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HRT/TRT Sourcing Information

J

juanderlei

New member
Hey Guys -

Long time since I've posted on here... Guess life got in the way for awhile...

Anyway, I am very aware of the board TOS in terms of AAS, but does that apply to HRT/TRT clinics as well? I have been contemplating discussing this topic with my PCP or even making an appointment with an endo, but was interested in feedback from the board first. Seeing that I'm "only" 34 but do feel I have some legitimate symptoms of low T (which obviously have to be verified through blood testing), I have a feeling my primary care physician will laugh in my face. He does not lift, doesn't seem to have much understanding of it, and will most likely see my visit as an attempt at scoring prescribed AAS for more sinister reasons.

If sourcing of HRT/TRT clinics is NOT a violation of EF TOS, any suggestions, company links, etc. would be much appreciated.
 
What you want is a Men's health or vitality clinic in your area. Most are in the business of prescribing test so 'within range' but on the lower end may still be enough reason to get you on legit trt. Google is your friend on this one. I would never ever ever ever ever let a primary care physician put me on TRT.
 
Matthersby said:
What you want is a Men's health or vitality clinic in your area. Most are in the business of prescribing test so 'within range' but on the lower end may still be enough reason to get you on legit trt. Google is your friend on this one. I would never ever ever ever ever let a primary care physician put me on TRT.
Click to expand...

Thanks Bro, I appreciate the quick response. Google searches didn't seem to return much in the way of results in my area, but I do travel the entire east coast for work which makes location less important.

I would much rather get in with a tried and true clinic that board members have had positive experiences with than just take my chances and visit 3 clinics in 4 weeks.

Thanks again for your input.
 
Lets not post any clinic names in the open please, send them via PM's if needed. We dont need to bring any undue attention to them.
 
I would see if you can get some blood work done first. TRT clinics are expensive unless you have insurance and sometime they will not cover it because of the high price. Talk to your primary, but not till you have done your homework.You need to be able to talk to him intelligenty about it. If you can get him to help you with it that would be the best thing. If he refers you to an endocrinologist, try to get a male one they seem to have a better understanding and maybe a little sympathy lol. If you can get it done that way you will save a ton of money. I have read where guys pay $800 a month to clinics to give them the shots. I pay $6.00 for 10 ml of test and $4.00 for 30 a-dex with a scrip and insurance. I have to pay retail for HCG it is not covered.

Sent from my PC36100 using EliteFitness
 
super-duty1 said:
I would see if you can get some blood work done first. TRT clinics are expensive unless you have insurance and sometime they will not cover it because of the high price. Talk to your primary, but not till you have done your homework.You need to be able to talk to him intelligenty about it. If you can get him to help you with it that would be the best thing. If he refers you to an endocrinologist, try to get a male one they seem to have a better understanding and maybe a little sympathy lol. If you can get it done that way you will save a ton of money. I have read where guys pay $800 a month to clinics to give them the shots. I pay $6.00 for 10 ml of test and $4.00 for 30 a-dex with a scrip and insurance. I have to pay retail for HCG it is not covered.

Sent from my PC36100 using EliteFitness
Click to expand...

I think this will be my basic strategy. I think going with your primary care doc is ok if you are smart enough to take some ownership in your own treatment and your doc is willing to listen to your plan and go along with it, do the labs at a frequency you want etc.
 
super-duty1 said:
I would see if you can get some blood work done first. TRT clinics are expensive unless you have insurance and sometime they will not cover it because of the high price. Talk to your primary, but not till you have done your homework.You need to be able to talk to him intelligenty about it. If you can get him to help you with it that would be the best thing. If he refers you to an endocrinologist, try to get a male one they seem to have a better understanding and maybe a little sympathy lol. If you can get it done that way you will save a ton of money. I have read where guys pay $800 a month to clinics to give them the shots. I pay $6.00 for 10 ml of test and $4.00 for 30 a-dex with a scrip and insurance. I have to pay retail for HCG it is not covered.

Sent from my PC36100 using EliteFitness
Click to expand...

Great advice, thank you.

I would really like to have my own blood testing done prior to scheduling an appointment with my primary care physician. This way I can scrap my plan to go the HRT direction if for some reason my test levels come back well within range.

Does anyone know of any online labs that can coordinate the necessary tests at a local facility?

Thanks again for everyone's input.
 
I get a script for CYP from my primary doc and source my adex and hcg from the interweb. I would love to find a doc that would give scripts for the latter two but I don't see it happening without a clinic at moronic prices. In the end, it's just cheaper and easier to get it myself.

Currently off the TEST trying to get the baby implanted in my spouse.
 
Heading in for a doctor's appointment this morning, so I'll keep you guys updated on how it goes.

My doc is a very young guy, so I'm curious as to his response since he most likely has no personal experience with symptoms of Low T.
 
My results came back
T=458 (250-1100)

Free T=89 (25 - 155)

No TRT for me.

Which is kind of a relief. My test time wasn't until around 11:30 AM so I was probably down off my peak. I'll just go with the test booster route and see what I can get out of that.
 
My doc is let me bump mine up to 1000. I think at 450 you would be feeling some low t effects.

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super-duty1 said:
My doc is let me bump mine up to 1000. I think at 450 you would be feeling some low t effects.

Sent from my PC36100 using EliteFitness
Click to expand...


450 isn't ideal, but its 450 of natural healthy test produced by my body for free, without shrunken balls or unbalanced HPTA, or needles.

Its in the normal range, so right now I'm thinking that I'm better off trying to increase it naturally, than to shut myself down and start on TRT.
But you are right, if I had my choice, I'd pick 1000 over 450.
 
Headholio said:
450 isn't ideal, but its 450 of natural healthy test produced by my body for free, without shrunken balls or unbalanced HPTA, or needles.

Its in the normal range, so right now I'm thinking that I'm better off trying to increase it naturally, than to shut myself down and start on TRT.
But you are right, if I had my choice, I'd pick 1000 over 450.
Click to expand...

No I do agree 450 is not bad at all. I could feel mine dropping over the past few years. I tried to get it up but I couldn't. At 1000 it is amazing like being 25 again lol...

Sent from my PC36100 using EliteFitness
 
I see a D.O. Physician who believes in preventive medicine. He only takes patients 40+ for HRT. Does full spectrum.
Test Cyp
Anastrozole 1mg
Finastreride 1mg
Armour Thyroid 60mg
Sermorelin GHRP-6
B12 and B complex IM injections

HCG 2000iu x two bottles every 14wks. Unleash/PCT combo & power chews.

Original blood work was 329 now my T is at 1125. I feel great at the gym six days a week. Does not kill my wallet. IGF-1 is at 230 was 129.

I also take HCGenerate and wow my wife can't handle me. don't need ED pills anymore.

My PCP, MD shakes his head but F him I feel like 30 again and very healthy. Just did colonoscopy and MD said my ass hole is very clean. LMAO

My PCP,MD said my T level was ok for my age at 339, I told him why do i want to be like every other 50year old out there. I want to kick ass like a 30 year old and stay healthy and workout in the gym not sit in my couch and watch TV.
 
PHGHI said:
I see a D.O. Physician who believes in preventive medicine. He only takes patients 40+ for HRT. Does full spectrum.
Test Cyp
Anastrozole 1mg
Finastreride 1mg
Armour Thyroid 60mg
Sermorelin GHRP-6
B12 and B complex IM injections

HCG 2000iu x two bottles every 14wks. Unleash/PCT combo & power chews.

Original blood work was 329 now my T is at 1125. I feel great at the gym six days a week. Does not kill my wallet. IGF-1 is at 230 was 129.

I also take HCGenerate and wow my wife can't handle me. don't need ED pills anymore.

My PCP, MD shakes his head but F him I feel like 30 again and very healthy. Just did colonoscopy and MD said my ass hole is very clean. LMAO

My PCP,MD said my T level was ok for my age at 339, I told him why do i want to be like every other 50year old out there. I want to kick ass like a 30 year old and stay healthy and workout in the gym not sit in my couch and watch TV.
Click to expand...

That's cool your doc is taking care of you. You say it doesn't hurt the wallet but that looks like a pretty expensive monthly bill.

What is your logic behind taking Unleashed, Hcgenerate, and DAA,if you are on T and HcG, Seems like money down the drain.
 
I take HCGenerate a couple weeks on/off during my 14 weeks of T. Helps with keeping the nuts very active. No need take ED pills. As for Unleased/PCT and Power Chews this is during my 14-16 weeks of HCG to keep the natural side back up. Feels great and still active in the bed.

When taking my T, some times I pull extra in the plunger. Lol. You know what I mean.

My insurance pays for half my HRT stuff and I pay only for the T, Sermorelin and B12/Bcomplex which is very reasonable. Not like those crazy anti-aging clinics. My T and Sermorelin comes from a compound pharmacy. You just need to check around for a physician that will not kill your wallet and take care of you.
 
Yup HRT cycling. That's what my Doc has me doing. I added the NTBM products on my own. It make me feel great as an add on in the gym, bedroom and life. That's what this thread is. Life extension and HCG.
 
Cycling only Test 14 weeks. Everything else daily except unleash combo and power chews. My HRT changed my life to awesome. Every physician has their own practice. Find one that works for you. Read this Elite fitness forum and ask your Doc for his advice. Talk to others to see what works for them and modify it for you. It's your body. not everyone is the same.

Thus forum has a lot of smart guys who share their ideas.
 
PHGHI said:
Cycling only Test 14 weeks. Everything else daily except unleash combo and power chews. My HRT changed my life to awesome. Every physician has their own practice. Find one that works for you. Read this Elite fitness forum and ask your Doc for his advice. Talk to others to see what works for them and modify it for you. It's your body. not everyone is the same.

Thus forum has a lot of smart guys who share their ideas.
Click to expand...

I've never heard of HRT cycling. Is that a medically accepted practice? What is theory of doing that compared to just staying on like typical HRT?

Are you trying to keep your body from shutting down? Don't you have physical and emotional ups and downs from starting and stopping?
Do you have labs that show how much your test level drops when you are off?

Its an interesting idea. I'd like to hear more about it.
 
You might want to start a new thread on HRT cycling and get others to share more details.

My HRT is very similar to many other male medical clinics, vitality, anti-aging clinic all over the country. I did my home work and inquired to over twenty of them so they all follow a similar practice of HRT.

And yes I do blood work every 2-3 months and have a folder to prove it. My DOC is very strict on blood work follow up.
 
OK guys, I had a doctor's appointment on Friday and had blood drawn on Saturday.

My doc certainly wasn't opposed to the idea (surprisingly) of hormone replacement, but also said that oftentimes symptoms of Low T turn out to be thyroid related issues. That being said, he ordered tests for test and free test levels, thyroid and blood glucose.

I did some research on symptoms of over/under active thyroid and was surprised to see that change in body composition, reduced energy levels, lack of mental clarity, etc. are all in fact related to thyroid. Maybe this is obvious to others, but I've never even thought to question thyroid function. The other interesting thing is that I've recently had a lot of wrist pain which I thought was the beginning of carpal tunnel, and it might be, but that is also a symptom of hypothyroidism.

Anyway, I get results tomorrow... Just thought I'd share my findings...
 
Guys if your planning on having kids don't take any test cream it will make you sterile. It will go away after you stop using it.

I my test came back at 275 which is obviously very low. I am 30yrs old 210 lbs 5'10. I don't know why its so low but we are trying to have kids and I declined the Androgel cream my doc prescribed. After reading up on it, I found out that it affects reproduction. So be careful and do your own research.

In my case, I have to try to boost test levels naturally.

Sent from my PG86100 using EliteFitness
 
AliAli said:
Guys if your planning on having kids don't take any test cream it will make you sterile. It will go away after you stop using it.

I my test came back at 275 which is obviously very low. I am 30yrs old 210 lbs 5'10. I don't know why its so low but we are trying to have kids and I declined the Androgel cream my doc prescribed. After reading up on it, I found out that it affects reproduction. So be careful and do your own research.

In my case, I have to try to boost test levels naturally.

Sent from my PG86100 using EliteFitness
Click to expand...

So no trt/hrt for you then?
 
Test levels came back low in all three categories they test: total test, free test and ???

Anyway, I have an appointment with the urologist on Monday to discuss treatment options. They did not tell me my levels, but I will ask at the doc.

Obviously I will push for injections, and I'd appreciate any good arguments anyone has developed for why they should be treated with injections in lieu of creams.

Thanks for everyone's input!
 
juanderlei said:
Test levels came back low in all three categories they test: total test, free test and ???

Anyway, I have an appointment with the urologist on Monday to discuss treatment options. They did not tell me my levels, but I will ask at the doc.

Obviously I will push for injections, and I'd appreciate any good arguments anyone has developed for why they should be treated with injections in lieu of creams.

Thanks for everyone's input!
Click to expand...

If you want injections just tell the doc you know people who have tried both and they all say they prefer injections. People forget that the doc is supposed to be working for you.
Personnally I'd try cream first. It sounds preferable, as long as it worked.
 
If you don't want to use the cream, tell him/her that you are worried about transferance of the testosterone to your wife/girlfriend/significant other/children, etc through contact. Maybe tell them you are planning to go on a vacation where you won't be wearing a shirt most of the day and you have young children that are going to want to rough house/play and you don't want to have to worry.
 
I agree, your best bet is to say you play with kids a lot and therefore are concerned on transferring to them. Several of my friends said that and it worked.
 
Just prescribed Axiron today - will keep everyone posted with results.

Dosage is 60mg per day for the next 6 months and then go back in for blood work.
 
Headholio said:
Underarm test cream. Never heard of it, but sounds interesting. Keep us posted.
Click to expand...

Yep, and it burns like a motherfucker!!! It actually says on the box that it is flammable, and to avoid smoking or being around fire until it dries... That's a comforting thought...

I had never heard of it either. I have the most antisocial, downright evil urologist in the history of the profession, so debating with him regarding injections over topical solution was not an option. lol

My prescribed dosage is 60mg per day, and I actually created a thread awhile ago asking if that 420mg of topical test per week is equivalent to 420mg of Test Cyp/Enan, or if the dosages are not equal since one is topical and one IM.
 
I think most of the gels have a 10% absorption rate so I would assume (maybe incorrectly) Axiron would be similar. The quick search I did on Axiron did not produce very favorable results. Even at higher dosages like 90mg only got you to the maybe the mid 500 range (if their own literature is even correct). Axiron looked like once of the worse choices your doc could have made. I'll let you make that decision though. Do a search for Axiron reviews or Axiron absorption rates.
 
Last edited:
Axiron is just an armpit fire for me. On top of it my levels didn't budge, same as androgel. Only shots work for me. Axiron is over 300 a month and I know my doctor gets kickbacks for Axiron, Androgel, and Testopel. Guess which three were the only drugs he would script for? HAd to get my GP to get my test scripts(I am oversimplifying how much work it took to get a script for inj).
 
tshoot said:
I think most of the gels have a 10% absorption rate so I would assume (maybe incorrectly) Axiron would be similar. The quick search I did on Axiron did not produce very favorable results. Even at higher dosages like 90mg only got you to the maybe the mid 500 range (if their own literature is even correct). Axiron looked like once of the worse choices your doc could have made. I'll let you make that decision though. Do a search for Axiron reviews or Axiron absorption rates.
Click to expand...

Thanks for the (rather depressing) info tshoot... ;)

Let's hope it works favorably for me...

So, with a 10% absorption rate, what does that mean in terms of absorption of the 60mg of test I'm prescribed? Does that mean I'm only absorbing 10% of the drug, or am I interpreting that incorrectly?

Thanks again...
 
I have read some favorable reviews on it too but also some with almost zero benefit or their T levels dropped below what they were prior to using Axiron. Use it for a couple of weeks and have your levels checked again. If you aren't satisfied with what he has to say, find somebody else.

You never did say what your bloodwork results were? Do you mind sharing that info?
 
tshoot said:
I have read some favorable reviews on it too but also some with almost zero benefit or their T levels dropped below what they were prior to using Axiron. Use it for a couple of weeks and have your levels checked again. If you aren't satisfied with what he has to say, find somebody else.

You never did say what your bloodwork results were? Do you mind sharing that info?
Click to expand...

They were frighteningly low. In fact, the doc had a second series of blood work done to rule out a tumor on my pituitary gland.

Total test was 149nl/Dl and free test was 68nl/Dl, which was hard to believe considering I'm 6' 0" and 210lbs.
 
Don't feel so bad. My doc said the same thing.

My values from LabCorp were:

Total test: 41 on a scale of 348-1197
Free test: 1.9 on a scale of 6.8-21.5
Estradiol: 11.9 on a scale of 7.6-42.6

Thyroid levels were all low. He thought the same thing, pituitary gland problem but I just haven't had the time to get myself fully checked.

I'm 5'9 about 185 and workout out fairly regularly. Have a six pack that shows if I flex or diet down about 10 pounds. But had zero energy, couldn't sleep and almost zero libido (could be the fact I've been with the same person for 36 years). ;-)
 
tshoot said:
Don't feel so bad. My doc said the same thing.

My values from LabCorp were:

Total test: 41 on a scale of 348-1197
Free test: 1.9 on a scale of 6.8-21.5
Estradiol: 11.9 on a scale of 7.6-42.6

Thyroid levels were all low. He thought the same thing, pituitary gland problem but I just haven't had the time to get myself fully checked.

I'm 5'9 about 185 and workout out fairly regularly. Have a six pack that shows if I flex or diet down about 10 pounds. But had zero energy, couldn't sleep and almost zero libido (could be the fact I've been with the same person for 36 years). ;-)
Click to expand...

Hi - I'm new to EF but these numbers are almost the same as mine (incl ht + wt). Been to 3 docs over 3 years and they all assumed thyroid but blood work says no each time. So far docs think I'm too young (44) for HRT. Tired of this routine so started taking dianabol oral - 7.5mg ed. Libido and energy levels are coming up nicely, but not liking the (mild) gyno effect. For that, some nolva's in the mail. Looking for others experience before I start taking it...

Thanks - this is a great site
 
breeson said:
Hi - I'm new to EF but these numbers are almost the same as mine (incl ht + wt). Been to 3 docs over 3 years and they all assumed thyroid but blood work says no each time. So far docs think I'm too young (44) for HRT. Tired of this routine so started taking dianabol oral - 7.5mg ed. Libido and energy levels are coming up nicely, but not liking the (mild) gyno effect. For that, some nolva's in the mail. Looking for others experience before I start taking it...

Thanks - this is a great site
Click to expand...

DBol is toxic to the liver so I certainly wouldn't do it long term. I know of people who have been put on TRT/HRT at age 28. Do you have any bloodwork showing you have low testosterone values? You can get a test done your self for about $60-$70 dollars. I would get your bloodwork done and find a doctor that will help you. 44 years old is NOT too young to start TRT/HRT if you need it.
 
tshoot said:
DBol is toxic to the liver so I certainly wouldn't do it long term. I know of people who have been put on TRT/HRT at age 28. Do you have any bloodwork showing you have low testosterone values? You can get a test done your self for about $60-$70 dollars. I would get your bloodwork done and find a doctor that will help you. 44 years old is NOT too young to start TRT/HRT if you need it.
Click to expand...

Thanks for your response. And damn, it did not take long to figure out I made a serious error in judgment. You are of course correct about getting another doc. The dangers of dbol can be missed when reading over this and other sites, and all that people ingest for bodybuilding without doctor's orders.

Why not cycles for hrt, with smaller doses? I know doctors don't do this, but they don't normally prescribe aas at all, do they?
 
Usually HRT/TRT is a life long commitment. Once you are on and your own production of testosterone is shut down for a while, it would be much hard to restart it. Sure docs prescribe AAS, nothing like some of the people on this board take, but enough to try to get you to the high end of normal. Normally an injectable form of testosterone (Test Cyp, Test E) maybe 100-200mg week. They also have test patches, creams, etc. Look for an anti-aging clinic in your area, maybe a sympathetic urologist or endocrinologist. You really, really need to get your bloodwork done so you know where you stand and they are going to make you get your bloodwork done before they'll ever prescribe you anything.
 
breeson said:
Why not cycles for hrt, with smaller doses? I know doctors don't do this, but they don't normally prescribe aas at all, do they?
Click to expand...


There was one guy who posted about cycling HRT. I don't remember who or the details, but I guess some doctors do have some sort of cycling scheme. I don't know enough about it to comment further.
 
Headholio said:
There was one guy who posted about cycling HRT. I don't remember who or the details, but I guess some doctors do have some sort of cycling scheme. I don't know enough about it to comment further.
Click to expand...

After more research it seems oral really isn't appropriate for HRT/TRT. What complicates is it's not difficult to find examples of dbol only cycles, like 8 weeks on 3 off. Breakfast of champions they say. As a married guy I'd like 3 weeks on 1 week off, if you know what I mean. But apart from liver issues bulking isn't the point of hrt so dbol still not a good choice.

@tshoot as I mentioned I have had bloodwork and my numbers are similar to what you posted, about 10% greater for total and free. My GP specifically said he didn't want to deal with DEA paperwork/hassles and referred me to a specialist, and specialist says since everything else is normal we should wait and bloodwork again in 6 months. Gives me an Rx for cialis #10 (ten!) It was hard to get the appt and I feel like he blew me off.

Anyway, thanks guys for your replies since they made me do more reading - it's just a little embarrassing since I feel I should've figured dbol better before just trying it, even at a low dose.
 
Just to update this thread since I responded initially 2 months ago. I have done a lot of research since I found out my test was 214 2 weeks ago. It seems that urologists are a great way to go and their medical assistants can answer a lot of questions over the phone about how they prefer to treat before even before an initial appointment. Honestly, I have always planned on getting on and staying on at 35, but my I was extremely ill recently and ended up in the ER and had everything checked. After speaking with a local urologists medical assistant, I was reassured that he is willing to immediately start on injectable test and would just write the script, let me self inject and work with me on everything else.

Sent from my XT907 using EliteFitness
 
Why are doctors the most illogical people on the planet?

Symptoms of low T everywhere and Breeson's doctor checks his thyroid only, and doesn't treat what is staring him in the face, with numbers nipping his ankles?!!!

His knowledge is way, way, off the mark if he thinks 44 is too young to start TRT. I was 32 when put on life-long therapy. This doctor probably turns away 13 year olds with undescended testicles and late puberty too, using the "You are too young for TRT" line. What rubbish. If you need therapy and presenting symptoms and a blood panel support this, he should prescribe therapy with your agreement...full stop. Unless of course there is a contraindication, such as prostatitis, tumour, or prostate cancer.

Please get another MD opinion Breeson. Remind your doctor that low range testosterone total/free are risk factors - increasing with age and non-treatment - for osteoporosis, aretherosclorosis, rheumatism, ostopoeania, diabetes mellitus, coronary artery disease, ischaemia, cardiovascular disease, obesity, depression, muscle wasting diseases, and a multitude of other conditions.

Regards,
Craig
 
breeson said:
@tshoot as I mentioned I have had bloodwork and my numbers are similar to what you posted, about 10% greater for total and free. My GP specifically said he didn't want to deal with DEA paperwork/hassles and referred me to a specialist, and specialist says since everything else is normal we should wait and bloodwork again in 6 months. Gives me an Rx for cialis #10 (ten!) It was hard to get the appt and I feel like he blew me off.

Anyway, thanks guys for your replies since they made me do more reading - it's just a little embarrassing since I feel I should've figured dbol better before just trying it, even at a low dose.
Click to expand...

@breeson, if your are/where anything like mine, you are far, far below normal and you should find another doc. Maybe you can state where you live and one of the good folks here can recommend a doc in your area through a private message.
 
Have any of you guys with established low T: Breeson and others, had any progress with regard to your treatment?
I'd like to hear of any updates, positive or negative progress.

Craig
 
I went to see an endo and after much arguing on getting injections instead of cream, he finally agreed but I'm getting 200mg A MONTH! I just got my 2nd shot the other day I really don't feel a difference though. I checked the my bloodtest results and he didn't check for estradiol (e2) which goes hand in hand with t levels. I've been doing a lot of reading and i have come to the conclusion that a basic trt cycle should consist of teste + AI + HCG on a weekly basis.

I know of a anti-aging doctor I have an appointment with him this Saturday for a blood test and he will check for all the right things. Once I get the results I will make a decision if i should make a change.

My only concern is I'm a little overweight and i didn't know if that would be ok while doing trt.

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