These are the most common questions we encounter with prospective TRT patients.
How do I get a prescription for testosterone?
We have you fill out some forms, our specialist will assess you, the patent takes a blood test. The test assesses the current level of testosterone in the blood, if warranted, then issue a prescription for testosterone or a variant that the patient chooses. A total of 2 separate natural testosterone level tests are required for a prescription. Like all replacement clinics in Calgary, there is a fee for assessment that is not covered by Alberta health or by insurance companies. The full price for the consultation is $1000 but we are discounting this to $750 payable at the time or in advance of your appointment. The fee is immediately fully refundable if the patient is eligible for replacement therapy.
What age am I eligible for Testosterone Replacement Therapy?
From the time a mans growth plates close, around 25 years old, TRT can be use to restore testosterone levels.
Why can’t I get testosterone prescription from my regular GP?
The problem is most GPs are generalists and are not equipped with the training to recognize and address the complicated nature of hormone deficiency. The second issue is the question of free testosterone test ranges. The range covers babies to elderly men- if you are in the bottom part of this range and are under 40, it is like being lumped in with elderly males. And we think that is a big problem.
How many clinics across Canada do you have?
This is a pretty revolutionary therapy, we are one of the first pushing the envelope and talking about testosterone deficiency. So we are starting in Calgary.
Once TRT is started, what is the time that it will take to see positive body changes?
It is known that testosterone decreases body fat and has other positive effects like increasing lean muscle tissue, energy level, stamina, and cognitive improvement, a vital piece is your caloric intake and weight training program.
When patients are given testosterone, the amount of recovery and progress will exceed males with lower or sub-optimal hormone levels. We advice you work with a local Calgary personal trainer to assess and correct baseline muscle imbalances and give written diet advice.
How much time before I start to “feel great, look better”?
The length of time for your body to metabolize and boost testosterone levels in the body, varies greatly from patient to patient. The variables and barriers to the greatest positive changes are:
- Overall body fat %
- Initial fitness level
- Training regimen
But in general, men taking exogenous testosterone boosters such as testosterone enanthate notice a difference within two to four weeks. Generally starting in quality of morning erections, energy levels, recovery, and a sense of wellbeing and steadfastness.
Who aren’t candidates for testosterone replacement therapy?
People with moderate to severe sleep apnea as Testosterone replacement can, in some cases worsen the condition.
- Men with normal or high normal levels of testosterone, will probably not be eligible for TRT.
- Couples who are attempting to have children: Men may experience a reduction in sperm count leading to infertility, and for that reason will not be able to have children. This is not always the case though.
- Men with current prostate and breast cancer may in some cases, testosterone can accelerate it’s progression. But this is not always the case- recent studies have shown that testosterone administration actually regresses prostate cancer. study here
What are side and adverse effects of TRT?
Blood clots may possibly develop (particularly in the veins in the legs) due to the surge in red blood cell generation. Nevertheless, one study performed by the British Journal of Medicine showed that a thrombus develops in about sixteen people out of ten thousand.
The most frequent time being in within the first Six months of commencing TRT. Following Six months, the chance decreases dramatically. A similar study completed in Chest (a U.S. medical journal) found that there wasn’t any connection between blood clot formation and TRT. Irregardless, clot formation is one reason why regular blood testing is important to ensure that your levels aren’t too high. In case a blood clot forms, subsequently TRT needs to be ceased and remedy for the blood clot must be started. One suggestion by the medical journals to lessen the increase in thrombus would be to donate blood, especially within the first 6 months following TRT treatment
•As mentioned previously, TRT may cause acceleration of benign prostatic hyperplasia, an age related, dosage dependent temporarily enlargement of the prostate gland. Routine check-ups will likely be vital to monitor, treat BPH, or modify or even discontinue TRT temporarily or permanently.
•Breast development (gynecomastia) may occur in males in the event the testosterone levels are too high for the reason that excess testosterone may be converted to estrogen. This specific symptom can easily be treated by either decreasing the levels of testosterone or with the use of an estrogen blocking medication. Anecdotally, males with a higher percentage of body fat will require higher amounts of AI (aromatase inhibitor), those same males will require less AI as they decrease body fat.
•unwanted growth of hair in women?: There is less potential for unwanted hair growth with normal testosterone compared to synthetic hormones.
•Acne can develop after starting TRT therapy, more notably in those who have a history of acne in the past. We have found several root causes, particularly, bad diet, high estrogen, sudden increase in testosterone levels, kind of testosterone preparation, and discontinuation of testosterone. Use monitoring of estrogen levels is very effective in combatting acne. The majority of patients with good diets, and optimal body fat taking under 500mg a week of testosterone generally do not require an AI and are relatively negative side effect free.
•Testicular shrinkage of various levels may occur since the testicles aren’t generating testosterone and since they do not have to work all the time, they may undergo a decrease in dimension and volume (“testicular atrophy”). This does not happen to all TRT patients, if excessive shrinking is occurring, using a product like HCG, (Human chorionic gonadotropin) will return the testicles to the normal size.
More questions & answers coming
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