39 year old. Went to a TRT clinic and had my blood drawn. Based on my symptoms (low libido, no spontaneous erections, inability to sleep for more than 5 hours) doctor prescribed 1ml of test (I don’t know how many mg) injected once a week, anastrozole, and HCG. Next day he calls and says, since my blood test shows that my total testosterone is 720, he is cutting my dose in half (to 0.5 ml) E2 is 34.2. He said I will have to wait a week for free testosterone and that the lab doesn’t check SHBG. Is not checking for SHBG is a red flag? Should I go somewhere that checks for SHBG?
Yep, time for another doctor. You are correct, a lot of red flags here.
1 Like
Whether or not he checks your SHBG is really the least of your concerns here. He gave you three prescriptions before he even had your blood values. He didn’t diagnose, he simply sold you a package and then made the stupidest possible alteration after the fact. Don’t take anything, go see a real doctor.
6 Likes
It is a red flag that these people have no idea how to manage men on TRT. Starting TRT with HCG and AI’s is not advised, you were prescribe an AI without any lab testing which probably means you were prescribe a protocol designed for a population of cloned citizens.
This TRT clinic probably prescribes the same protocol to everyone without consideration for other biomarkers, I hope you didn’t sign a contract, if you did this clinic probably knew you would want out and have now forced you into a financial straight jacket.
Also weekly dosing isn’t optimal for everyone, for reasons other than having low SHBG, I feel best injecting 7mg daily (49mg weekly). Some people are non-responders to TRT injecting weekly doses because levels are changing too much between injections, injecting more frequently can be the difference between feeling amazing and feeling nothing at all.
1 Like
I live in the US and I’m trying to avoid managed care doctors. Too much time and frustration. Should I just pay for a blood test myself and try to figure what is wrong with me?
Go visit a proper doctor in USA you have some but they charge exepnsive
[/quote]
Also weekly dosing isn’t optimal for everyone, for reasons other than having low SHBG, I feel best injecting 7mg daily (49mg weekly). Some people are non-responders to TRT injecting weekly doses because levels are changing too much between injections, injecting more frequently can be the difference between feeling amazing and feeling nothing at all.
[/quote]
Did a doctor tell you to increase the frequency or did you do it on your own?
I took it upon myself to inject daily, my prescription is written 75mg twice weekly and only use 49mg weekly. My endo allowed me to decide on injection frequency and dosage to figure things out as long as I stay in range.
If my TRT script was canceled, I would have enough Test to last me a year. I have two vials 10ml/100mg cypionate vials and four 5ml/200mg vials.