question from a user
How often do doctors prescribe something like oxandrolone or nandrolone in addition to a regular testosterone protocol for TRT? Some people claim that the latter was prescribed to them for joint health, but those stories are anecdotal and I personally am not sure if I completely believe them. Are there any other AAS prescribed on TRT besides what I just mentioned? I’ve gone through William Llewellyn’s book on AAS and he claims that most of the legitimate use of AAS is pretty much limited to things like muscle wasting in AIDS patients and maybe burn victims’ recovery these days.
AlphaMD's Answer
I feel like Oxandrolone & Nandrolone in TRT need their own videos to talk about them, so we'll do that this week, then share it here when done.There's a fair number of AAS on the table with TRT since there's a surprising amount that are legal as long as you have a prescription.However you are very correct that they're not used often, but it's not because they don't work or not do the things we expect them to do. It has more to do with how drugs are regulated, a bit of insurance, the DEA, what TRT is, and the idea of "good faith".
TRT as a practice which works mostly in Testosterone is a *very* "safe" medical practice. You cannot OD on Testosterone, it helps most health conditions, and it's lower on the controlled substance scale than other AAS, and has been more accepted for longer for treatments than other AAS's.The primary reason TRT is initiated is that Free Testosterone is lower than expected & the patient has symptoms, so if your goal is to raise the Free Testosterone why would you give something else? Whereas those other substances focus more on muscle growth as well, so in a situation where that's the goal, that's why they're Rx'd.Overall/TL;DR:
This means that malpractice insurance is very cheap for pure T focused practices, providers comfort level is higher, & T is a more common/cheaper medication to source/sell. If you change it up, which is technically perfectly legal, then costs go up for the business, risk increases for the practice, and you have to sell a bigger cost. The DEA also will potentially be in your business more about "proper use" for a higher controlled substance & that *scares the hell* out of providers. There's providers who have written legal Rx's for pain meds who thought they were fine & are in jail, not just fined. It doesn't mean they're off the table if someone is already in need of them, but it does mean providers are going to be very careful about starting medication like that which normal T might fix.Hope that ramble makes sense!
Edit: Video response to the topic + Anavar talk
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