This is perhaps the worst advice on this forum to date. Endocrinologists literally are the worst doctors to go to for TRT. The majority of endocrinologists are still using outdated dosing protocols and are perhaps the farthest resource from actually helping someone find their ‘sweet spot’.
I can’t speak for all endos, but I tried going to an endo when I first started to try and get treated for my low testosterone, and it was a complete waste of time. The guy was in his early 30’s, so I thought there was a chance he might be up to date on things and be able to help me, but that ended up not being the case at all. He not only had no clue about sex hormones and how they work within the body, but he tried to scare me to death about even considering TRT. He acted like TRT was basically a death sentence, and that I would die at a very early age from all sorts of cardiovascular issues if I ever went on it. He also unfortunately had no idea why I was feeling so horrible. He couldn’t give me one option or piece of advice on how to proceed and feel better. Through him, and through working in the medical field for almost 20 years, I’ve learned that endos basically only get taught about the thyroid and diabetes, because those are where all the money is at when it comes to treating endocrine issues with pharmaceutical drugs. All most doctors are, are legal drug dealers for big pharma. They basically just get taught how to diagnose, and prescribe medications to treat that diagnose. There’s no money in treating disorders with bioidentical hormones, therefore endos don’t get taught about them. And they might be worse to go to then say a general family doctor, because endos feel like they know everything there is to know about hormones, and probably won’t be as open minded as other doctors that don’t have that all knowing egocentric type thinking when it comes to hormones
And apparently content to manage hematocrit through bloodletting. And you need or want Trimix. But I don't know your protocol, and maybe your guy is quite knowledgeable and the treatment is ideal for you. However, the collective experience is that most doctors, including urologists and endocrinologists, have a rudimentary understanding of TRT. The urologist I went to after giving up on my GP saw my total testosterone in the low 300s ng/dL and pronounced me "normal" and refused treatment. To her credit, the endocrinologist I saw next knew enough to check free testosterone by a reasonable method, and upon finding it low was willing to prescribe testosterone cypionate. However, the protocol was a 200 mg injection once every two weeks.
I agree. Most physicians and specialists have no clue and categorize T levels 300-800 as normal and dismiss the patients symptoms. It took me about 3 years to get connected to a professional who treats symptoms not numbers.
Formal authority is perhaps the lowest marker or predictor of credibility.
