Peak Testosterone Forum

General Category => Testosterone, Hormones and General Men's Health => Topic started by: chainsaw on January 02, 2018, 01:33:19 pm

Title: Am I paying too much for my TRT?
Post by: chainsaw on January 02, 2018, 01:33:19 pm
Hello!  New here but have been reading this forum for a while now.  I've been on TRT now for about 6 months and its great.  I'm on 300mg Test Cyp. once weekly and its changed everything.  I'm 32 and tested at 269ng/dl before starting treatment and it has improved almost every area of my life significantly over the past 6 months.  So I tried my GP first who upon testing me told me my level wasn't low enough to treat...which after doing some research on it really confused me.  Anyway, I found a HRT clinic in my area and went to see them.  They did the blood test again and said my level was low enough to treat and put me on the above mentioned protocol.  I now have them order my 10ml bottles of test that are shipped to my house and I go to see them for a follow up once a month now. 

To the point, I'm paying $350 for a 10ml vial of Testosterone Cypionate at 200mg/ml.  I take 1.5ml once weekly for a 300mg dose.  My question is am I paying too much for this 10ml vial?  After reading a lot of different forums $350 seems like a lot and its out of pocket.  They don't give me a script they just write it and send it in to their supplier and have it shipped directly to my house, I imagine so they can mark it up and make a little money, which is fine.  I'm am just trying to figure out if I am getting hosed on the price and if I should maybe check with another HRT clinic?  Do I have any other options?

Thanks!
Title: Re: Am I paying too much for my TRT?
Post by: PeakT on January 02, 2018, 01:51:53 pm
Yeah, that is high.  But if they are giving you free consults or something, maybe that is how they are trying to make up some revenue? 
Title: Re: Am I paying too much for my TRT?
Post by: Pennywise09 on January 02, 2018, 01:52:24 pm
300mg weekly is a lot. Standard is 100mg weekly. See if your insurance will cover it. I pay $5 for a copay for 400mg a month.
Title: Re: Am I paying too much for my TRT?
Post by: Mindscape on January 02, 2018, 01:52:28 pm
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.
Title: Re: Am I paying too much for my TRT?
Post by: chainsaw on January 02, 2018, 02:10:34 pm
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I haven't asked them to just give me a script so I can go fill it.  I assume they will not go for that given they won't be making that money anymore.  I have though about submitting it to the insurance but I doubt they will pay for it.  I was wondering if anyone had been in this boat and found a better or more inexpensive way to go forward.
Title: Re: Am I paying too much for my TRT?
Post by: chainsaw on January 02, 2018, 02:17:39 pm
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.
Title: Re: Am I paying too much for my TRT?
Post by: Cataceous on January 02, 2018, 02:43:53 pm
That's over $2,700 a year. Is testing included? By way of comparison, in maintenance mode, Defy Medical would run you less than $2,000 for everything, which includes twice-yearly lab work and consultations, and testosterone cypionate.
Title: Re: Am I paying too much for my TRT?
Post by: chainsaw on January 02, 2018, 02:57:42 pm
That's over $2,700 a year. Is testing included? By way of comparison, in maintenance mode, Defy Medical would run you less than $2,000 for everything, which includes twice-yearly lab work and consultations, and testosterone cypionate.

How does one go about switching to a new provider?  I mean obviously if I get tested now my level is going to be high so how does that work?  Do I have to get a referral of some kind?
Title: Re: Am I paying too much for my TRT?
Post by: charliebizz on January 02, 2018, 04:52:28 pm
That's over $2,700 a year. Is testing included? By way of comparison, in maintenance mode, Defy Medical would run you less than $2,000 for everything, which includes twice-yearly lab work and consultations, and testosterone cypionate.

How does one go about switching to a new provider?  I mean obviously if I get tested now my level is going to be high so how does that work?  Do I have to get a referral of some kind?
just email defy medical they will walk you through it
Title: Re: Am I paying too much for my TRT?
Post by: sh1209 on January 02, 2018, 05:09:49 pm
Just find a good urologist, I spend less tha $300 per years including labs, meds and doctor copays. This is of course with insurance.
Title: Re: Am I paying too much for my TRT?
Post by: HRT Guru on January 02, 2018, 05:50:49 pm
Just find a good urologist, I spend less tha $300 per years including labs, meds and doctor copays. This is of course with insurance.

Or start looking for Unicorns because those happen, too.
Title: Re: Am I paying too much for my TRT?
Post by: Cataceous on January 02, 2018, 06:39:05 pm
How does one go about switching to a new provider?  I mean obviously if I get tested now my level is going to be high so how does that work?  Do I have to get a referral of some kind?

No referral needed. You can call Defy at (813) 445-7342. I've found the staff to be very pleasant, patient and helpful. You can also fill out a form on their website, if preferred: http://defymedical.com
They require a local physical exam, comprehensive blood testing, and an initial consultation. They may be able to use some of your existing lab work. They will work with you on adjusting your current protocol based on lab results and how you feel.

You can preview many of the prices at https://www.defymedicalstore.com
They have some of the best lab testing prices around. Testosterone is somewhat expensive compared to a local drugstore with goodrx.com coupon, but still much less than what you are paying.
Title: Re: Am I paying too much for my TRT?
Post by: sh1209 on January 02, 2018, 06:58:29 pm
Just find a good urologist, I spend less tha $300 per years including labs, meds and doctor copays. This is of course with insurance.

Or start looking for Unicorns because those happen, too.
Speaking for myself, my urologist has been helpful and willing to let me try almost anything within reason. Personally Iíd be a moron to pay $2-3000 a year for something I get covered by insurance, but to each his own.
Title: Re: Am I paying too much for my TRT?
Post by: Boxcar on January 02, 2018, 08:37:59 pm
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.

Glad it is working well for you.  What are your total/free testosterone and estradiol levels?  Your starting dose is very aggressive, which likely explains the estrogen issues.  A good doctor might be able to find a protocol that would work for you, without needing an AI.

To answer your question... A good doctor would just accept your prior diagnosis, based on your old lab work.  (That is what should happen, but there are plenty of horror stories out there.)  Your prior bloodwork was uneqivocally low.  So any doctor who disagrees with that is probably not someone I would trust anyway.  If you have insurance, you might get everything covered.  Defy medical is great, from what I have heard (especially Dr. Saya), but they do not accept insurance.
Title: Re: Am I paying too much for my TRT?
Post by: PeakT on January 02, 2018, 11:49:11 pm


Or start looking for Unicorns because those happen, too.

It's not that common, but it can happen.  In fact, there is usually a urologist or two that is a fertility specialist and this can be particularly useful for the younger guys. 

NOTE: I would also add that Dr. Morgentaler is a urologist, and we would not probably have to order our cypionate from Mexico and India if it weren't for him!
Title: Re: Am I paying too much for my TRT?
Post by: kcrunner on January 03, 2018, 05:56:38 am
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.

If you lift heavy and by that I mean a classic strength training program with the big compound lifts of Bench, Incline Bench, Shoulder Press, Rows, Squats, and Deadlifts, you would gain a significant amount of muscle mass with 300 mg of test cyp a week.    That is above a therapeutic dose and almost to the level of a body builders cycle.   If I was paying that kind of money for it, I would definitely be trying to maximize the benefits of it.   

That all said, you really shouldn't be on that much testosterone long term.   200 mg of test a week is typically the upper limit for that.   Moreover, you are definitely paying too much.   Find a good GP that will treat you so you are not paying so much out of pocket.   

If you have a traditional PPO, a month's worth of testosterone cyp at 200 mg of test a week, will cost you the 10 dollar copay for a prescription at the pharmacy.    If you have a high deductible health plan where you are paying for your prescriptions out of pocket, a month's worth of testosterone will cost you as little as $37.50 with a WellRx coupon.

Even if you have a high deductible plan where you are paying everything out of pocket for your treatments until you hit your deductible, its not that expensive if you find a good GP that is experienced with TRT.   Basically, every year you would looking at a total of:

$250 or so for doctors visits
$200 or so for labwork
$325 or so for testosterone
$20 dollars or so for syringes (you can order these from a supply online)
Title: Re: Am I paying too much for my TRT?
Post by: chainsaw on January 03, 2018, 11:14:14 am
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.

If you lift heavy and by that I mean a classic strength training program with the big compound lifts of Bench, Incline Bench, Shoulder Press, Rows, Squats, and Deadlifts, you would gain a significant amount of muscle mass with 300 mg of test cyp a week.    That is above a therapeutic dose and almost to the level of a body builders cycle.   If I was paying that kind of money for it, I would definitely be trying to maximize the benefits of it.   

That all said, you really shouldn't be on that much testosterone long term.   200 mg of test a week is typically the upper limit for that.   Moreover, you are definitely paying too much.   Find a good GP that will treat you so you are not paying so much out of pocket.   

If you have a traditional PPO, a month's worth of testosterone cyp at 200 mg of test a week, will cost you the 10 dollar copay for a prescription at the pharmacy.    If you have a high deductible health plan where you are paying for your prescriptions out of pocket, a month's worth of testosterone will cost you as little as $37.50 with a WellRx coupon.

Even if you have a high deductible plan where you are paying everything out of pocket for your treatments until you hit your deductible, its not that expensive if you find a good GP that is experienced with TRT.   Basically, every year you would looking at a total of:

$250 or so for doctors visits
$200 or so for labwork
$325 or so for testosterone
$20 dollars or so for syringes (you can order these from a supply online)

Yeah I definitely need to figure something out long term and I know the dose is the upper limit but upon doing my research before starting treatment, 300mg is what I wanted and its what they gave me.  I am on a fairly traditional bodybuilding plan that incorporates all the big compound movements and I'm eating chicken, broccoli and rice in a 500 calorie deficit.  I'm currently losing about 2.5% body fat a month and gaining between 2-3 lbs of lean muscle.  I am able to track this because the clinic I am using is doing body comp readings once a month to track my progress, and I can definitely see the progress from month to month.  I know 300mg is not going to be a long term dose.  I would love to switch to a regular doctor and get everything covered under insurance but I hear they usually won't prescribe injectible test.  I have two young daughters and the last thing I want in my house is topical testosterone, just too much of a risk for my comfort.  I have not been to a urologist in probably 10 years when they were trying to fix a testicular problem I had back then.  In hindsight I now realize that the problem I had is what has now led to my low T condition.  Basically only one of my testicles is producing and one is trying to over compensate so it stays constantly swollen while the other is shrunken.  Maybe I should go see a new Urologist and explain this to them and see what they will do.   
Title: Re: Am I paying too much for my TRT?
Post by: Boxcar on January 03, 2018, 12:44:21 pm
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.

If you lift heavy and by that I mean a classic strength training program with the big compound lifts of Bench, Incline Bench, Shoulder Press, Rows, Squats, and Deadlifts, you would gain a significant amount of muscle mass with 300 mg of test cyp a week.    That is above a therapeutic dose and almost to the level of a body builders cycle.   If I was paying that kind of money for it, I would definitely be trying to maximize the benefits of it.   

That all said, you really shouldn't be on that much testosterone long term.   200 mg of test a week is typically the upper limit for that.   Moreover, you are definitely paying too much.   Find a good GP that will treat you so you are not paying so much out of pocket.   

If you have a traditional PPO, a month's worth of testosterone cyp at 200 mg of test a week, will cost you the 10 dollar copay for a prescription at the pharmacy.    If you have a high deductible health plan where you are paying for your prescriptions out of pocket, a month's worth of testosterone will cost you as little as $37.50 with a WellRx coupon.

Even if you have a high deductible plan where you are paying everything out of pocket for your treatments until you hit your deductible, its not that expensive if you find a good GP that is experienced with TRT.   Basically, every year you would looking at a total of:

$250 or so for doctors visits
$200 or so for labwork
$325 or so for testosterone
$20 dollars or so for syringes (you can order these from a supply online)

Yeah I definitely need to figure something out long term and I know the dose is the upper limit but upon doing my research before starting treatment, 300mg is what I wanted and its what they gave me.  I am on a fairly traditional bodybuilding plan that incorporates all the big compound movements and I'm eating chicken, broccoli and rice in a 500 calorie deficit.  I'm currently losing about 2.5% body fat a month and gaining between 2-3 lbs of lean muscle.  I am able to track this because the clinic I am using is doing body comp readings once a month to track my progress, and I can definitely see the progress from month to month.  I know 300mg is not going to be a long term dose.  I would love to switch to a regular doctor and get everything covered under insurance but I hear they usually won't prescribe injectible test.  I have two young daughters and the last thing I want in my house is topical testosterone, just too much of a risk for my comfort.  I have not been to a urologist in probably 10 years when they were trying to fix a testicular problem I had back then.  In hindsight I now realize that the problem I had is what has now led to my low T condition.  Basically only one of my testicles is producing and one is trying to over compensate so it stays constantly swollen while the other is shrunken.  Maybe I should go see a new Urologist and explain this to them and see what they will do.   

I was thinking the same thing as krunner... you are probably way over the natural range for all or most of the week.  Probably not good long term.  Even in the short term, hematocrit, cholesterol and blood pressure can be dangerously high, so you definitely want to track those.  BTW, most of the body comp benefits from TRT are experienced when going from very low testosterone levels (especially sub-300, where you were), to average (600+ levels).  (Benefits continue, as you go higher, but with diminishing returns.  Which is why steroid cycles will target up to 3-4,000 testosterone levels.)  So it is possible for a guy with profoundly low testosterone to experience steroid-like changes in body comp, when on normal TRT doses.  To get a sense for what I am talking about, check out these graphs:  http://suppversity.blogspot.com/2012/01/intermittent-thoughts-on-building_02.html

Personally, I have replaced maybe 25 lbs of fat with muscle (hard to give an exact number, but definitely over 20lbs), with a much lower testosterone dose than you (100mg per week).  To give you another anecdote, youtube personality "bignoknow" has gone from high-dose TRT to what guys on here are taking and has had a very positive experience.

You can definitely find regular doctors, outside of a specialty clinic, who will prescribe injectable testosterone.  Urologists seem to be a better bet than endocrinologists, from what I have seen.
Title: Re: Am I paying too much for my TRT?
Post by: kcrunner on January 04, 2018, 05:48:38 am
That's extremely pricey, you shouldn't be paying more than about $100, these clinics are expensive! Curious what your peaks and troughs are with that huge T dosage, not many can even handle 200mg weekly. You could have them give you the prescription and go fill it where you want.

I really don't notice the low points given that by day 7 I'm still a little above 50% the original dose.  Honestly I feel great all the time now and I've dropped from 22% body fat to 14%, sex is much improved and working out more.  Only thing for me is I really have to stay on top of my estrodol, it tends to go up very quickly.  If I don't take my estrogen blocker correctly it gets out of control and I start seeing very noticeable high estrogen symptoms.

If you lift heavy and by that I mean a classic strength training program with the big compound lifts of Bench, Incline Bench, Shoulder Press, Rows, Squats, and Deadlifts, you would gain a significant amount of muscle mass with 300 mg of test cyp a week.    That is above a therapeutic dose and almost to the level of a body builders cycle.   If I was paying that kind of money for it, I would definitely be trying to maximize the benefits of it.   

That all said, you really shouldn't be on that much testosterone long term.   200 mg of test a week is typically the upper limit for that.   Moreover, you are definitely paying too much.   Find a good GP that will treat you so you are not paying so much out of pocket.   

If you have a traditional PPO, a month's worth of testosterone cyp at 200 mg of test a week, will cost you the 10 dollar copay for a prescription at the pharmacy.    If you have a high deductible health plan where you are paying for your prescriptions out of pocket, a month's worth of testosterone will cost you as little as $37.50 with a WellRx coupon.

Even if you have a high deductible plan where you are paying everything out of pocket for your treatments until you hit your deductible, its not that expensive if you find a good GP that is experienced with TRT.   Basically, every year you would looking at a total of:

$250 or so for doctors visits
$200 or so for labwork
$325 or so for testosterone
$20 dollars or so for syringes (you can order these from a supply online)

Yeah I definitely need to figure something out long term and I know the dose is the upper limit but upon doing my research before starting treatment, 300mg is what I wanted and its what they gave me.  I am on a fairly traditional bodybuilding plan that incorporates all the big compound movements and I'm eating chicken, broccoli and rice in a 500 calorie deficit.  I'm currently losing about 2.5% body fat a month and gaining between 2-3 lbs of lean muscle.  I am able to track this because the clinic I am using is doing body comp readings once a month to track my progress, and I can definitely see the progress from month to month.  I know 300mg is not going to be a long term dose.  I would love to switch to a regular doctor and get everything covered under insurance but I hear they usually won't prescribe injectible test.  I have two young daughters and the last thing I want in my house is topical testosterone, just too much of a risk for my comfort.  I have not been to a urologist in probably 10 years when they were trying to fix a testicular problem I had back then.  In hindsight I now realize that the problem I had is what has now led to my low T condition.  Basically only one of my testicles is producing and one is trying to over compensate so it stays constantly swollen while the other is shrunken.  Maybe I should go see a new Urologist and explain this to them and see what they will do.   

I have never seen a urologist or HRT clinic for my hormonal issues.   I just see my GP who is a DO (I think a DO is better for this).   The office is just 8 blocks down the street from my house.   It's a multiple doctor practice and originally, when my testosterone levels were low, she referred me over to another doctor in the practice that specializes in it (just a GP though).  He started me on 200 mg of test a week for the first 8 weeks.   I had to go in for those injections.   He then had his nurse show me how to self inject, and prescribed the test cyp at 100 mg a week.   After that, I asked my doctor if she could treat me for that as well so I was not seeing her for my levothyroxine and the other doctor for testosterone.   She was cool with that.   Since then they have adjusted my dosages, and I am now on 100 mg of test cyp every 5 days which works out to be about 140 mg a week.  I have never needed an AI.   Just 2 office visits a year where its basically just a checkup and she has labs drawn, and that's it.   Most of my communication is over their App (FollowMyHealth) where I can message her, see all my results and so on.

I think this is pretty common.  Just ask around where you live for a GP that treats a lot of guys with low T.   They see so many old people all the time and stay so busy with them that they typically don't want to mess with you having to come in for every injection and thus are cool with self injecting.   
Title: Re: Am I paying too much for my TRT?
Post by: sh1209 on January 04, 2018, 06:15:43 am
I second what KC is saying, Iíve lived in three states sisnce starting treatment and have never had an issue finding someone willing to treat with gels or injections. If you have good insurance, which luckily Iíve always had, itís really inexpensive for all of it. Insurance from what Iíve encountered, wants to pay for the least expensive option, which is always injections.
Title: Re: Am I paying too much for my TRT?
Post by: chainsaw on January 04, 2018, 10:40:50 am
Thanks for all the info guys, I really appreciate it.  I haven't had anyone to talk to about this stuff since I started so its nice to hear some other experiences and opinions. 

I think maybe what I am looking for is some advice on how to talk to a new doctor about continuing treatment in a way that insurance will cover.  I have good insurance.  When I saw my regular doctor about this first he said basically that my test number wasn't low enough to be considered for treatment(272ng/dl) and that I am too young to begin treatment (I'm 32).  He actually suggested I take a B12 supplement for my symptoms, which kind of pissed me off.  Before starting treatment I had low energy levels, I was lifting but just couldn't muster the will to get to the gym more than 2-3 times a week.  I work from home and I was spending my lunch breaks napping in bed (thats not me).  I'm married with two kids and had a pretty low sex drive and performance issues compared to just a handful of years prior and my wife is very attractive and we are close.  I felt depressed and frustrated all the time.  I couldn't get my body fat down, I was up to 260lb at one point.  I was 180lbs when I was 21.  Just didn't feel like me anymore.  And the doc tells me to take B12 like I wasn't already taking a multi and drinking monsters like water...

So I'm a little skeptical about talking to another GP.  I would be interested in talking to a Urologist but I don't really know how to talk to them about it.  I don't want them to think I'm seeking injectibles like I'm trying to be a bodybuilder on steroids or something.  I just can't go back to the way it was but I can't afford to keep spending this kind of money long term. 
Title: Re: Am I paying too much for my TRT?
Post by: Cataceous on January 04, 2018, 11:16:39 am
...  I would be interested in talking to a Urologist but I don't really know how to talk to them about it. ...

I was asking the same question a few years back when I started, but I don't think there's a good answer. Many doctors are going to be pretty unreceptive to whatever you might say. Others might do whatever you want, within reason. The urologist I talked with saw total testosterone just over 300 ng/dL and said, "That's normal." It was a useless visit, preceded by the long wait for the appointment. That kind of thing gets pretty frustrating. So it depends on your tolerance for going through a few doctors in search of one who's either very knowledgeable or who's amenable to your guidance, assuming you're up to speed on treatment options.
Title: Re: Am I paying too much for my TRT?
Post by: Boxcar on January 04, 2018, 11:40:45 pm
Thanks for all the info guys, I really appreciate it.  I haven't had anyone to talk to about this stuff since I started so its nice to hear some other experiences and opinions. 

I think maybe what I am looking for is some advice on how to talk to a new doctor about continuing treatment in a way that insurance will cover.  I have good insurance.  When I saw my regular doctor about this first he said basically that my test number wasn't low enough to be considered for treatment(272ng/dl) and that I am too young to begin treatment (I'm 32).  He actually suggested I take a B12 supplement for my symptoms, which kind of pissed me off.  Before starting treatment I had low energy levels, I was lifting but just couldn't muster the will to get to the gym more than 2-3 times a week.  I work from home and I was spending my lunch breaks napping in bed (thats not me).  I'm married with two kids and had a pretty low sex drive and performance issues compared to just a handful of years prior and my wife is very attractive and we are close.  I felt depressed and frustrated all the time.  I couldn't get my body fat down, I was up to 260lb at one point.  I was 180lbs when I was 21.  Just didn't feel like me anymore.  And the doc tells me to take B12 like I wasn't already taking a multi and drinking monsters like water...

So I'm a little skeptical about talking to another GP.  I would be interested in talking to a Urologist but I don't really know how to talk to them about it.  I don't want them to think I'm seeking injectibles like I'm trying to be a bodybuilder on steroids or something.  I just can't go back to the way it was but I can't afford to keep spending this kind of money long term.

You really should not feel weird about this.  You had very low testosterone levels (2 tests under 300) with symptoms.  A doctor diagnosed you, then prescribed treatment that worked.  It is really an open-and-shut case of hypogonaism, especially if you have those old tests to document your low testosterone (should be in your medical file with the clinic, I assume).  For a good doctor, this is an easy call.  Now, you may not get the same dosage, especially if you are now testing above range.  But if your current doctor is over-prescribing, that is on him.  It does not change the fact that you have a medical condition that needs treatment.  The only reason you are looking to change doctors -- because you can't afford your current out-of-pocket care, is completely legitimate.  Your health insurance may have stricter rules about coverage, especially for the Rx, but you can still probably find a way to save money.  (If you do need to pay for the Rx yourself, check goodrx.com for good prices in your area.)
Title: Re: Am I paying too much for my TRT?
Post by: PeakT on January 05, 2018, 02:08:29 pm
Thanks for all the info guys, I really appreciate it.  I haven't had anyone to talk to about this stuff since I started so its nice to hear some other experiences and opinions. 

I think maybe what I am looking for is some advice on how to talk to a new doctor about continuing treatment in a way that insurance will cover.  I have good insurance.  When I saw my regular doctor about this first he said basically that my test number wasn't low enough to be considered for treatment(272ng/dl) and that I am too young to begin treatment (I'm 32).  He actually suggested I take a B12 supplement for my symptoms, which kind of pissed me off.  Before starting treatment I had low energy levels, I was lifting but just couldn't muster the will to get to the gym more than 2-3 times a week.  I work from home and I was spending my lunch breaks napping in bed (thats not me).  I'm married with two kids and had a pretty low sex drive and performance issues compared to just a handful of years prior and my wife is very attractive and we are close.  I felt depressed and frustrated all the time.  I couldn't get my body fat down, I was up to 260lb at one point.  I was 180lbs when I was 21.  Just didn't feel like me anymore.  And the doc tells me to take B12 like I wasn't already taking a multi and drinking monsters like water...

So I'm a little skeptical about talking to another GP.  I would be interested in talking to a Urologist but I don't really know how to talk to them about it.  I don't want them to think I'm seeking injectibles like I'm trying to be a bodybuilder on steroids or something.  I just can't go back to the way it was but I can't afford to keep spending this kind of money long term.

Lots of ideas to find doctors via the insurance-backed route here:

http://www.peaktestosterone.com/Hormone_Replacement_Therapy_Doctors.aspx

I've got some ideas from past threads, etc
Title: Re: Am I paying too much for my TRT?
Post by: kcrunner on January 06, 2018, 08:26:53 am
Thanks for all the info guys, I really appreciate it.  I haven't had anyone to talk to about this stuff since I started so its nice to hear some other experiences and opinions. 

I think maybe what I am looking for is some advice on how to talk to a new doctor about continuing treatment in a way that insurance will cover.  I have good insurance.  When I saw my regular doctor about this first he said basically that my test number wasn't low enough to be considered for treatment(272ng/dl) and that I am too young to begin treatment (I'm 32).  He actually suggested I take a B12 supplement for my symptoms, which kind of pissed me off.  Before starting treatment I had low energy levels, I was lifting but just couldn't muster the will to get to the gym more than 2-3 times a week.  I work from home and I was spending my lunch breaks napping in bed (thats not me).  I'm married with two kids and had a pretty low sex drive and performance issues compared to just a handful of years prior and my wife is very attractive and we are close.  I felt depressed and frustrated all the time.  I couldn't get my body fat down, I was up to 260lb at one point.  I was 180lbs when I was 21.  Just didn't feel like me anymore.  And the doc tells me to take B12 like I wasn't already taking a multi and drinking monsters like water...

So I'm a little skeptical about talking to another GP.  I would be interested in talking to a Urologist but I don't really know how to talk to them about it.  I don't want them to think I'm seeking injectibles like I'm trying to be a bodybuilder on steroids or something.  I just can't go back to the way it was but I can't afford to keep spending this kind of money long term.

It sounds like your GP isn't a good one for someone your age.   Even if you don't get a GP to handle your TRT, I would still find another GP.   A lot of GPs mostly treat old people these days and that is their mindset.   
Title: Re: Am I paying too much for my TRT?
Post by: PeakT on January 06, 2018, 11:45:00 am


It sounds like your GP isn't a good one for someone your age.   Even if you don't get a GP to handle your TRT, I would still find another GP.   A lot of GPs mostly treat old people these days and that is their mindset.

Yeah, a lot of times a fertility specialist will be good and have decent experience, esp. with younger men