I found this website today listing Functional Medicine Doctors around the world:
http://www.functionalmedicinedoctors.com/
FMD’s usually take a holistic approach to treatment, so for those of you who have been spinning your wheels for a while trying to find a good doc, it may serve you to find an FMD who is concerned with your whole body and not just disease management. They also tend to look for optimal lab ranges in bloodwork and not just “normal”
that functionalmedicine sounded pretty amazing… till I found out that only Chiropractors are signed up as providers at least in Texas… and while I believe in Chiropractic treatments, I’m not sure about their depth of knowledge into hormone issues (plus can they even authorize blood work through insurance companies?, etc.)
PureChance,
I have a chiropractic degree and can offer you some insight here. I am keeping a low profile as I am trying to educate myself on HRT while practicing and living in a less favorable country to deal with these issues.
THere are many a chiropractor who are quite knowledgeable about these issues depending on specialization. However, in most situations they have no access to prescribe any controlled pharmaceuticals. THey can refer for most any diagnostic test including labs, but again any treatment options would be limited to over the counter type solutions, which is as you know very limited.
By dealing with my own issues and trying to find an open MD here, I hope to create an opportunity here, we will see.
Hi Damici,
This is a reference thread for everyone. and asking for specific referrals for NYC doc really belong in it’s own thread. Can you please edit/delete your post here and create a new thread for your questions?
Much appreciated.
Hey All,
I have now been to both an Endocrincologist and Urologist. Neither of the two had a clue about TRT. I have been receiving treatment from a nurse practitioner and so far she has been the best. Good luck to everyone finding a doctor…
Why do you say do not consider pellets or patches?
Patches I can understand but why not pellets? This was looking like the best method to me due to being able to travel and not worry about getting harassed about your medications at the border/airport. Also they are inserted once every 3 months or so instead of weekly injections. Just want to know your reasoning for advising against them.
[quote]m0b1liz3 wrote:
Why do you say do not consider pellets or patches?
Patches I can understand but why not pellets? This was looking like the best method to me due to being able to travel and not worry about getting harassed about your medications at the border/airport. Also they are inserted once every 3 months or so instead of weekly injections. Just want to know your reasoning for advising against them. [/quote]
-Cost
-Surgical Procedure
-Hard to control E2
-Wild T fluctuations
This is dscussed ad nauseum
You won’t get harassed at the airport or border for T. I don’t even carry my script with me and always have a 10 mL vial and about 3 syringes.
I have tried all of this stuff and still so far came up empty
Do not post in the sticky unless you are adding to the knowledge here.
Hi Guy’s,im from Toronto,Canada.Until 1988 testosterone was available by any family dr.As of 1988 olympics and Canadian Ben johnson and the subsequent Dubbin Inquiry into Anabolic steroids where the political Drug of choice: Bullshit,but it happened.Nowaday’s aside from underground labs steroids meaning testosterone enanthate,or cyp.and andriol 40mg’s pills are basically all that’s left.Plus you got compounding pharmacie’s.My personal opinion is this bio identical hormone business is crap.There is no difference between synthetic and compounded,except the Sucker buying the compounded get’s rip-off. Straight-up.I am an ex Mr.Canadfa and nobody goe’s too the compounding pharmacy eccept woman,regarding estrogen/estriol whatever!!I get my family dr. at age 53 to reluctantly write me 2-vials of delatestryl a month and arimedex,but he questions me constantly and wants a letter from a specialist to keep the T a comin.The other drug’s for endocrine recovery like Clomid,Novadex and Hcg are totally out of the question.Just a little insight. john
Do not post in the sticky unless you are adding to the knowledge here. Your blabbering is not a contribution.
The first sentence in this sticky is:
“Do not discuss your own issues in this sticky. Create your own post.”
ks man I am new to trt and scared and my doctors are not agreeing with the protical you’ve listed for trt and three different doctors have said forget about hcg completely including dr e berry gordon a ani aging doctor who has written books on replacement therapy. I am by no means saying that its wrong as i know nothing and I am finding neither do many doctors. I would like to PM you but im new and it said im not athorized. what can i do to speak with you somehow… I need help
i apologize… i didn’t see your comment about not posting own problems… my bad
Your subject is appropriate. If you read the stickies:
TRT leads to organ failure of the testes, reduced fertility and infertility over time. Also causes a drop in pregnenolone that is important as a neural steroid and as the basis of DHEA and other adrenal hormone production in the adrenals. hCG can prevent all of this. Doctors are meant to do no harm, TRT without hCG is harmful.
I started my own post. Could you please answer me there? It would be greatly appreciated… thanks for the reply
I thought this might be the best place to post this since it seems we are always looking for ammunition when arguing with doctors that won’t listen to anything that’s not from a medical journal.
Dr. Raymond Ishaman M.D. put this list together as just a sampling of the many new studies that refute so many of the old myths that many doctors can’t let go of. I just came across this today…
Aging in men is characterized by a progressive decline in levels of anabolic hormones, such as testosterone, IGF-1 (growth hormone), and DHEA. Age associated decline in anabolic hormone levels is a strong independent predictor of mortality in older men. Having multiple hormonal deficiencies rather than a deficiency in a single anabolic hormone is a robust biomarker of health status in older persons. (Archives of Internal Medicine, 2007)
testosterone concentrations are inversely related to mortality due to cardiovascular (heart) disease and all causes. (Circulation, the Journal of the American Heart Association, 2007)
In older men, lower total testosterone levels predict increased incidence of stroke or TIA (mini stroke) after adjusting for conventional risk factors for cardiovascular disease. Men with low-normal testosterone levels had increased risk. (Journal of Clinical Endocrinology and Metabolism, 2009)
Testosterone replacement therapy reduces insulin resistance and improves glycemic (glucose) control in hypogonadal (low testosterone) men with type 2 diabetes. Improvements in glycemic control, insulin resistance, cholesterol and visceral adiposity (belly fat) together represent an overall reduction in cardiovascular risk. (European Journal of Endocrinology 2006)
In men with low testosterone levels, testosterone treatment was associated with decreased mortality compared with no testosterone treatment. (Journal of Clinical Endocrinology and Metabolism, 2012)
Low free testosterone is an independent risk factor for Alzheimer’s disease. (Experimental Gerontolology, 2004)
Administration of testosterone to hypogonadal (low testosterone) men reverses part of the unfavorable risk profile for the development of diabetes and atherosclerosis (hardening of the arteries). (Journal of Obesity, 2011)
In patients with coronary (heart) disease, testosterone deficiency is common and impacts significantly negatively on survival. (Heart, 2010)
DHEA-S concentration is independently and inversely related to death from any cause and death from cardiovascular disease in men over age 50. (New England Journal of Medicine)
Low serum levels of DHEA-S predict death from all causes (Journal of Clinical Endocrinology and Metabolism 2010)
Higher DHEA-S levels are independently and favorably associated with executive function, concentration, and working memory. (Journal of Clinical Endocrinology and Metabolism 2009)
Do hormones cause cancer?
Blood levels of androgens (like testosterone) and other male hormones do not seem to be related to the risk for prostate cancer. The finding comes from a huge pooled analysis of data from 18 studies, published in the Journal of the National Cancer Institute (that) confirms the lack of evidence to support an androgen prostate cancer hypothesis.
Urologist and Harvard Faculty, Dr. Abraham Morgantaler, states that there is not now nor has there ever been a scientific basis for the belief that testosterone causes prostate cancer to grow (European Journal of Urology, 2006)
Mortality due to malignancies (cancers) was not elevated in adults receiving hGH treatment. (Journal of Clinical Endocrinology and Metabolism 2011)
With respect to hGH (human growth hormone) which is only recommended for patients who have been shown to be deficient based on strict FDA guidelines:
relatively high circulating IGF-I (growth hormone) bioactivity in elderly men is associated with extended survival and with reduced cardiovascular risk. (Journal of Clinical Endocrinology and Metabolism 2008)
Like HDL (good cholesterol), high (normal) levels of IGF-1 (growth hormone) confer protection against coronary artery disease. (Atherosclerosis. 2011)
The above excerpts are a small sampling of the medical literature that supports the safety and efficacy of replacing hormone deficiencies.
Can you [edit] the above and clean up the garbage characters?
I will try to…not sure how they got in there…thought maybe that was just my computer cussin me out…thanks.
It looks a lot better now. I didn’t know you could do that…keep in mind I’m Testosterone deficient so it takes a little longer to figure stuff out. Future posts will look much better, thanks for your help again KSman.
Just one piece of my personal experience regarding calling compounding pharmacies for referrals to TRT doctors:
Don’t forget to ask if they prescribe HCG and AI, because if you don’t ask, you’ll most likely get doctors who abide by “bio-identical HRT” schools of thought. Meaning they tend to prescribe compounded T creams. They may or may not give you HCG + AI if you ask (haven’t asked my doc yet, but will soon).
So it’s hit or miss if you don’t ask about HCG and AI when calling your local pharmacies / compounding pharmacies.
Is it true that using TRT will shrink testis? Or is it just vary from a guy to another guy? And can girls use TRT? Just wondering tho…