TRT BS Detectors Needed. Overpriced Clinic?

So I finally got around to calling TRT clinics to address my low T. Most of them were silly expensive, with $500/blood tests and $250/month just for the Testosterone pretty standard.

Called a place in palm beach and they offered $125 for a blood test and offered the meds as a kit:

10 week supply of Test Cyp (10CC at 200mg/ml)
10 week supply of anastrozole .25mg 2x a week
10 week supply of HCG delivered as bacteriostatic water and powder

all this for $400, or $40/week.

This seemed eminently reasonable, though 200mg/week seems a bit high to start. I was thinking of using insulin syringes and pinning 20mg/day to try and keep everything level.

Are these costs in line with what you’re paying?

Does the protocol seem sane?

Prices sem pretty good, although I can say I agree with the anastrozole being needed for the fact you are going to be injecting daily.

Unless fertility is important at this point in time, it isn’t needed.

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I was under the impression daily injections kept SHBG and Aromatase/E2 activity lower. Am I wrong? Was also thinking about requesting the enthanate ester

You are correct. The ethanate ester is ok, but cypionate is better.

What did this mean? Forgive the dumb questions. I know crashing E2 and feeling really shitty on TRT comes from excessive AI use right?

So would anastrozole not be used with an E3D approach?

I pay $54 for Test Out of pocket and $5 for Anost/With insurance. $75 for hcg for 10ml out of pocket. I think you are being ripped. But, it’s a common rip unless you find a dr who sends your orders through a compounding pharmacy. When I was at the T-clinic, they were nailing my ass too.

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Define excessive, everyone has their own tolerance and some are over-responders. A 0.050 is enough to ruin my joints for weeks and if I keep taking it, hell on earth.

When you take an AI, you are gambling with your health. There is a member who was on a AI 5 months ago, he is still battling with estrogen <10 pg/mL. His is suffering.

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I can put you in touch with a doc that will do this much cheaper if you need it. Email in bio.

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Email sent. Thanks

Some like enanthate over cypionate, some prefer cypionate. I’ve used both and notice zero difference.

Costs, yes. Protocol, can’t really say. Not sure you need anastrozole, most don’t. As for hCG, why? Maintain fertility, actively trying to conceive? Avoid testicular atrophy?

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We may want kid 3, just want to maintain the option. Testicular atrophy sounds like no fun.

Basement,
Seems high to me. I pay $52(Costco with good rx coupon)for 10mg of test c out of pocket that last 10 weeks, zero for generic anastrozole(with insurance) but I don’t take hcg. My labs are every 4 months and they run about $150. Not sure what area you are in but I would look around.

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I didn’t know about costco!

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Costco pharmacy is super cheap…def worth checking there, and you don’t have to have a membership to use it.

I used to get like a years worth of finasteride (barf) for like $100, no insurance, it was crazy. It was cheaper without insurance for whatever reason.

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Their website has pricing for a lot of stuff so you can check it out. I didn’t see T or HCG pricing though, so not sure on those

I knew Costco was the cheapest. I just have to find a doc to write a scrip there. My GP who’s super enlightened about other stuff, saw the range, saw that my <400ng/dl number was “in range” and just shrugged at me and said “nothing I can do for you”.

There’s a lot of stigma in western medicine regarding TRT, 10 years ago seeking a managed healthcare doctor looking for what amounts to steroids and you wouldn’t get past first base.

TRT is very taboo and a touchy subject for doctors which usually provokes a sharp criticism and a change in subject. Doctors still believe TRT causes prostate cancer, heart attacks and strokes.

So when your doctors says, “can’t help you”, he is going into self preservation mode, in other words he likes his career.

I hear you. Just don’t know how a TRT clinic has an MD that can keep his license when a GP is scared to prescribe something that’s already in my veins (just not enough).

The blood test almost seems like a superfluous CYA for the clinics:
“What are your symptoms?”

“Uh, malaise, apathy, inability to focus, unexplained fat gain, limited recovery from workouts…”

“Yep that’s low T alright. Here’s your scrip for 10 weeks worth at 300% markup. Call me in 9 weeks for a refill. NEXT!”

Just two different worlds.

HMO/Insurance based institutions versus non-HMO/insurance based clinics can be virtually two very different medical organizations.