question from a user
I want to start with a telemedicine clinic but I’m worried about what I’ve read on the rules changing in November with the dea requiring A in doctor visit My concerns are I start , feel great and I shut down my normal testosterone, then 7 months down the road I’m in a bad position because either a telemedicine clinic does not have doctor for me to make a appointment or sense my previous testosterone in my blood work was isn’t under 250 that my PC doc will refuse to continue my prescription. What insights to this do you have or plan to put me at ease with these concerns ( if a any ) I seriously would appreciate your feedback, I’ve asked other clinics and I can’t get a straight answer besides they feel like it’s unlikely to happen
AlphaMD's Answer
I'm going to copy another recent reply we made to this comment, if you don't mind, and expand on it.
The main issue with the TRT telemedicine concerns is focused on other controlled substances & telemedicine. TRT is just getting caught up into & it isn't the main goal of the DEA to limit it.
It is pretty common for language like what we have now on anticipated regulation changes to be broad & be able to be interrupted in a large number of ways. That way later on when they choose what to do, they can always phrase it in a way that makes it seem like it was the plan all along.
As it stands, we will likely see it such that if an in-person visit becomes required that if it stays the way it is written, this can be any medical professional (even a walk in Urgent care physical) just saying "you look healthy". There is also the precedent that most times when things like this change in medicine, if you're a part of a practice already you are considered grandfathered in to whatever change my be happening so you may continue care.
We believe either small inconveniences like a yearly physicals unrelated to us will be required which we can piggyback on, or there will be a large removal of some of the suggestions. There's so much care in the telemedicine space right now that shutting it out with be catastrophic to many Americans.
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Those other clinics aren't giving a clear answer because they don't have any special information more than what is publicly available.
But I would say this: There are huge telemedicine companies out there, massive, providing enormous amounts of care & medication. Most of them now ask for a "last office visit date" which can be any time you were seen by a medical provider physically, not with them. They're confident that's all the change may boil down to, and based on what we've read & how we feel, we agree.
That will either be the case or they will just remove that requirement. No one knows for sure, but this is likely the best answer.
Either way, if you're already a client before any change happens, you will likely be able to continue treatment based on historical examples.
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