Recommendations for an Endo/TRT doc in Toronto?

[Flav]

Looking for an Endo/TRT doctor that knows what hes talking about.
Been shoed off by too many doctors saying my test levels of 12nmol/l are normal because they fall within the range, despite me being 26 years old.

Anyone have any recommendations? of Doctors in the Toronto area?

[natenator]

You are within range but you are on the very low side of that range.

To see an endo you typically need a referral from your Dr.

What is your FREE test or did they only do serum? I've seen high serum but rock bottom free test before so maybe your free checks out fine?

Err shouldn't say high serum and rock bottom free. I've seen mid-high range serum but low free.

[natenator]

Edit: Offtopic discussion!

Trying to limit the my involvement in offtopic thread derailment lol

[nisser]

That would make you just at the end of your 2nd year in medical school. What school?

[Flav]

You are within range but you are on the very low side of that range.

To see an endo you typically need a referral from your Dr.

What is your FREE test or did they only do serum? I've seen high serum but rock bottom free test before so maybe your free checks out fine?

The range is bunk because it doesnt take into account age.
Heres a good link to look up Test levels by age

mens-hormonal-health.com/normal-testosterone-levels.html
I should be nearly double where im at.

They only did a total test... Doc said she'll refer me to an endo, but said if I have any in particular in mind, to let her know (which is why im asking).
Also, apparently it takes upwards of 2 months to get an endo appointment after Ive been referred by my doc. Id hate to wait all that time only to get an endo who says "youre in the range" again. :mad:

[natenator]

You say potatoe, your doc says potato. You say that range is bunk and your Dr. likely says the range you provided is bunk. Either way, you are within range but on the very LOW side of that range which requires further investigation by an endo which she has indicated she'll give you a referral so it seems as though she is doing her job which is a good start.

I'll look in my notes and try to find the one that I have who I am told is good but be prepared for a longer wait. They do more blood work and they'll likely also want CT scan to rule out tumors, etc. Just seeing an endo won't likely have you walking out with a script but stranger things happen :)

[natenator]

Perhaps Blitz-Test can shed some light a good doc as I think I recall him saying he's in med school and looking to specialize in endo...

Praetorian can also help too I imagine with the name of some good Docs in the area...

[Flav]

yeah, would love some names :)

Thanks

[#8]

Dr. Vlad Milosevic

Credit Valley Hospital

Mississauga

Unbelievably cool guy. He understood my competitive athlete background and listened to what had to say and had really good insights of his own. Hands down the best doc Ive ever seen outside of my family doc.

[Baconbits]

http://www.mastersmensclinic.com/

located in burlington

[Flav]

Dr. Vlad Milosevic

Credit Valley Hospital

Mississauga

Unbelievably cool guy. He understood my competitive athlete background and listened to what had to say and had really good insights of his own. Hands down the best doc Ive ever seen outside of my family doc.

Good stuff bro.
How long did you have to wait to see him from the time you got a referral?
Did he put you on TRT?

[#8]

I had been seeing my family doc for a while with ongoing hormonal issues. She referred me after about 1.5 years of not bouncing back due to various reasons. My first visit with him and I got HRT. Ive been on 300mg / every 3rd week shot now for almost a year. I finally feel normal again. I forgot what it was like to have actual testosterone flowing through my body.

[Flav]

I had been seeing my family doc for a while with ongoing hormonal issues. She referred me after about 1.5 years of not bouncing back due to various reasons. My first visit with him and I got HRT. Ive been on 300mg / every 3rd week shot now for almost a year. I finally feel normal again. I forgot what it was like to have actual testosterone flowing through my body.

Damn, you must have went to him with a lot of blood work if he gave u HRT on the first visit lol

when your doc referred you, do you know how long it took to get an appointment with him? I'm hearing around 2 months for endos!

[#8]

to be honest i dont remember. i dont think i had to wait very long cause my family doc rushed me through somehow. i was on some "grey" market supplements that made my blood work come back with some interesting results that had me fast tracked to see him. after talking to him for only a few minutes i was very confident in his strategy to fix my issues. he is a very smart guy who understands the lengths people go to for sports and otherwise. very knowledgeable, friendly, and not at all a "know it all" about vitamin S like most docs seem to be.

[brawler32]

I agree with Baconbits, check out Dr. Komer, am 34 years old and struggled with Test levels on the borderline low 8 - 12nmol with all the low Test Symptoms for about 3 years until I saw Dr. Komer at the Masters Mens Clinic. His Questionarie and bloodwork are very comprehensive. I have been on TRT now for 6 months and I feel GREAT, symptoms 100% resolved. Please understand that it can take 3 - 6 months to feel better and there will be lots of bloodwork to check levels, etc and adjustments with dosages and sometimes adding other ancillaries such as Aromatase Inhibitors and HCG.

[natenator]

So I'm curious for you guys because I am in a similar boat right now. Test levels are low - very low (5.2, rerun tests at 5.8).

My Doc is beyond cool and I am currently doing another course of PCT to see if that helps and if not I know I'll get a referral to a good endo (my doc is well connected) and won't have much issue getting on HRT if that's the direction we decide to go but I'm having a hard time with the waiting when I KNOW I can self medicate HRT myself.

Now I know what some of you guys on HRT went through in terms of mood, etc cause this is a shit ass feeling. My desire to do anything is pretty much nill. Wanting to workout even leaves something to be desired.

So, for some of you... why do you wait when you have self medication options avilable? Is it so you can get the script and it be legit? Or the cost savings of it being covered (assuming you have a med plan).

Thanks!

[Flav]

As weird as this may sound to some of you... Im actually trying to avoid having to go on TRT. Id much prefer to try and get my own test up and running again.
Im looking for a doctor that knows what hes doing... In my perfect world, that doctor would likely help me by suggesting a cycle of HCG + Clomid in an attempt to get things up and running again.

For those of you who have recommended doctors, did they attempt to try and get your natty test up before giving you the green light for the TRT?

[natenator]

As weird as this may sound to some of you... Im actually trying to avoid having to go on TRT. Id much prefer to try and get my own test up and running again.
Im looking for a doctor that knows what hes doing... In my perfect world, that doctor would likely help me by suggesting a cycle of HCG + Clomid in an attempt to get things up and running again.

For those of you who have recommended doctors, did they attempt to try and get your natty test up before giving you the green light for the TRT?

For me, I'd like to have normal test levels. Gnats not to say I won't enhance myself but I'd like to be able to keep my normal levels when I'm off.

So I am doing my own course of therapy to try and get my levels up again.

HCG, 2500IU EOD for 3 weeks + 12.5mg aromasin; then
Clomid, 100mg ED for 2 weeks + 25mg aromasin

I'm hoping this does the trick this time around.

My doctor knows of my actions though he doesn't write it down and has no problem with me attempting another recovery attempt on my own. If that doesn't work we'll get the referral process going.

He's also got me on a list for a CT scan

[Flav]

Sounds like a plan...
but just wondering...

HCG @ 2500 EOD for 3 weeks seems a bit much, no? I think you'd be okay with just 1000 EOD, for about 2 or 3 weeks. Get blood work done, if test levels are good, then wait 4-5 days and hit it with a SERM (Clomid) @ 50mg for about 3-4 weeks

[#8]

my symptoms were brutal. terrible work outs, low energy etc.

my TRT plan is to have me weened off with a tapering down protocol in the next 8 months to a year or so depending on results. i dont wanna be on TRT forever just yet.

[natenator]

Sounds like a plan...
but just wondering...

HCG @ 2500 EOD for 3 weeks seems a bit much, no? I think you'd be okay with just 1000 EOD, for about 2 or 3 weeks. Get blood work done, if test levels are good, then wait 4-5 days and hit it with a SERM (Clomid) @ 50mg for about 3-4 weeks

My last run of PCT was not as aggressive. It was as I laid out previously except with 1000IU EOD as you suggested. It did not work ovbiously. I am going for aggressive this time around. My cycle at the time was long and I did not run any HCG during so that's why I am going for the kitchen sink type of approach. I am done the clomid this week at which point I will wait 2 weeks before getting BW done. I already have the requisition form - my doc writes them for me in advance so I don't have to go see him every time just for a BW req. form.

[Flav]

Weaned off trt? From my understanding, once you get off, your test levels will just shoot back down, if not lower, and you'll get the same crappy feeling again

[brawler32]

I was on HCG only 500 IU 3x per week and it only raised my Test levels from 8 to 10nmol. If you are under 30 year old any knowledgeable Dr. will not condemn you to TRT for life without trying a restart unless you have Primary Hypogonadism or a Pituitary Adenoma. Did you get your LH and FSH levels checked? Be careful with High dosage of HCG as it can cause Leydig Cell Desensitization (Mess up your balls) or worse it can convert to Estrogen and give some serious Gyno. I read of some nasty side effects associated with Clomid, I have never tried it but most Drs here will not prescribe it to men...

[natenator]

I was on HCG only 500 IU 3x per week and it only raised my Test levels from 8 to 10nmol. If you are under 30 year old any knowledgeable Dr. will not condemn you to TRT for life without trying a restart unless you have Primary Hypogonadism or a Pituitary Adenoma. Did you get your LH and FSH levels checked? Be careful with High dosage of HCG as it can cause Leydig Cell Desensitization (Mess up your balls) or worse it can convert to Estrogen and give some serious Gyno. I read of some nasty side effects associated with Clomid, I have never tried it but most Drs here will not prescribe it to men...


the package insert of Canadian Pharmaceutical HCG for the recommended dosage is 4000-6000iu three times weekly for 6 weeks

[Flav]

Im sure some have seen this study... but for those who havent:


STREET C, SCALLY MC. Pharmaceutical Intervention of Anabolic Steroid Induced
Hypogonadism - Our Success at Restoration of the HPG Axis. Medicine and Science in Sports
and Exercise 2000;32(5)Suppl.


High-dose anabolic androgenic steroid (AAS) administration results in hypogonadotropic
hypogonadism (HH). Physical manifestations can include one or more of the following:
depression, decreased sexual desire, impotence, feelings of apathy, testicular atrophy, and loss of
muscle mass and strength. Due to feedback inhibition, laboratory values drop well below
established physiologic norms: luteinizing hormone (LH) >3.6 IU/L, follicle stimulating
hormone (FSH) >2.25 IU/L, and testosterone (T) >300 ng/dL. A search of the literature reveals
an absence of studies dealing specifically with AAS induced HH, and restoration of normal
endocrine function. We report on two interesting cases of AAS using bodybuilders who were
brought out of the hypogonadal state. Blood samples were taken in the morning for both subjects
and analyzed using chemiluminescence (Quest Diagnostics, Irvine, TX). Post-therapy samples
were taken 15 days after the last hCG injection.

Case 1: 6'0" 206 lbs. 33 yr old Caucasian male
with a 10+ year history of steroid self-administration for bodybuilding and powerlifting. By his
own admission he was a "heavy" user, taking from 500 mg/wk to 2+ grams/wk. Pre-treatment
values: LH < 1.0 IU/L, T 191 ng/dL. One course of therapy (32 days) was given: 2,500 IU of
hCG every 4 days (8 injections total), 50 mg clomiphene bid and 10 mg tamoxifen qd. Despite
massive drug use patient was an exceptionally good responder. Post-treatment values: LH 5.2
IU/L, T 1072 ng/dL.

Case 2: 5'10" 184 lbs 36 yr old Caucasian male with a 2 yr history of
continuous nandrolone use (200-400 mg/wk). Pre-values: LH < 1.0 IU/L, T 45 ng/dL.

Treat 1
(32 days): 2,500 IU hCG every 4 d (8 total), clomiphene (50 mg bid) and arimidex (1 mg qd).
Post-values: LH < 1.0 IU/L, T 38 ng/dL.

Treat 2 (60 days): 5,000 IU hCG every 4 days (4 inj
total) followed by 2,500 IU hCG every 4 d (4 inj total), clomiphene (50 mg bid) and tamoxifen
(10 mg qd). Post-values: LH > 1.4 IU/L, T 63 ng/dL.

Treat 3 (32 days): 5,000 IU hCG qod (6 inj
total) followed by 2,500 IU hCG qod (6 inj total) given simultaneously with menotropins 150 IU
qod (6 inj total), clomiphene (50 mg bid) and tamoxifen (10 mg bid). Post-values: LH 9.8 IU/L,
T 507 ng/dL.

Restoration of the HPG axis, even in severe cases of hypogonadism, is possible
with combined therapies and careful monitoring of the patient. With continued popularity of
these drugs, long-term androgen deficiency is a health concern for former AAS users. Further
research is needed in this area.


Note: Dr. Scally, in his book, has changed the above approach to every other day shots on HCG, and running the SERM AFTER the HCG (not at the same time). I guess as a last resort, you can try treatment #3?
He has a website where you can get some info from him for a fee, I believe

[#8]

im pretty sure my doc knows what he is doing. ill trust him till i have a reason not to.

[natenator]

im pretty sure my doc knows what he is doing. ill trust him till i have a reason not to.



pretty sure their comments are in regards to me :)

[#8]

pretty sure their comments are in regards to me :)

nah i was replying to him asking why he was weening me off the trt.

[natenator]

nah i was replying to him asking why he was weening me off the trt.

Ahh k!

[Flav]

nah i was replying to him asking why he was weening me off the trt.

No animosity boss, just curious is all.. :)
Whats the plan? see how you feel on TRT and then try to jump start your own test levels? Only reason I ask is because 99% of the time, the guys on TRT stay on for life.

[#8]

his reasoning was that as he weens me off the trt my natural test will come back seeing as I am still a pretty young guy (27). I only do one shot every 3 weeks so now that my body is fully accustomed to the ups and downs of the long time between shots as I reduce the dosage my pituitary will pick up on it and start to level it out on its own. The spikes become less thus the fluctuations level themselves out.

This is a horrid interpretation of what he told me and Im sure he could better explain it to you than I did, but it makes sense when you think about it. He backs up bro logic with and MD lol.

[Blacksmoke]

I am currently waiting for my aug 4 appointment to see an endo and I've already been waiting about 4 weeks.

[nisser]

Such a horrible study because it leads you to believe that treat #3 is the optimal way when in fact that person may have just sprung up because it was the 3rd consecutive PCT he's done.

This is exactly why PCT/aas are such a shady gray area; it is run by incompetent scientists.


Im sure some have seen this study... but for those who havent:


STREET C, SCALLY MC. Pharmaceutical Intervention of Anabolic Steroid Induced
Hypogonadism - Our Success at Restoration of the HPG Axis. Medicine and Science in Sports
and Exercise 2000;32(5)Suppl.


High-dose anabolic androgenic steroid (AAS) administration results in hypogonadotropic
hypogonadism (HH). Physical manifestations can include one or more of the following:
depression, decreased sexual desire, impotence, feelings of apathy, testicular atrophy, and loss of
muscle mass and strength. Due to feedback inhibition, laboratory values drop well below
established physiologic norms: luteinizing hormone (LH) >3.6 IU/L, follicle stimulating
hormone (FSH) >2.25 IU/L, and testosterone (T) >300 ng/dL. A search of the literature reveals
an absence of studies dealing specifically with AAS induced HH, and restoration of normal
endocrine function. We report on two interesting cases of AAS using bodybuilders who were
brought out of the hypogonadal state. Blood samples were taken in the morning for both subjects
and analyzed using chemiluminescence (Quest Diagnostics, Irvine, TX). Post-therapy samples
were taken 15 days after the last hCG injection.

Case 1: 6'0" 206 lbs. 33 yr old Caucasian male
with a 10+ year history of steroid self-administration for bodybuilding and powerlifting. By his
own admission he was a "heavy" user, taking from 500 mg/wk to 2+ grams/wk. Pre-treatment
values: LH < 1.0 IU/L, T 191 ng/dL. One course of therapy (32 days) was given: 2,500 IU of
hCG every 4 days (8 injections total), 50 mg clomiphene bid and 10 mg tamoxifen qd. Despite
massive drug use patient was an exceptionally good responder. Post-treatment values: LH 5.2
IU/L, T 1072 ng/dL.

Case 2: 5'10" 184 lbs 36 yr old Caucasian male with a 2 yr history of
continuous nandrolone use (200-400 mg/wk). Pre-values: LH < 1.0 IU/L, T 45 ng/dL.

Treat 1
(32 days): 2,500 IU hCG every 4 d (8 total), clomiphene (50 mg bid) and arimidex (1 mg qd).
Post-values: LH < 1.0 IU/L, T 38 ng/dL.

Treat 2 (60 days): 5,000 IU hCG every 4 days (4 inj
total) followed by 2,500 IU hCG every 4 d (4 inj total), clomiphene (50 mg bid) and tamoxifen
(10 mg qd). Post-values: LH > 1.4 IU/L, T 63 ng/dL.

Treat 3 (32 days): 5,000 IU hCG qod (6 inj
total) followed by 2,500 IU hCG qod (6 inj total) given simultaneously with menotropins 150 IU
qod (6 inj total), clomiphene (50 mg bid) and tamoxifen (10 mg bid). Post-values: LH 9.8 IU/L,
T 507 ng/dL.

Restoration of the HPG axis, even in severe cases of hypogonadism, is possible
with combined therapies and careful monitoring of the patient. With continued popularity of
these drugs, long-term androgen deficiency is a health concern for former AAS users. Further
research is needed in this area.


Note: Dr. Scally, in his book, has changed the above approach to every other day shots on HCG, and running the SERM AFTER the HCG (not at the same time). I guess as a last resort, you can try treatment #3?
He has a website where you can get some info from him for a fee, I believe

[nisser]

nah i was replying to him asking why he was weening me off the trt.

If you've been on HRT for a year after failed attempts to get your levels back up after previous cycles, I would recommend you stay on HRT. Age has very little to do with things if you've been aggressive with steroid use and been on HRT for that long. That's a long time to be suppressed and you're unlikely to get your levels back. Your doc just may be very optimistic without taking into account what a prolonged period of low test can do on someone's body and mind (especially a bodybuilder). Remember, most people don't get why people lift weights, 5-7x a week and he can't even comprehend what low drive to go to the gym can do to you, not to mention how bad you'll feel if your lifts drop, bodyweight drops, etc...

By all means, give it a try but you are more likely to still be down after a year with some depression, lots of muscle loss and apathy.

[natenator]

with some depression, lots of muscle loss and apathy.

Perfect description of me in the past 6 months.

[Flav]

Such a horrible study because it leads you to believe that treat #3 is the optimal way when in fact that person may have just sprung up because it was the 3rd consecutive PCT he's done.

This is exactly why PCT/aas are such a shady gray area; it is run by incompetent scientists.

Thats a pretty big assumption.
Why would anyone think that #3 is optimal, when clearly in other studies #1 has worked?

I think any competent person would give an attempt to the lower options (be it #1, or any other attempt of jump start) before jumping to extremes (#3 and others).

Are you suggesting that his test levels went up only temporarily, because it was his 3rd consecutive PCT, and that they'll go back down? Or.. are you suggesting that it "worked" because it was his 3rd consecutive PCT?

[Andre Gregoire]

Perfect description of me in the past 6 months.

Any update? Are you on TRT yet?

[2skinny]

I am looking to go beond my family Dr (which has been relatively OK thus far) and see a Endocrinologist. I have narrowed it down to two, as follows:
1. Dr. Vlad Milosevic - Credit Valley Hospital - Mississauga
2. Masters Mens Clinic - Burlington

Any comments or suggestions on which is better?

[BigL]

any idea of wat I should say to the doc. I read the master mens clinic site n their only giving out 200 mg every 2 weeks. I was thinking of trying 250 mg a week for my first cycle. What should I do

[Andre Gregoire]

any idea of wat I should say to the doc. I read the master mens clinic site n their only giving out 200 mg every 2 weeks. I was thinking of trying 250 mg a week for my first cycle. What should I do

HRT isn't a cycle and don't expect gains on HRT dosages. I started about 3 months ago, the main benefits are more patient, less anxiety, more motivated, better concentration, stronger sex drive. I haven't gained any muscle or strenght at all really.

Prescribed 200mg every 2 weeks which is the typical dosage for TRT. I am trying to get it changed to 100mg per week instead because of the short half life of the drug I feel like crap the last 4-5 days of the 2 weeks.

The highest I have heard is 200mg/wk and the blood tests need to support it, you start at 200mg e2w and they can modify the dose based on your blood tests. Keep in mind I am not in Toronto and not at that clinic, just my experience from reading a few books, websites, forums, etc...

[Talo]

What about in Edmonton ( or area ) anyone familiar with any ?

[cog]

Surely you can gain some strength on a sufficient HRT dosage Andre?Do you experience lingering muscle soreness?

[Andre Gregoire]

Surely you can gain some strength on a sufficient HRT dosage Andre?Do you experience lingering muscle soreness?

Surely you can but I have only been on TRT for 12 weeks and haven't gained yet. I have actually lost a bit of strenght but too be fair I took a week off from the gym around Christmas because my gym was opening too late and I was sick and missed a few workouts in the last few weeks also. I got blood tests done last week and I am waiting for the results I still feel my test is low so dosages might need adjusting.

Some muscles I have no soreness and some like Hamstrings the soreness lasts 4-5 days. My point isn't that you can't gain on TRT but rather you won't make "steroid" type gains.

[curious]

Going to bump this thread, looking for recommendations for a doctor in Toronto. Has anybody else seen Dr Vlad Milosevic? Are there any GPs in toronto that would be open to prescribing something? I'm moving to ontario in about two weeks, recently had tests done and my testosterone is 9.8 (284ng/dl). I eat incredibly clean(haven't had sugar in last 6 months), exercize 3x/wk, take adequate zinc, magnesium, d3, multi, etc. I'm 20 years old and there is absolutely no reason my testosterone should be this low, but the last two doctors simply dismissed it as being 'within the range'. Would really appreciate any suggestions.

[AAA]

My doc sent my blood test results to MastersMen's Clinic in Burlington. I have to wait until next April for my appointment. Needless to say, I don't want to wait almost a year, anyone have any other doc's that they know of in the Toronto area?

[blitzalpha]

My doc sent my blood test results to MastersMen's Clinic in Burlington. I have to wait until next April for my appointment. Needless to say, I don't want to wait almost a year, anyone have any other doc's that they know of in the Toronto area?

I'm in the same situation as this guy... I have an appointment at the Master Men's Clinic in Burlington with Dr. Komer next April. Does anyone know of a doc in the Kitchener/Waterloo area that is willing to prescribe TRT that I could see earlier?

[clemenst]

Dr welchner in aurora. He charges a yearly fee, but hes better then the guy in burlington. And u can get an appt fast.point

[AAA]

Dr welchner in aurora. He charges a yearly fee, but hes better then the guy in burlington. And u can get an appt fast.point

Thanks for the info.

[AAA]

Dr welchner in aurora. He charges a yearly fee, but hes better then the guy in burlington. And u can get an appt fast.point

Any idea how much he charges and why he's better? Thanks.

[clemenst]

$900 a year. well i saw the guy in burlinton a couple years ago so i dont know how he is now. but he only tested total testosterone and thats it when he gave me injections. the guy in aurora tests for vit d, tsh, ft4, ft3, total and free testosterone, estrogen, cortisol , dheas, dht every 3 months. he also prescribes either weekly injections ( twice weekly if estrogen an issue). or u can get compounded gel if u prefer it. also will give u hcg and ai's if required. hes pretty update on trt, so i think it well worth the yearly fee. and theres never long waits for appt. hes has a website, and can probably call them if u got more questions.

[blitzalpha]

$900 a year. well i saw the guy in burlinton a couple years ago so i dont know how he is now. but he only tested total testosterone and thats it when he gave me injections. the guy in aurora tests for vit d, tsh, ft4, ft3, total and free testosterone, estrogen, cortisol , dheas, dht every 3 months. he also prescribes either weekly injections ( twice weekly if estrogen an issue). or u can get compounded gel if u prefer it. also will give u hcg and ai's if required. hes pretty update on trt, so i think it well worth the yearly fee. and theres never long waits for appt. hes has a website, and can probably call them if u got more questions.

Does this yearly fee include medication? Will insurance cover it? Will this doctor request you to get another blood test taken before he will prescribe anything or will he go based on previous tests?

[clemenst]

the fee does not include meds. my work benefits covers the meds. i guess it will depend on your benefits. he had me do a full set of blood work for himself, even though i had most of the tested done already. my benefits also covers the blood tests that ohip doesnt cover like dht and vit d.

[blitzalpha]

the fee does not include meds. my work benefits covers the meds. i guess it will depend on your benefits. he had me do a full set of blood work for himself, even though i had most of the tested done already. my benefits also covers the blood tests that ohip doesnt cover like dht and vit d.

My benefits will cover the meds as well. So the $900 yearly fee is just for the consults? Wouldn't this be covered by OHIP since he's a doctor? How long did you have to wait to get your first appointment? Did you need a referral? I think Dr. Komer in Burlington only charges a one time $150 consult fee. Thanks for the info...

[ubcpower]

Bump for some trt doc's or open minded/modern endo's in VANCOUVER

[AAA]

My benefits will cover the meds as well. So the $900 yearly fee is just for the consults? Wouldn't this be covered by OHIP since he's a doctor? How long did you have to wait to get your first appointment? Did you need a referral? I think Dr. Komer in Burlington only charges a one time $150 consult fee. Thanks for the info...

I'm not sure but I don't think its just a one time fee. I went there 2 times and he charged me the 150 both times and I am scheduled for a 3rd next April and again another fee. To be fair the first 2 times I went I decided not to go on TRT and did the consultation both times. Its a money grab.

[TotalT]

Dr welchner in aurora. He charges a yearly fee, but hes better then the guy in burlington. And u can get an appt fast.point

I actually was googling another TRT doc when I stumbled on this post in the search engine of Google. I just wanted to chime in my .02 cents.
Been going to . for years. Initially he said I was not dirt "low" in T. I just had many of the symptoms. I did the math to convert my Total T levels in ng/dl since it is what most people recognize as a measurement unit in North America. When I first went to Dr. I had 2 blood work and Total T on one test was 663 ng/dl and the other was 582 ng/dl.
I also saw a Endo before before going to the doc...he would not go near any TRT. I went to him for a second opinion.
Dr. told me my levels were not adequate for my age. He gave me HCG and Test prescriptions. Being on this for many years I still felt sluggish....
years later I was diagnosed with very severe sleep apnea. My family doc did not have a clue that I had sleep apnea, as I was not "obese".
long story short I messed up my system with TRT docs like . when all my problem was attributed to sleep apnea.
I dumped all Test shots and am currently at 400 ng/dl of Total T, been clean a year. I feel better now with CPAP machine and 400 ng/dl then with the levels I had before going on TRT.
Just so you guys know all docs have something in stake for their practice. The more people under their care furthers their career. My family doc is big on prescription meds.. is big on TRT.
Careful what you all get into. I regretted ever going the TRT route. If I would have had treatment for my sleep apnea when I was at 663 ng/dl my natural test could have raised even more. Now I have to try and recover what I can and hope for the best.

[ianfxmen]

yep like everything in life be carefull

[juced_porkchop]

You say potatoe, your doc says potato. You say that range is bunk and your Dr. likely says the range you provided is bunk. Either way, you are within range but on the very LOW side of that range which requires further investigation by an endo which she has indicated she'll give you a referral so it seems as though she is doing her job which is a good start.

I'll look in my notes and try to find the one that I have who I am told is good but be prepared for a longer wait. They do more blood work and they'll likely also want CT scan to rule out tumors, etc. Just seeing an endo won't likely have you walking out with a script but stranger things happen :)

hey i got my script for deca ( years ago when they still had it in canada) from my doc due to a car accident!!! ha to help heal.
so who knows maybe he will get lucky and just a blood test would be enough. personally I would do all the tests so you know nothing is going on.

[juced_porkchop]

I actually was googling another TRT doc when I stumbled on this post in the search engine of Google. I just wanted to chime in my .02 cents.
Been going to . for years. Initially he said I was not dirt "low" in T. I just had many of the symptoms. I did the math to convert my Total T levels in ng/dl since it is what most people recognize as a measurement unit in North America. When I first went to Dr. I had 2 blood work and Total T on one test was 663 ng/dl and the other was 582 ng/dl.
I also saw a Endo before before going to the doc...he would not go near any TRT. I went to him for a second opinion.
Dr. told me my levels were not adequate for my age. He gave me HCG and Test prescriptions. Being on this for many years I still felt sluggish....
years later I was diagnosed with very severe sleep apnea. My family doc did not have a clue that I had sleep apnea, as I was not "obese".
long story short I messed up my system with TRT docs like . when all my problem was attributed to sleep apnea.
I dumped all Test shots and am currently at 400 ng/dl of Total T, been clean a year. I feel better now with CPAP machine and 400 ng/dl then with the levels I had before going on TRT.
Just so you guys know all docs have something in stake for their practice. The more people under their care furthers their career. My family doc is big on prescription meds.. is big on TRT.
Careful what you all get into. I regretted ever going the TRT route. If I would have had treatment for my sleep apnea when I was at 663 ng/dl my natural test could have raised even more. Now I have to try and recover what I can and hope for the best.



whoa ! thanks for the post man!