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Author Topic: Am I paying too much for my TRT?  (Read 3115 times)

chainsaw

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Am I paying too much for my TRT?
« 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!

PeakT

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Re: Am I paying too much for my TRT?
« Reply #1 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? 
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program.aspx
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

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Re: Am I paying too much for my TRT?
« Reply #1 on: January 02, 2018, 01:51:53 pm »


Pennywise09

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Re: Am I paying too much for my TRT?
« Reply #2 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.
Age: 34 Height: 6’ Weight :195
Protocol: Test Cyp 50mg every 3.5 days
Weight lift 5 days a week

Mindscape

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Re: Am I paying too much for my TRT?
« Reply #3 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.

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Re: Am I paying too much for my TRT?
« Reply #3 on: January 02, 2018, 01:52:28 pm »


chainsaw

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Re: Am I paying too much for my TRT?
« Reply #4 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.

chainsaw

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Re: Am I paying too much for my TRT?
« Reply #5 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.

Cataceous

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Re: Am I paying too much for my TRT?
« Reply #6 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.
I am not a medical doctor; any suggestions are meant to be discussed with your doctor.
Age: 57, Ht: 5'10", Wt: 158 lbs
Protocol: 18 mg T enanthate subQ qod, 250 IU hCG subQ qod, 70 mcg anastrozole qod, 6.25 mg DHEA orally bid
7-12/2018 test results: TT: 800 ng/dL, E2: 31 pg/mL LC/MS-MS, DHEA-S: 264 ug/dL (49-344)—SHBG ~30 nmol/L

chainsaw

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Re: Am I paying too much for my TRT?
« Reply #7 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?

charliebizz

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Re: Am I paying too much for my TRT?
« Reply #8 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

sh1209

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Re: Am I paying too much for my TRT?
« Reply #9 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.

HRT Guru

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Re: Am I paying too much for my TRT?
« Reply #10 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.

Cataceous

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Re: Am I paying too much for my TRT?
« Reply #11 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.
I am not a medical doctor; any suggestions are meant to be discussed with your doctor.
Age: 57, Ht: 5'10", Wt: 158 lbs
Protocol: 18 mg T enanthate subQ qod, 250 IU hCG subQ qod, 70 mcg anastrozole qod, 6.25 mg DHEA orally bid
7-12/2018 test results: TT: 800 ng/dL, E2: 31 pg/mL LC/MS-MS, DHEA-S: 264 ug/dL (49-344)—SHBG ~30 nmol/L

sh1209

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Re: Am I paying too much for my TRT?
« Reply #12 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 I’d be a moron to pay $2-3000 a year for something I get covered by insurance, but to each his own.

Boxcar

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Re: Am I paying too much for my TRT?
« Reply #13 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.
Age: 36
178 lbs 5'8''

Current Treatment: 50 mg testosterone cypionate IM, twice a week
Low T Symptoms: Chronic pelvic pain, and other neuropathic pain.  Mild anxiety, low energy and low motivation
Meds: Amitriptyline (for pain, not depression), Clonidine (for sleep, not blood pressure)

PeakT

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Re: Am I paying too much for my TRT?
« Reply #14 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!
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program.aspx
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: Am I paying too much for my TRT?
« Reply #14 on: January 02, 2018, 11:49:11 pm »