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Take someone like me, for example...I am using my PCP for TRT. He is clueless. He wrote 200mg once every two weeks. He would only test for total t prior to prescribing, which was 307, but I have struggled with symptoms for years, with no relief from other forms of treatment. He is not going to look into anything other than my t levels on bloodwork in the future, and that scares me. I talked him into 100mg a week. I have been on since July 28th. I inject on Sundays and Wednesdays. I thought I was seeing some progress at first, then things tanked. I don't want to do anything except sleep on the weekends. It's almost like my depression is worse. The brain fog seems worse. I don't know if I should get bloodwork on my own, take the wheel myself, or go with an online clinic. My only concerns with a clinic are how I will navigate that already being on treatment? My levels may not be as low as they were? Would I get new bloodwork and risk not being able to get treatment due to my current levels? The bloodwork he did looks like a regular panel with testosterone added. I don't know where to go from here. I just know I can't continue under his care for this, at least. I just feel in the dark, and he doesn't want to check blood until the beginning of November. I feel like that is too long for him to only check total t, and to give me some ignorant instructions moving forward. I understand you can't give straight forward medical advice, but a suggestion on which moves to make moving forward would be great...let's just say if I were to get started with your clinic from where I am right now on my journey. I appreciate all that you do for the community!

AlphaMD's Answer

This ends up happening to a lot of men who transition to TRT specialists. I don't know about all clinics, but for us we take on patients who are already on TRT.

Typically we look at a previous Testosterone level before you went on TRT, and if for some reason we can't find that with a patient we will run one with the understanding of their current dosage & examine the math. We then either continue their current treatment if it works for them & they're changing over due to us being very affordable, or adjust it if it's not working for them.

We would never ask someone to hop off TRT to test their natural T levels, that's going to be terrible for them and wreck their system for no reason.

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