Anyone out there into the men's-health/testosterone replacement game: PM me for a question.

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RustedFox

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Title says it all.
I got a phone call from a buddy tonight.
45 year old male. Healthy. Is taking testosterone for "energy/quality of life" things.
He's a muggle; but he's a VERY smart muggle.
He asked me to opine on things related to test results, numbers/ranges, etc.
I told him: "I have no idea, but I'll research it for you."
If anyone out there really knows what they're doing with regard to this topic, please shoot me a PM.
You guys all know me - this ain't an ad, spam, or whatever.

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I've been on it for 17 years but that doesn't really make me an expert. I try to keep my levels reasonable. I've never required blood donation or aromatase inhibitors such as anastrozole. I've also been under the care of 3 endo docs who felt the same way. My pt's and friends that go to the men's health clinics seem to be receiving super high testosterone doses combined with aromatase inhibitors. I can't think of any normal dude that should need 200mg of test cyp on a weekly basis. All that being said, I'm no expert in TRT.
 
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I've been on it for 17 years but that doesn't really make me an expert. I try to keep my levels reasonable. I've never required blood donation or aromatase inhibitors such as anastrozole. I've also been under the care of 3 endo docs who felt the same way. My pt's and friends that go to the men's health clinics seem to be receiving super high testosterone doses combined with aromatase inhibitors. I can't think of any normal dude that should need 200mg of test cyp on a weekly basis. All that being said, I'm no expert in TRT.

200 mg pharm grade test enanthate/cyp will def put a man over ref/physiologic range, requiring AI. Grey region of “enhancement.”
 
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What’s the percent of men who go to these clinics that don’t get a prescription? My guess is it’s exceedingly low. That tells me most of what I need to know.
 
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What’s the percent of men who go to these clinics that don’t get a prescription? My guess is it’s exceedingly low. That tells me most of what I need to know.
I had a 19 year old patient go to one and he was given a prescription for testosterone 100mg 2X/week, HCG, and arimidex.

His testosterone level to justify this? 500.
 
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Yeah, I can't speak for all Men's health clinics but I went one time for a quick Rx because I couldn't get back in to see my PCP quick enough and I knew they'd write me a ridiculous amount of Test and I could string it out over a year. Sure enough, the dude (not a healthcare provider) has it shipped to my door from some lab in Arizona and it's 200mg weekly with arimidex. When I looked at the Rx, it was from a NP whom I had never seen. Talk about shady. Most patients that want gobs of this stuff will tell their PCP they injected last week and it was more like 2 weeks ago so their levels are naturally low and their Rx gets increased. I don't care what someone's metabolism or physiology is like but 200mg is just way too much unless you're getting it every 2 weeks.

Honestly, I felt best on the topical test but the problem is that it's hard to keep it from rubbing off on your SO which causes them to start growing alarming body hair which most women are NOT going to be ok with. Weekly IM has been fine but it does get old stabbing my quad each week. My level was 75 ng/dl when they started my TRT. I was in med school and started dealing with this profound level of fatigue. I'm not one to go to the doc much but I knew something was wrong. Took the IM doc a couple of visits but he figured it out. Ended up with endo and they did a massive work up. MRI Brain was normal, sperm count was normal, LH, FSH, Test all low. they told me I had reactivated mono and ultimately the only hypothesis that endo could come up with was transient hypothalamitis from the reactivated mono that he felt probably threw my hormonal axis off. I've actually never taken myself off the TRT because I was in residency or practicing by then and didn't want to risk any level of fatigue syndrome that I felt back then. The problem is that it's hard to educate young guys about fertility risks. I was given options to sperm bank but never did and I can't imagine how difficult it would be for me to transition to clomid/hcg, etc.. and probably still wouldn't work. I think my nuts are probably permanently shut down at this point. Luckily, I'm too old to care or want kids at this stage in my life (and my wife doesn't want them either) and my TRT kind of ensures that won't happen.
 
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