question from a user

So I recently had a horrible experience with a TRT clinic. They had very affordable prices, but charged a $170 annual physician fee. They charged this upfront before my consultation. During the consultation I became aware that it was a cash grab and they didn’t ask nearly enough questions or customize the protocol at all. Sure enough 200mg a week and a boatload of high dose AI was their recommendation. No comment on injections frequency, how much AI to dose, or how much I wanted, it was a 10 min zoom and I realized they were not a good fit. To nobody’s surprise they refused to refund the annual physician fee because consultation was completed. I replied that I paid for annual physician oversight not a consultation and they ghosted me. I guess I paid $170 for a PA to tell me my test was low, but I have to ask is there any viable recourse besides writing as many reviews as possible to warn people? Is this common practice? Or is this just certain clinics behaving poorly? Thank you for the AMA and your dedication to Quality information

AlphaMD's Answer

I'm sorry for your experience with them.

The world of digital TRT is pretty confusing given how unknown or undefined telemedicine law is right now. This does mean that many people can get into it easier than they can with a physical location, which can lead to people who are looking to take advantage of others.

The best thing you could do would probably dispute the charge with your bank, but if they had you sign/agree to a ToS anytime during your registration & it included clauses around that they will have the opportunity to supply that to your bank. If that is the case they will probably side with the company, but if they don't have that, your bank will probably side with you. That is our experience that people have shared with us.

One of the red flags for a TRT company who might engage in things like that is advertised low costs. It costs a lot to pay providers for their work & their DEA/medical licenses in each and every state, if someone's prices are lower than other TRT providers it likely means they have a gimmick like that or are not even true TRT providers operating legitimate practices through accredited pharmacies.

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