Different schools of thought between doctors

[CoastWatcher]

I was saying that I am currently with a doctor who is a NA and got a degree in homeopathy, nutrition, etc....I'd like to find a MD with a masters degree or an endo/urologist as they might have more extensive knowledge. The irony from what I've seen so far is it turns out that the ones I've gone to don't know enough when it comes to TRT....However, this comes from just my own research, which could be short sighted. For all I know, the doctor I went to, who said my testosterone level, well under 300 is still in the "normal range" and that TRT is dangerous, might actually be right and reading all these forums is pointless for me to do. I hope that's not the case because I surely feel 100 percent better a month on TRT.

Defy Medical is your clinic? Do you guys have one or do you know of similar physican's that you described in Seattle?

Most members of this community initially encountered a doctor (or doctors) who knew next to nothing about androgen management. This is because the management of male androgen issues is given little attention in medical school/residency. It certainly makes sense that an endocrinologist should know a good deal about hormonal issues. But when it comes to testosterone, don't put your money on that bet. I consulted an endocrinologist, he holds an endowed chair at a local medical school in the Canadian city in which I live. He was useless. We see it here time and again. Board certifications mean nothing in this area, endocrinology/urology/internal medicine/family practice, the key is what an individual doctor knows. My own care is managed by a doctor certified in family medicine, and she's as sharp as can be.

So, if you can't find a local doctor, pick up the phone and call Defy Medical. They won't hard-sell you and they will answer all the "hard" questions you may have (price, how the practice works, and so forth). They treat many of our members and Dr. Saya is a moderator here. You can search out his posts by plugging his name into the search box.

As noted, I'm a Canadian. I'm not a Defy patient and have no vested interest in their success. I do hope, however that you can find quality care.

 

[Saul]

Just to clarify as this may be a misunderstanding based on your response to Vince’s post. There isn’t a naturopath at Defy Medical. We have two medical school/residency trained physicians - myself and Dr Calkins, as well as 3 masters-level trained providers (2 physician assistants, and 1 nurse practitioner), as well as 2 RNs and multiple MA’s. Personally, I attended one of the best Medical Schools in the country - University of North Carolina at Chapel Hill!

Dr Saya - If you have time, I have a question. It seems that most General Practice Dr. who do prescribe T go with what seems to be an off the shelf / by the book dose (often 100 mg every 2 weeks). Is there a manual or guide that comes with medicine or the practice that Dr use to prescribe? I work with some Dr and they often refer to standard practice or standard of care for procedures or insurance guidelines and are always worried about liability by not 'going by the book'. Thanks.

 

[Dr Justin Saya MD]

Dr Saya - If you have time, I have a question. It seems that most General Practice Dr. who do prescribe T go with what seems to be an off the shelf / by the book dose (often 100 mg every 2 weeks). Is there a manual or guide that comes with medicine or the practice that Dr use to prescribe? I work with some Dr and they often refer to standard practice or standard of care for procedures or insurance guidelines and are always worried about liability by not 'going by the book'. Thanks.

Yes, they go by a “standard of care” that we all now realize to be horribly inadequate for effective treatment. What’s worse, some actually prescribe a dosage of 200mg once a month!!! For no other reason than that is a recommended dosage option...for aplastic anemia (lol).