To reply to your main query, DDD- I am a recent patient of theirs. Can't speak for long term care, but so far they seem very agreeable.
I did visit two other local clinics in Florida. One more than 1 year ago when I first began researching TRT and doing blood work. This clinic recommended in office injections every two weeks, did not offer at-home administration and was a bit pricier ($65 every injection).
The other clinic I visited before
Defy- they seemed more agreeable, offered in home administration options, was open to using different compounded blends of cypionate/propionate to see what worked best for me, and the director I spoke with there (prior to consulting the doctor) was very generous with his time. He seemed on top of the current best practices and I felt confident that i would receive good care there. If circumstances were different, I might have gone with them.
The sticking point was cost- base cost was $99/month, plus bloodwork plus twice annual consultation fees, plus an annual membership fee. This included the prescription, needles and syringes, all shipped to your door. If HCG was indicated on your protocol, cost jumped to $175/month and if an AI was necessary, cost would jump to $200/month. In total, I was looking at an estimated $3000+ annually.
Defy in contrast, is roughly half of that for me, including medications, consultations and bloodwork. Plus they have the endorsement of Nelson and many members here. I have the ability to either order supplies (needles/syringes, etc.) from them at a reasonable cost (30c each), or purchase my own supplies (such as from
http://www.allegromedical.com/).
I live close enough that I visited the office, and
Dr Saya was similarly gracious with his time during my consultation. He answered all my questions and concerns, and
did not pressure me when I indicated that I was still on the fence. He was honest about the possible risks and benefits, and seemed to appreciate the effort I put in to self care, and how exhaustive I'd been in my research, tracking and self-experimentation.
I've had a couple of minor questions thus far and his staff has been mostly helpful. Though I would certainly consider tweaking and experimenting with my protocol as time goes on (for example, I would be open to more frequent injections or experimenting with different esters (propionate rather than cypionate), I recognize the value of being a compliant patient, so as to minimize variables and determining whether refinement is called for. I trust that the standard of care I'll receive there is high and want to give
Dr Saya and his staff every opportunity to direct the care based on their clinical experience.
We'll see how it works in the long term, but for now I'm comfortable working with them and they've given me every reason to trust them.
