Doctors sometimes develop different areas of expertise. Do you feel that HRT (Hormone Replacement Therapy) is one of these areas for you and your office?

Definitely

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What do you monitor on a routine basis when a man goes on HRT?

Free and Total Testosterone , H/H, PSA every 6 months for the first year then once yearly. Upon initial diagnosis I get an FSH/LH and Prolactin as well. Depending on symptoms I will make sure Estrogen and TSH levels are ok too.

How do you handle men who clearly could benefit from HRT but do not have insurance? What options are available through your office?

We usually send them to a local compounding pharmacy or start them on injections which are cheapest. Injections are available in my office.

Do most insurance plans cover standard treatments in your office? (Feel free to explain some of the exceptions.)

Yes except for Testopel. Texas Medicare has assigned a J code to Testopel which makes it "experimental" so insurance doesn't give it the same credence as the other options.

How do you monitor prostate issues and screening for men on HRT? Or do you let other physicians handle that?

I do PSA tests and digital rectal exams every year on my patients.

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How does your office go beyond simple subscribing of PDE5 Inhibitor for Erectile Dysfunction? Do you have any other treatment strategies for men who are experiencing a loss of erectile strength?

Almost 90% of my patients respond to ED meds if I get their T levels in a healthy zone. We offer all of the other ED tx options including cavernosal injections/pellets and prosthesis surgery.

Are there aspects of your practice or treatment strategies that you’d like to share that feel may make your practice "stand out from the crowd?"

Only the fact that I make sure all my ED patients have an optimized T level and Estrogen level too.

Can you give a brief description of your medical certifications and licensing?

MD degree from University of Texas Medical Branch in Galveston 2000 and Urology residency training at LSU-Shreveport Louisiana 2005. Board Certified by American Board of Urology

Can you please list any contact information for men interested in reaching your office?

For information contact: Amarillo Urology
Address: 1900 Medi Park Dr. Amarillo TX 79106
Office: 806-355-9447
Twitter: @DrTeeple

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