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question from a user

I’ve got some questions about your clinic as well. What sort of numbers do you look for in your clients? What all do you check for in your labs? What’s the sort of basic patient experience with you guys? Im with TRT nation and I picked them specifically because they’re more hands off. I initially found out I had low T when I was 23 (in the 200s) and my PCP at the time basically said “too bad how sad, nothing we can do” and I couldn’t afford a clinic even though they were willing to help me. I tried going through the VA after, and got told the same thing (sorry bud). I’ve got an ingrained fear, if you will, of doctors letting their preconceived notions shape the care that they provide to their patients. Maybe that’s not the best way of phrasing that, but the point is that I had no idea how my body would respond to testosterone so I didn’t want someone going overboard trying to dictate every little aspect of it and fit me into some kind of box (this tends to be less of an issue with the telehealth clinics but I’ve seen a lot of brick and mortar hormone clinics do the same). Their “here’s some test and an AI, have fun, hopefully you don’t get spicy nips, we will see you in 8 weeks” approach really appealed to me. All that said, now that it’s been a few months and I’ve seen the other side of things, done labs, etc, I’m interested in getting some actually personalized care to dig deeper. Their labs are very basic, the doctors call is essentially a legal formality because they don’t really talk to you about much, etc. I’ve been looking around at other clinics to see what kind of things they offer, how they handle patients, what kind of biomarkers they’re looking at and how they can work with you to dial these things in.

AlphaMD's Answer

Our general approach to patient care is one that is focused on patient goals. We also treat the patient, not the number. So if you have goals that are focused on symptom relief, than we typically find a lowest effective dose in an effort to avoid the need of ancillary medications. If you have goals that involve muscle gain, then a higher dose would likely be needed, though this comes with a higher risk of side effects and potential need for medications to mitigate them (like an AI). We support the use of additional medications like oxandrolone or nandrolone or peptides on a case-by-case basis.

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