Do I Really Need TRT? (Updated Bloods)

Pharma TRT
42

Well, most Doctors that you will see in a multigroup practice are not in charge. They are drones – if it was a law firm, “Associates” and paralegals. They aren’t really experienced. They don’t make firm decisions. That is the one or two Doctors that manage and run the practice.

They book 6 minute appointments x 4 per Doctor. This is normal and is done for maximum insurance revenue per hour. It is questionable if it is legal with Medicare, Medicaid and State Insurances (welfare-- think false claim).

Anyhow, most of these guys do not prescribe because they are subject to the “office” policies on prescription drugs. For example, the PCP clown I had is not allowed to write scripts for ANY steroid without calling his boss, and making a formal written request. It’s pathetic. Their prescription pads are taken away, they are required to use that electronic prescription thing on the tablet, and they must have a patient to go with each script, already in the database. Deviation=termination.

My friend is an ER Chief and they pulled this on him. He’s my age… 45 and said “I can write scripts for my friends or family whether you like it or not. And I’ll retire if you keep it up.” They audited him and he wrote like 50-100 scripts over 2 years for friends and families of basic medications. They went nuts.

You just remember, your paying a Professional for his time. This means you are there for a reason and expect a result. A shrug and a script for antidepressants is inappropriate. Most sick Doctors are not qualified to determine if you are depressed or not, nor are they familiar enough with you in 6 minutes to know. What if your like me and you only see them once a year or twice a year? Wow…

Now do you wonder why things are so hard? This is why I went private medicine. High speed, low drag, zero drama.

MS

43

That’s one thing I have noticed is that if yo want to get on top of these thing you need to go to specialist and just pay the money.

It’s tough that every other industry gets paid on performance and solution and if they don’t rise to the occasion then people can contest paying for the service yet in the medical industry the doctors always right.

On the other hand if all doctors had freedom to do what ever since 50 years ago we would be so far advanced but also alot more blood on doctors hands.

44

Low testosterone and thyroid problems are the most difficult to get approved for treatment, ED drugs and antidepressants are so easy all you have to do is ask and you shall receive.

Last Monday I asked my doctor if you could write me a prescription for Cialis, he called in the prescription immediately. I had no intention if filling it though.

Total T is 97-119 and have ok erections, just need to go back on TRT.

The typical scenario is your testosterone or thyroid is on the bottom end and “your problem is not testosterone or thyroid related, your levels are within normal ranges, it can’t be that”.

Then you find out the reference ranges are not normal and ost doctors are f***king sheep and don’t know anything other than what medical school teaches them. There is no education in sex hormones in medical school so if you are showing signs of mental problems, they immediately think it’s in your head, even thyroid doctors are no different and are just as bad.

Having optimal testosterone and thyroid hormones prevents and treats disease, the sick care system wants to keep us sick and needing expensive drugs and treatments and you are a future client. Hormonal therapies aren’t the go to treatments and are difficult to get prescribed, drugs are the prefered choice for doctors.

45

It’s not good when the doctor says depression and when I respond with “ I know what depression is and at this point in time I’m not depressed" they all just look at me like I got no idea.

I’m looking forward to starting trt hopefully it’s a middle finger to these simple doctors who don’t want to educate them selves further

46

Does the range of testosterone vary from state to state?
I’m in Victoria and the bottom range is 5.7 nmol/L where yours is 11.5.

47

It seems to me that the two different pathologist that I have had bloods at have different reference ranges.

48

I went through this with my PCP and two endocrinologists as well. They REALLY wanted to put me on an SSRI. Luckily TRT fixed me. Fuck those guys.

1 Like
49

You bet they do, some ranges go down as low as 190, so if you move to a different state, your standards are lower for getting treatment approved. So if you come in a 210 your doctor is going to tell you that you are normal.

You go to a sick care doctor are you are asking to get quacked because most are uneducated on what constitutes normal status, there are in fact part of a system that takes decades to correct wrong information.

50

When I was going in to find out what was wrong with me back in April, they wanted to put my on an SSRI when the problems was iron, potassium, vitamin C and vitamin D deficiencies.

They see anxiety and don’t dig deep enough to find the cause, the sick care systems treats the symptoms and doesn’t give a damn as to the cause of the symptoms because they want to keep you in a state of disease so that you will need drugs and future treatments for long term.

You have to see western medicine for what it is, it’s a business model, that’s why you see so many doctors doing the same thing, offers SSRIs and drugs for profit. The pharmaceutical companies dictate doctors should be prescribing.

1 Like
51

I must applaud Systemlord’s post.

Honestly, seeing how this stuff unfolds (personally for the last 25 years) and how STUPID my new PCP is, honestly, I want to go to medical school to unf*ck the system.

I’ve already done 1 professional doctoral, it really can’t be any harder.

Direct quote “Your insurance company requires…” my response was, “My insurance company is not in the room, nor are they legally qualified to treat me. As such, you are my Doctor and if you don’t treat me properly pursuant to the evidence, you’ll answer for it. Insurance companies do not determine my treatment protocols… got it? Crystal clear?” Needless to say… problem was solved. Another Doctor brought to heel.

This was the same clown that told me TRT is a scam and doesn’t work.

MS

52

ie - Doesn’t work to make him any money.

53

Nah, not even that. This was the same clown that told me AFTER I dictated the labs I needed (when they came back) that he didn’t order all the tests I asked for and that he never treated a patient on any kind of HRT. (Even thyroid)

They just make stuff up when they are intimidated by a person more knowledgeable than them. As a fellow professional I see this nonsense all the time with Doctors. A professional Doctor will say “Hmm. I am not certain if that is a good idea, or I’m not sure, I’ll have to look into that.” This clown was like adamant. Shameful conduct to cover up an insecurity in lack of knowledge.

He would not have gotten paid any more or any less for the visit regardless of what script he wrote or diagnosed.

I normally don’t through my weight around, pardon the pun, however, I do tend to remind these MD’s that they are responsible for all the stupid/negligent medical statements that they make and that wilful failure to treat competently is malpractice in almost all states (or giving false information).

The duty of care for a physician is actually an insanely high bar, and I feel for them in that regard, but so many of them are just lazy, stupid and ignorant. They also don’t listen to the words coming out of the mouths of their patients.

-or-

They fall back on the snowball routine of “The insurance company won’t allow or pay for that… or medicare says…” Which again, is malpractice, nobody asked or cares what insurance dictates or medicare will pay for… you treat the patient as they present within the best regimen possible or practical with the least harm done.

Sometimes you need to remind them of that. It’s why I fired my Orthopedic Surgeon. I said, “It’s been nice doing business, but your fired, I don’t like your treatment plan, you’ve taken a very pro surgery stance as the only acceptable way to fix my problem. You don’t want to hear anything else, so we’ve reached a personality impasse and your dismissed.” I went to see his Boss, who told me “It’s the official policy of that we do not prescribe or encourage the use of these drugs for situations such as yours… however… unofficially you’ve got about a 75% chance of nonsurgical recovery if you are very careful and judicious in your treatment program. If you need me for PRP or something else, I’m here. I wouldn’t recommend surgery at the stage your at.”

Bam, thank you. Team Doctor for a major university. Ortho Surgeon.

So there you have it. The School’s Med School prohibits all use of steroids except for wasting and burn patients/massive trauma.

It was a yearly physical.

MS

54

He will make money putting you on an SSRI but testosterone is cheap.

55

Sloppyrig said: “On the other hand if all doctors had freedom to do what ever since 50 years ago we would be so far advanced but also alot more blood on doctors hands.”

I have waited to respond to some of these posts… here it is in a nutshell.

I have fired 3 Doctors since July/August. I fired an Orthopedic Surgeon for being lazy and incompetent and refusing to “think even remotely outside the box” and a Primary Doctor for gross incompetence and malfeasance… I also fired the Ortho’s Boss for being a robot/rubber stamp without justification (essentially making excuses for his underling instead of a compelling medical argument).

I did retain a different Orthopedic Surgeon from UCONN, however, his competence was on another level and he did not care what the “insurance company” wanted or what the “recommended” as a procedure/protocol. He was more interested in the full disclosure of all patient options than taking the “easy way out at the patients expense for the benefit of the insurance company.”

Our medicine is grotesquely advanced and grotesquely stunted. The Doctors being churned out today, especially, PA’s are bona fide, sick care, non intellectual medical providers. Apparently MD’s are no longer required to be next level smart and inquisitive. Rather, we leave that to non-MD Medical Research Ph.D. types… now Doctors are taught instead of trying to find the root cause of a problem and alleviate its symptoms and cause… to apply a least cost band-aid type effect that eventually leads to destructive effects, despite, an actual treatment could eliminate the underlying cause and long term complications… at

I now find myself saying to the Doctor during a recent office visit… how do you know that is a staph infection? Because it is red? Are you going to take a culture?

Oh, we don’t do that. Why not? Because it takes too long and the insurance company doesn’t pay for it… sooooo just throw some antibiotics at it and hope they have a high inhibition factor?

Wrong thinking. When I was a child they ALWAYS cultured infections where possible. I remember them doing it in house as well. This all stopped about the time of the 90’s.

MS

2 Likes
56

It’s not only that, most of them genuinely think testosterone is more harmful. I’ve spoken to a lot of doctors here in Bulgaria, they make very miserable money from the SSRI here(there are more profitable schemes like prescribing me blood tests from my insurance which I gladly accept). But still most of them prescribe SSRI like fuckin vitamins. When they hear testosterone they freak out. When they hear T3 they react like I killed their mother just now…

I just have no words to describe my abomination with the doctors as a whole. They are like sheep looking on crappy numbers.

The only sensible physicians are some of the anti-aging doctors from clinics like Defy that charge 300-500 USD per hour. Here in Bulgaria we dont have such doctors and the remote consultations are the only option. But you know its different when the doctor can run some physical checks on you.

57

And here in the US we fight for blood tests.

2 Likes
58

In Australia we don’t have to much trouble for bloods, it’s just they don’t test the right things and generally have no idea

59

Yes but because you want it covered bu the insurance. Insurance here also never covers all the blood tests, only like 30-40 percent. And this is because I have very high level insurance from my company that few people have. And to get hormone replacement covered by insurance…you need to have the really terrible levels and legally we dont have any of the good esters here. To do TRT right in this country you need to do it UGL

60

Yes, much cheaper to throw a generic broad spectrum antibiotic at it than run a culture and use a more expensive, yet specific, antibiotic.

Was PRP covered by insurance? How did it work?

61

Which is why most “broad spectrum” antibiotics don’t work well anymore… leading to more… sick people and super bug strains. Think MRSA. It costs virtually nothing to get a $1.00 agar culture throw it in a toaster oven and stick some antibiotic pellets (like less than 1/32 of an inch thick) on them… it’s a time sink. It takes an extra 30 minutes to an hour to culture… that’s all.

PRP was not covered by my insurance. It was only about $270-300.00 per injection subject to some interventional radiology (injecting into a weird spot of the elbow/bicep/brachiallus area) to make sure it made it to the right place (which insurance does pay for).

I did not do PRP after consulting. Since I was already 6-7ish weeks into TRT on a big dose of Testosterone and the inflammation and edema in the elbow was down about 65% and improving weekly. The Doc told me flat out that I was better off doing what I was doing after he got off the “steroids are bad and its the official policy of the State soap box.” He seems to really be an uber Doctor among a large group of very low tier Doctors.

This guy is a team Doctor and basically said yeah, we can’t prescribe them. But they work over time and help you heal. He was also older… middle age.

MS

1 Like