Why are so many pcp’s idiots?

[maldorf]

i thought the ill effects of aas were due to the test level itself being too high not the fact that you inject it. being in the normal range shouldn't cause problems.

Well, when you inject the levels can peak a bit higher than normal and fluctuate a lot more than when you are natural. What some of the guys are doing on here with 10mg/day subq would help to simulate more closely what the human body does naturally. I think I have seen studies showing it is healthier. Pretty sure that using the daily gel keeps down hemoglobin some as it is a constant slow release of the hormone.

I myself just inject once a week, 100 mg. Im not having any bad problems with it and prefer it for its simplicity and low hassle.

 

[muscle96ss]

Most PCP's lack the education to properly understand TRT. You add that to the political environment and stigma of "testosterone" and most physicians aren't going to go against the grain as well as they fear how they will be viewed by the rest of the medical community if they prescribe it.

 

[Dvo36]

Maldorf,

Do you do subq injections? I’ve been reading that the absorption rate is higher.

 

[maldorf]

Maldorf,

Do you do subq injections? I’ve been reading that the absorption rate is higher.

No, I just do the standard IM injection with a 23gauge 1 inch. 100 mg/wk. Puts my total test around 800 or so 2 days after injection. I think that is about the peak.

 

[Reload]

Patients have become much more letigious and aware of their rights hence physicians have become much more risk averse w/o long term studies.

 

[brutus69]

Why do I need to lower it? My RBC is good. If I dropped my TRT dosage that would drop my free test which is perfect where it is now.

dont pay attention to that guy.
you're right, free is what counts. but i'd look into why so much of your total test is bound, that shbg number....
if my test range went to 1100 and my result was 1400, over the range, my free would be over also. the free test scale went to 155 and my result was 196 last time i checked.
but, i didnt do full bloods so i dont know where my lh, shbg, etc were.

 

[buck]

I had a great pcp that left as well. I seen two and both are idiots but the first guy I seen sounded like a complete moron. They spend most their time prescribing blood pressure meds to elderly people and when patients with random issues come in they don't have the training to deal with it.

I need to take my own advice and keep shopping for a new doc. I have patients come into my work and state they fired their doctor. That's the perspective we all should have. They work for you!

I did have a Dr. dismiss me ounce saying he couldn't work with me. As I pay their salary I always figure they are my employees. Course they may not like the general air I have about me with that thought in mind.

 

[WhyIncision]

Most PCP's lack the education to properly understand TRT.

HA! They're well educated on testosterone. If I, a chiro, was educated during school on hormones, especially testosterone, they were too.

It comes down to, why risk their license to practice medicine? MD's philosophy is evidence based. It's how they cover their asses. If they prescribe you something with little to no long term evidence based studies, they could get sued if something goes wrong. That's why if you do not agree with a decision they make, you bring evidence with you the next visit, show them the systematic reviews/RCT's/etc.

 

[upeccmi]

I had a conversation with my ortho last year while getting my shoulder looked at. I talked to him about HGH and test and he knew nothing. He looked at me and said, "wow, maybe I should try getting on this stuff"...truth!
I went to my GP a couple months ago as he has me on Tramadol for my pain, I asked him about possibly trying CBD oil or something along the medical pot route, he knew nothing and told me just to stay with the Opioid.
So hard to find a good knowledgeable doctor now, it's all about getting you in and out and collecting the fee.

 

[Reload]

I had a conversation with my ortho last year while getting my shoulder looked at. I talked to him about HGH and test and he knew nothing. He looked at me and said, "wow, maybe I should try getting on this stuff"...truth!
I went to my GP a couple months ago as he has me on Tramadol for my pain, I asked him about possibly trying CBD oil or something along the medical pot route, he knew nothing and told me just to stay with the Opioid.
So hard to find a good knowledgeable doctor now, it's all about getting you in and out and collecting the fee.

The ortho surgeon who repaired my shoulder knew nothing about BPC-157 or TB 500. Looked at me like I was speaking Chinese. lol

 

[maldorf]

The ortho surgeon who repaired my shoulder knew nothing about BPC-157 or TB 500. Looked at me like I was speaking Chinese. lol

Why would he? Pretty sure neither is approved by the FDA for medical treatment. They have no training in something they can't legally give to a patient. No reason to know about it.

 

[chinaboy]

The doctor I work with now it totally cool and listens when I tell him about kratom, grey market products and what ever. He doesn't bat an eye when a patient says they smoke weed for pain relief. Its nice to work with a normal person. I also work along with doctors who have no clue about this stuff and think marijuana is the devil. Its crazy how a person's personality can sway the outcome of many patients.

 

[muscle96ss]

HA! They're well educated on testosterone. If I, a chiro, was educated during school on hormones, especially testosterone, they were too.

It comes down to, why risk their license to practice medicine? MD's philosophy is evidence based. It's how they cover their asses. If they prescribe you something with little to no long term evidence based studies, they could get sued if something goes wrong. That's why if you do not agree with a decision they make, you bring evidence with you the next visit, show them the systematic reviews/RCT's/etc.

Of course they receive basic endocrinology and have to have a basic understanding of the physiology. But if you think that means they understand TRT and received training on the benefits of keeping testosterone at optimal levels and risks of both high and low test; then you are incorrect. Don't forget we are talking about PCP's here, not specialists. I would be willing to bet that there are a ton of people on this board alone that know more about TRT than the majority of PCP's. The PCP's that do understand it, it is not because of the training they received in school; but from the continuing ed they received at a later date.

 

[Sides]

Primary care physicians, by necessity, are used to dealing with the general population. Go down to the local Wal-Mart, post office, or DMV, stand in line and look at all the "normal" people around you, these are the people your doctor is used to seeing on a daily basis, and most of his or her training is based on that general population.

Most of the patients that most doctors see are fat, don't work out, live off junk food and soda, and have mostly sedentary lives where many of their problems are based on their lack of physical activity and a healthy diet. Primary care physicians are used to treating the problems of the general population on a daily basis, and most physicians don't have much training or experience in the more esoteric problems faced by the fitness, bodybuilding, or TRT/HRT community.

It's hard work but worth the effort to seek out a primary care physician who is used to dealing with a more athletic population, just so they have more experience and a better appreciation for dealing with the specific problems that we face.

I've learned, with all my doctors, to take what they say with a grain of salt, and then to seek out other opinions from people who are experts in dealing with my specific concerns. Doctors are human beings, and just like anybody else, they make mistakes and are not omniscient, they don't know everything about every problem under the sun. But generally, they do mean well, and from their perspective they are trying to give you the best advice they can on improving your health, which may be in opposition to your athletic or physique enhancement goals.

Try to find doctors with the most relevant experience you can in dealing with your specific problems, have them order the bloodwork or get your own bloodwork done, and look at the numbers, take them to different experts and try to get a consensus opinion on the best course of action for your specific situation.

 

[maldorf]

Primary care physicians, by necessity, are used to dealing with the general population. Go down to the local Wal-Mart, post office, or DMV, stand in line and look at all the "normal" people around you, these are the people your doctor is used to seeing on a daily basis, and most of his or her training is based on that general population.

Most of the patients that most doctors see are fat, don't work out, live off junk food and soda, and have mostly sedentary lives where many of their problems are based on their lack of physical activity and a healthy diet. Primary care physicians are used to treating the problems of the general population on a daily basis, and most physicians don't have much training or experience in the more esoteric problems faced by the fitness, bodybuilding, or TRT/HRT community.

It's hard work but worth the effort to seek out a primary care physician who is used to dealing with a more athletic population, just so they have more experience and a better appreciation for dealing with the specific problems that we face.

I've learned, with all my doctors, to take what they say with a grain of salt, and then to seek out other opinions from people who are experts in dealing with my specific concerns. Doctors are human beings, and just like anybody else, they make mistakes and are not omniscient, they don't know everything about every problem under the sun. But generally, they do mean well, and from their perspective they are trying to give you the best advice they can on improving your health, which may be in opposition to your athletic or physique enhancement goals.

Try to find doctors with the most relevant experience you can in dealing with your specific problems, have them order the bloodwork or get your own bloodwork done, and look at the numbers, take them to different experts and try to get a consensus opinion on the best course of action for your specific situation.

In many cases you will get better advice and treatment if you seek out a specialist. For HRT you may be better off finding a good endocrinologist. For join problems see an ortho. Heart, see a cardiologist. Etc. Even then though, especially with TRT, you are going to encounter some issues but I think you are better off.

 

[nothuman]

I’d say 4 out of every 5 doctors/RN’s I see are idiots and a waste of time when it comes to these things. If I didn’t live in a state where you’re required to have a doctor order blood tests, I wouldn’t have to deal with their incompetence. I could write a book with all the stories I have. People who blindly follow anything their doctors say aren’t serious enough about their health. In this day and age, with medical malpractice being the third leading cause of death in America, we need to take control of our own health and use the resources we have to our advantage. I’m in a Facebook group among people who have had heart issues and I’m amazed at all the posts where people state what their doctors advise. I’d try to steer them in the right direction but why would they listen to a nobody like me over their almighty doctor.

I have even more respect now for all the good open minded doctors out there who are ahead of the curb and keep up with the latest advancements in science and nutrition. They’re the real heroes.

 

[Reload]

I have even more respect now for all the good open minded doctors out there who are ahead of the curb and keep up with the latest advancements in science and nutrition. They’re the real heroes.

:yeahthat:

 

[bryce]

Like shopping for clothes. Have to find the right fit!

:yeahthat::yeahthat::yeahthat:

 

[jeroendebleser]

generally speaking, you need to be diagnosed with ADD or ADHD by a clinical psychologist in order to get Adderall nowadays.


at least in the US

Over here in Belgium also I assume, at least nowadays.

Years ago before I had my ADHD-diagnosis, I was put on Dextroamphetamine also but even then I was probably more the exception than the rule.

 

[lntense]

If someone can get through medical school then chances are they aren't an idiot. Close minded maybe, and many refuse to continue to learn.

Endocrinology is very brief so I have heard, so many just have no clue unless they do additional research for themselves or specialize in that area.

generally speaking, you need to be diagnosed with ADD or ADHD by a clinical psychologist in order to get Adderall nowadays.


at least in the US

I don't think so, not even generally speaking in my experience. My pcp prescribed 20mg and I wasn't even really wanting it. I have several friends that also are prescribed it as well. And my gf by her pcp.



He did turn down my request for trt though even after blood work came back very low.