question from a user
TRT Providers should work on making the following available: Anastrozole, exemestane in dosing specifically for men like 0.1 and 5 mg. A way to get DHT or E2 if too low on that, since TRT is not always a solution, instead some need HRT and often UGL is the only solution, if you lack DHT for example. Would you agree?
AlphaMD's Answer
Yes, these would be nice to have available.
When it comes to being a TRT provider, there is many things we wish we could offer but in some cases are limited in supply. The pharmacies which can ship directly to a patient through us tend to be compounding pharmacies & they also offer most of the best pricing. However those prices are based on supply/demand.
As an example with the AIs - Anastrozole 0.1mg, 0.5mg, 1mg, and 2mg are generally available, but they are all the same price per tablet. If someone Really wants a 0.1mg daily regimen for example, we can offer that but they will likely need to pay some kind of surcharge to account for spending 7 times as much as someone breaking up 0.5mg or 1mg tablets for AI use. This usually turns the patient off of going that route & pharmacies don't see many patients interested in it.
The main way TRT providers could offer more options would be if the demand from patients was high enough to present a case to a large compounding pharmacy & request a product be added. It's very chicken & the egg sadly.
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