Life Extension Forums




Testosterone Replacement Therapy For Men: my experience

Author Message
 Posted 1/24/2011 8:32:04 PM
Participant

ParticipantParticipantParticipantParticipantParticipantParticipantParticipantParticipantParticipant

Status: Member
Group: Forum Members
Last Login: 9/7/2011 9:38:19 PM
Posts: 22, Visits: 27
I had classic symptoms of "andropause" and I studied it to death and searched out a Dr. that specialized in "Bioidentical Replacement Therapy" ... everything I read made this sound to be a no brainer approach and would be the lowest cost.

Here is summary of this initial experience:  first, nothing was covered by insurance, so all the labs and Dr. visits came out of my pocket.  Second, this Dr (and many similar) heavily pushed their in-house pharmaceutical grade supplements and pushed other preventative tests, "state-of-the-art new supplements", and custom compounded hormones.  The Dr visits were $250 per visit, and the supplements came out to about $300 per month, and labs were $200 to $450.  The monthly compounded Testosterone cream was $45 per month.  After a year of this, I spend a few thousand dollars and only had marginal improvement in my testoserone levels and just never felt the full range of benefits which are so nicely summarized in articles and books. 

I decided to try a new approach and asked my family Dr if he could "take over" the treatment.  He prescribed the pharmaceutical "Androgel" and immediately I felt better and the dosage at 1% 5mg was the equivalent to what the testosterone that was "compounded" custom for me.  It's been over year now and I haven't looked back.

In my situation, the pharmaceutical option worked much better and it was covered by insurance.  For the same dosage, the Androgel clearly worked better, as verified by lab tests and quality of life, compared to bioidentical compounded.  And also, my out of pocket expenses were only $30 per month and I didn't have to deal with having other products and services to be heavily pushed.

In summary, the bioidentical experience was a huge disappointment (and costly) for me.


Tags:
Post #1152
Add to Twitter Add to Facebook
 Posted 1/27/2011 4:15:48 AM
Spectator

SpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectator

Status: Member
Group: Forum Members
Last Login: 4/28/2013 4:37:42 AM
Posts: 1, Visits: 5
That's disappointing. I am on Andro now 5%. Just started 1 week but feel more energy. Morning "wood" returning too. But I am seeing an endrocronoligist today to discuss bio id hormones and testing that my Urologist did not do (estrogen/estrodiaol). Will advise what I discover. This is a local MD who takes my insurance. But my ins is coverign Andro as of now...$40/mo is worth it to me if the compounded cream works better...
Post #1190
Add to Twitter Add to Facebook
 Posted 1/27/2011 7:49:25 AM
Participant

ParticipantParticipantParticipantParticipantParticipantParticipantParticipantParticipantParticipant

Status: Member
Group: Forum Members
Last Login: 9/7/2011 9:38:19 PM
Posts: 22, Visits: 27
Good luck with your results and hope they continue good.  I am just so disappointed with my bioidentical experiment.  Everything I read made it sound like it was perfect and the lowest cost option.  I literally spent thousands of dollars following the recommended protocol by the "innovative Dr."  It was starting to become such a huge drain on my wallet, that I switched to pharmaceutical Androgel because I just couldn't afford the "low cost bioidentical" option.

I'll speculate that the "delivery method" of Androgel is better absorbed than compounded cream.  I can't think of any other reason why it worked so much better and so quickly.

I have continued looking for another Dr to discuss bioidentical, but I'm now convinced this is best left for those with lots of spare money to spend ... I found that "the good Drs" do not even bother with insurance and all the ones I researched, wants to do a lengthy "intake appointment" and give massive supplement prescriptions.

Has anybody actually found a Dr who will just take care of your hormones and that's it?  (no "emotional studies", "nutritional analysis", and no costly "supplement regimens"?

My humble advice to those who find a promising Dr:  if you see his office also sells supplements, run away far and fast!  (don't believe?  just look at the anti-aging trade shows for Drs and you will see several workshops focusing on "how to boost your practice's income by offering supplements and bioidentical hormone monitoring")
Post #1192
Add to Twitter Add to Facebook
 Posted 1/28/2011 1:26:08 AM
Forum Associate

Forum AssociateForum AssociateForum AssociateForum AssociateForum AssociateForum AssociateForum AssociateForum AssociateForum Associate

Status: Member
Group: Contributors
Last Login: 4/6/2014 9:42:02 PM
Posts: 1,568, Visits: 2,089
I like your approach, be skeptic and be your own health advocate with both mainstream and "innovative" doctors. Btw I used a cycle of Androgel (aka Testogel 50mg here in Europe) and it worked perfectly fine Smile
Post #1200
Add to Twitter Add to Facebook
 Posted 2/25/2011 3:12:14 PM
Spectator

SpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectator

Status: Member
Group: Forum Members
Last Login: 2/24/2014 12:20:17 AM
Posts: 4, Visits: 134
I'm 54 soon to be 55.

I stumbled upon Superhuman Radio on the net (Dr Michael Smith is a regular guest).

They have archived prior shows including one on a suplement called "Erase" an aromatase inhibitor.

I decided to give it a go at the recomended dosage and I'm very pleased with the results.

I've experienced fat loss, better mood, better sleep.

Results were noticable within 4 days.

Try it, if it works for you you'll save fortune.

Make sure you have blood work to verify its performance.

I have no financial interests in the above companies.
Post #1607
Add to Twitter Add to Facebook
 Posted 2/28/2011 10:48:57 AM
Spectator

SpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectator

Status: Member
Group: Forum Members
Last Login: 3/4/2011 9:53:21 AM
Posts: 1, Visits: 4
Seaexplorer,

Thank you very much for posting your experience.

I was diag with 'low T' back in December and my family Dr basically just said "gels or injections?" and that was it. No testing of estradiol, SHBG, free T, PSA, etc. I had to do all the research on current concepts in HRT and present him with the info. Then he agreed to do those tests.
He had never Rx an aromatase inhibitor or hCG - just testosterone.
Also, he started me out at a much higher dose of test that necessary and I had to monitor and adjust my weekly dose to which he agreed.

I felt like I was doing all the work and thought about going to one of those bio-identical groups which is very popular and has one of their Drs near me, but the fees are as you had described. Not going to happen.

Thankfully, I have a good friend not too far away who is seeing a very well-versed endo who also has worked with one of those bio-identical groups in the past and he consulted with me over Skype. Basically told me what I was doing was a good job and to save my money. He suggested a few other items for me to talk to my current Dr about and we agreed on a reasonable consult fee in case I would like to Skype-consult with him again down the road.

Your post helped confirm my suspicions too.

Be well,
V
Post #1627
Add to Twitter Add to Facebook
 Posted 3/15/2011 3:23:57 PM
Spectator

SpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectator

Status: Member
Group: Forum Members
Last Login: 3/18/2011 2:51:32 PM
Posts: 5, Visits: 53
I had a great experience with BioTest as you can see by my screen name lol

It is expensive, or can be. you have to shop doctors. I got lucky on my first go round, I've been
off for 2 years for lack of funds. The doctor I picked from my compound pharmacy approved list,
was a cosmetic surg specialist and was just getting his toes wet in Bio.

But his theory/protocol was sound, at least it turned out well for me. In theory they target the 
baseline for a 25yo male. Then to 'jack' your pituitary (?) or kick start the on/off test cycle, he ramped up the 
prescription to more than I could possibly need, and slowly brought me down. It worked great.

Of course, the initial amount really 'woke' me up, the body responded really well. I didn't really feel it
for about a week to 10 days. It was more noticeable when I hit the gym. 

talk about feeling 30 again!!!

Doc dropped the Bio a yr later as it took him and his PA too much time and not enough $$ from it to
justify. I think it was $90 for a visit, 3 times a yr. and saliva test, was 60 or 70.  Not sure why he even bothered, with the high end clinic and cos surg business.

I just began looking around again. And found what a deal my old doc was giving me. The one I settled on wants 700 initial consult fee, 36 for blood test, and $60 monthly main/consult fee. That was down from $99, and his assistant came down to $60 when I about fell out of my chair, and told her I wanted to check around. Bottom line with him though, is after the initial consult jack fee, my annual expenses will be around $1000 maybe a little more, including the script.

There really seems to be inconsistent between bio doctors as to how to administer the program, but they are all expensive programs. The laugher is the script itself is only 40-45 and as you come down to a maintenance level the cream i was taking, can last around 60 days. 

I read some of the other posts about bio, and my experience was drastically different. Like I said, i think there's a disparity as to how to administer. My first doc seemed to know exactly how. But he was also a lifter and had personal experience with the hormone cycles and may have been taking the bio himself.

Bottom line, shop doctors, ask them point blank, how the bio protocol is going to work on your own system. That will tell you if they are novices. If they don't want to get into it, shop around.
Post #1870
Add to Twitter Add to Facebook
 Posted 3/16/2011 7:48:20 AM
Forum Manager

Forum Manager

Status: Member
Group: Managers
Last Login: 4/5/2014 7:30:52 AM
Posts: 114, Visits: 393
Mikee5 (2/25/2011)
I'm 54 soon to be 55.

I stumbled upon Superhuman Radio on the net (Dr Michael Smith is a regular guest).

They have archived prior shows including one on a suplement called "Erase" an aromatase inhibitor.

I decided to give it a go at the recomended dosage and I'm very pleased with the results.


Did you have blood work done before and after taking the product? What were the effects on E2?


____________________________________________________

Author, industry consultant, and owner of Brinkzone.com

LEF Member, since 1993!

"Principle is a terrible thing, because it demands not what is convenient but what is right. " - Jonathan Turley
Post #1882
Add to Twitter Add to Facebook
 Posted 3/16/2011 11:00:45 AM
Forum Coordinator

Forum Coordinator

Status: LE Employee
Group: Managers
Last Login: Yesterday @ 5:13:35 PM
Posts: 1,723, Visits: 6,375
Welcome, Erik, and thank you for contributing.

D Dye
Moderator
Post #1884
Add to Twitter Add to Facebook
 Posted 3/16/2011 2:49:26 PM
Spectator

SpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectatorSpectator

Status: Member
Group: Forum Members
Last Login: 3/18/2011 2:51:32 PM
Posts: 5, Visits: 53
no blood work, saliva test after being 'on' for 3 months, and regular 3 month intervals

I don't recall my E2 levels, but going by the saliva test, I was borderline on test. I don't recall any 
thing being totally out of line, including E2

I will see if I can locate the old tests, and post the results. 

Brad
Post #1890
Add to Twitter Add to Facebook


Similar Topics

Expand / Collapse

Reading This Topic

Expand / Collapse