LMAO!!! Here when you tell a Doctor that your on Testosterone they completely freak out. As I said earlier, I fired my last Primary Doctor who informed me that TRT does not work and that Testosterone is going to kill me with Cancer and Heart Problems – despite not having Cancer or Heart Problems at all.
Someone suggested your better of telling them that you bump cocaine all day… apparently it is more socially acceptable.
You can use Testosterone Enanthate, Cypionate or Undeconate??? If you are in Bulgaria ask your pharmacy to order it. I was in Ukraine in May of 2018 and they sold everything pretty much over the counter. It was Pharma grade stuff. Most of them were not UGL brands, rather, legit pharma from Germany mainly. Pharmacist told my wife that she could order pretty much anything, that some discontinued products would be made in house.
I elected to get medical advice for TRT.
I don’t fight any more. I tell my providers, you work for me, your getting my capitation payment whether I come in or not. These are the drugs I’m running. They are legal and prescribed. I require these tests on this schedule, write the orders. Any guff and I fire them immediately. I have zero tolerance for retards, I have a legitimate medical need to test often-- especially if I feel my estros are out of whack.
I use Royal in Florida for TRT ($195.00 per month flat all inclusive) and they are awesome for that… but once in a while, (since I met my ins. co. deductible), I request a PCP write a test for estradiol. It is a 10-15 dollar test (at in-house rates)-- and even though Royal pays for everything, it’s not fair to dog them monthly. They are good-- responsive Doctors and I plan to be with them for a long time.
Yeah… remember T4 to T3 is an 80% ratio… not everyone can convert T4 to T3. Sometimes people (especially those exposed to toxic environmental substances or BPA’s in plastics etc… as Children) cannot convert T4 to T3 via the deiodinases enzymes. Try to explain that to a Doctor… assuming he even knows what the hell that means… an Endocrinologist would but… not a sick Doc.
It is really shitty state of affairs. This is why the rich always went concierge medicine-- the old fashioned way. Schedule a house call, get treated at home or in their office-- no waiting… write check – move on. Let insurance pay for the lab work and pills.
You can fire all the doctors you want, the insurance companies are the ones that write the checks though if you’re wanting it covered by them. You can’t just fire them every time they don’t cooperate
Yeah… well, no not exactly. The insurance company has to pay for any reasonably necessary medical test your Doctor prescribes so long as he writes it up as medically necessary. And trust me-- any test I’m asking for is covered under any standard insurance policy everywhere in America… except that crappy Medi-share gimmick program.
As a patient on HRT/TRT, it is common to have estrogen issues. As such, it is common to test serum estradiol.
There is never an insurance issue there. It’s the issue of “omg… you expect me to write something.” Man you have no idea how f*cking lazy these people are now.
I asked for a basic CBC w/Met in July (for my yearly physical) and Test and Est, SHBG, and I did one about two weeks ago solely for Estradiol. That’s it.
Not a big ask eh? LOL. Insurance company has no problem with it.
Good to hear you aren’t having issues on the insurance end. The insurance company is dragging their feet like crazy in paying for my lab tests, etc. I have all the paperwork saying it was medically necessary blah blah blah but they’ve been “reviewing it” for close to 2 months now
I have no leverage with them. Doctors I can say screw you and move somewhere else… insurance is through work and there’s not much I can do to threaten them.
Are you using US / Exchange insurance or private insurance or insurance through an employer?
Depending upon your answer and where you live there are “appeals” processes that have to be complied with. I had issues in the past with Anthem BCBS here in CT. I had issues in the past when my competent Doctor wanted to do some complex studies to determine the cause of my critical hypertension. I went through the same sh*t. They would reject MRI studies, special endo/urological tests, etc… I appealed every single time and won every single appeal.
BTW-- Turned out the blood pressure was a result of metabolic syndrome… and low T – who would’a thunk??? 15 years later.
Sorry to hear it’s such a problem, but if your a prick about it, they will relent. You could file a complaint with your insurance commissioner. They will write the letter and make the inquiry. It will flag your file as a nuisance client and they will be easier on approvals…
Private through my employer. It’s with BCBS Michigan. They keep saying claims are handled in 30 days, I’m at over 60 and they haven’t done anything with 2 of mine. I called 2 weeks ago and went off on someone after she was a complete b to me, but she was clearly used to it (and was possibly the rudest person I’ve ever spoken to, it was insane). Tried to talk to her boss, got hung up on. I never got her name. If stuff like that is tracked I really should have called back and pitched a fit over it… It was bad how she was treating me. She went off on how dumb it was for me to submit a claim twice because it didn’t show up in my account after 30 days. I mean, seems logical to me… 30 days have gone by, nothing is showing up at all pending or being reviewed or anything like that, so I assumed they didn’t get it and re-submitted (they did get it, just hadn’t done anything with it)
Didn’t matter what I said or how I said it, she just kept screaming whatever she wanted to say over me. Lesson learned there I guess, I’m getting their name next time I call
Good to know though regarding the appeals process. The really annoying part is we’re changing insurance providers in January so I’ll probably have to start all over with learning how they operate
When you change your plan, make sure you get your benefits book up front. Read and learn the appeals process. Don’t be afraid to get a “form letter” for insurance disputes/complaints online and fill it out in accord with or for your State insurance commissioner.
The ins. comm’r won’t do a damn thing but it will get you flagged as a nuisance that costs them money during their insurance audit. They will more likely treat you better on your appeals or “decisions.”
What specifically are they breaking your stones about??
Well man here in Bulgaria they sell only Omnadren and Nebido.
I haven’t heard any of the pharmacies importing other esters. In Serbia they sell Galinika Enanthate, but a friend of mine used it and it looks like it is fake.
So I would prefer to use my trusted dealer than using crappy Omnadren. When I optimize myself I can try compounded cream from Greece, but dont wanna start on that due to the possibility getting too aggressive on the high DHT.
As a pharmacy they should be able to order you what you want… Do you even need a prescription for those drugs in Bulgaria?
If not, ask a pharmacy to order you Testosterone Cypionate/Enanthate from Germany or America. It’s cheap. Just because they don’t have it on the shelf doesn’t mean they cannot order it… or they can compound it for you (meaning make it from oil and esters and raws)
This is a good idea. I need a prescription and normally it will be hard to get it but I will find a way. There is one doctor that I may be able to process for a prescription…
Nebido is great if it is Testosterone Undeconate… it has a fascinating ester… you can do 250 E7D and the rise and fall is very minimal you would have a very high overall average T level day to day compared to other compounds.
I think it was designed to run a 14 day or 21 day dosing regimen.