all the telemedicine clinics and has experienced doctors. You can’t go wrong with Defy, Defy is not operating illegally and is allowed to offer services in all but a couple of states.
I would go with TRT only, forgo the HCG and stay away from AIs if you can help it.
@trt_in_seattle
If you want around 200mg/week I can put you in touch with a doc that does telemedicine. Email in bio. If you are looking for something more then I can’t help you.
Here you go. If they are prescribing controlled substances, testosterone is CIII (should not be, but that is a separate argument), via telemedicine without an initial face to face consultation, they are practicing outside the state statutes in Florida.
If you’re in Seattle there is a clinic in Bellevue that I use. I did an initial consult in person and online after that. They will put you at the high range in your labs and it’s cheaper than the online places. $126/month for Test-C, includes Needles, bloodwork every 6 mo., and AI as needed. They give a discount if you don’t want the needles or AI. The initial consult was around $400 which includes talking with the doc, your first labs, and the scrip.
President Trump just signed into law the “Special Registration for Telemedicine Act of 2018” (the Act), requiring the Drug Enforcement Administration (DEA) to activate a special registration allowing physicians and nurse practitioners to prescribe controlled substances via telemedicine without an in-person exam.
Defy Medical went a step further and requires a physician to examine potential patients before treat can be initiated. Defy even requires all patients to maintain HCT <52% to continue TRT under their care.
I am aware of this, but uncertain as to its status. Regardless, you just confirmed your clinic was operating illegally prior to this bill being enacted. If not, this would not be relevant.
What? Do you mean they go “a step further” and require another doctor, one who is not employed in their practice, to do an exam for them? That’s a good thing? Like I injure my knee, get it evaluated and get an MRI, and the doctor tells me I need ACL repair, but he/she does not do ACLs. I go to a surgeon and tell him as much and he proceeds to operate on me without examining me or looking at the MRI, because another doctor, whom he does not know, says so? Right. Doctors do their own examinations or at least work together within the same practice.
That’s unfortunate and indicates they are behind the curve on TRT and erythrocytosis.
You’ve only further increased my suspicion that you are working for Defy. You seem to know a lot about their business practices for just being a patient.
OK, that is surprising. However, I don’t recall you promoting them as systemlord has.
No big deal. I happen to know a couple of DEA guys who work in this area (they busted a local clinic). I’m just saying a clinic operating outside of state medical board regulations would concern me. I would not trust them. On the other hand, probably still safer than buying underground from the guy at the gym or the internet. I’d go to a local TRT doc, but if that’s not possible, I guess I’d do whatever I had to do.
I started with Defy in the middle of 2018 after this law went into affect, I think your bias is driving this need to make false claims that these Defy Medical is breaking the law when in fact they are not, you clearly don’t having all the facts.
Oh, I didn’t know. I thought they were in business prior to then. If so, and they were prescribing testosterone without face to face patient consultation, they were violating the law.
No bias, I don’t know anything about them. It was your incessant promotion of them on this forum got my attention and led me to look into telemedicine laws. Your difficulty “dialing in” made me suspicious of your infatuation with doctors who couldn’t seem to get you right. Remember me asking how may protocols you have tried? My own doctor has also pointed me towards sources which have led to my conclusions.
Please, help me out then. Really, I just pointed out some general concerns regarding what I have learned about the practice of telemedicine, the testosterone game and state and federal laws. I made no mention of your practice. You jumped in to defend Defy, which again, makes me wonder why. What’s the saying about protesting too much? You might read the link I posted, which is pretty clear.
By the way, I’ve mentioned this previously, some of what I have learned is from two DEA guys. One I know pretty well. They are aware of these online TRT mills and are watching them. If any get big enough, and operate illegally, they’ll move in with sanctions and heavy fine$. This guy, by the way, ironically gets underground hGH on the internet. Looks like he uses it too………….perhaps it’s part of his undercover meathead act.
I realize the way it looked, but I feel for these guys stuck with doctors that have no business prescribing TRT let alone diagnosing and their only way out is telemedicine and the only one I can speak for was Defy since I have personal experience.
I believe doctors should be licensed and extensively educated to prescribe TRT. You’ll get no argument from me that some of these TRT Clinics and Low T Centers should be shut down.
AI’s should be restricted mostly and reserved for that guy who is an excess aromatizer. There is a new unheard of oral testosterone (ask Mark Gordon) where it is undetectable in the bloodstream because it goes into the tissue immediately and is the future of TRT.
The clinics that prescribe gear allow people to source it legally, and thus one cannot receive a criminal record for possession of a controlled substance
SECONDLY, the fact that they now have access to legitimate pharmaceutical grade compounds amoreliates risks associated with BM gear (trace heavy metal contamination, fake products or getting something entirely different, bacterial contamination etc)
thirdly, they get monitoring/ health screening if they so choose.
In my opinion it’s about harm reduction, it shouldn’t be touted as TRT if you’re getting prescribed 200mg test 200mg deca 50mg var/day + 4 ius of GH, however it’s a decent method of quality control. Some people are going to use gear regardless, just like how some use heroin, it’s probably best we grow up as a society and accept the fact that drug use exists rather than putting very large curtains over our faces whilst muttering “just say no, it doesn’t exist”. If one isn’t a danger to society and is aware of the risks, I believe said individual should be able to do as they please so long as it doesn’t hurt anyone besides themselves (directly, indirect harm/familial suffering induced from say… said persons death doesn’t count). I view it as an avenue for people to get quality AAS with supervision coupled with a lack of risks associated with the black market
I understand, but if you read the Florida statute, they were in violation. Plus, the President did not sign that until November and they had one year to enact the change, so they were illegal when you started mid year. Moot point anyway as I’m sure the DEA would have little interest looking at someone violating a law which was being altered eventually anyway. More about ethics to me.
Yes, there have been some incredibly awful stories here and you have some of them. If doctors don’t know, just say so, it’s OK. Some are so arrogant they think they know everything.
Who gives a shit about the florida statute , you’re annoying as shit . Shut up already , if someone is with a clinic and they’ve treated them well and want to vouch for them so be it . Who are you to claim someone works for a company just because he gave them props !! I think you work for the department of circus clowns and you’re up for promotion , take your pocket protector out of your pocket clown boy .
