question from a user

I'm a 36-year-old male, I've been on TRT for hypogonadism for about 10 years now. The TRT specialist/internist I was getting treatment with, emigrated and I was forced to go back to my GP. I gave my GP my back story, and he agreed to continue prescribing my meds based on blood work. The problem is, that he prescribes the recommended minimum, whereas my previous doc prescribed based on how it made me "feel", in conjunction with bloods. My GP was also reluctant to allow me to inject myself, despite having been doing it for years as the TRT doc showed me (Google says the injection site is called: Vastus Lateralis, not in the middle where your main arteries are) I'm on Depo-Testosterone 1ml(100mg)/every 7 days. He prescribed 2ml/2 to 3 weeks. When I told my GP I was injecting more often, he said that was wrong and no longer wished to renew my script. I know "Google" is no replacement for a real doctor. Still, I don't think he is passionate about andrology and is simply doing what the average recommendation is - not considering my body. I'm 6'4", 310lbs. Previously, before Nebido got so expensive, I was on 4ml every 6 weeks as per my TRT doc. My question is if adjusting dosing based on how it makes me feel, and without abusing the medicine, is it okay if I continue? I quite like https://balancemyhormones.co.uk/ what they call "Modern TRT dosing". Lastly, the TRT doc used to give me 4mg SR compounded anastrozole (one pill twice a week), but since I can't get it anymore, I just buy 1mg tablets, and take them every couple days. The GP never discussed or commented on estrogen levels and taking testosterone.

AlphaMD's Answer


We hear a story like yours all the time. GP’s have a lot of things they have to keep up on. New treatments for diabetes, new diagnostics for rheumatic conditions, new screening rules for breast cancer, etc. TRT and its nuances is not something many GP’s feel is worth their time.

Treatment protocols for TRT are still relatively new. So new in fact that the medical school textbooks still recommend testosterone cypionate once weekly at most.

Most men respond better to more frequent injections. Ant less than 2 injections/wk for cypionate or Enanthate forms would not be considered ideal.

In our experience, it is rare to find a GP who is comfortable or competent in managing TRT, though of course exceptions exist.

A good GP would be willing to discuss your treatment protocols and make adjustments based on your response to therapy.

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