Jump to content
anaboliclove

How difficult is it to get prescribed TRT

Recommended Posts

So I've been doing self TRT for about 5 years now after cycling and later blast cruising heavy stacks through my 20s and have been wondering how difficult it would be to get and endo doctor to precribe me and keep an eye on my bloods and general hormone health? Im guessing that mentioning my previous steriod abuse wouldn't be a good idea, or should I come clean and be honest? What should I say to the doctor to persuade him to take action and be duty bound to help etc??

Share this post


Link to post
Share on other sites

Its difficult, depending on your levels of course. NHS generally prescribe TRT with TT levels under 8nmol. Have a look at these Guidelines, which state you may have a chance between 8-12nmol, although it’s rare. 

Id be interested to hear of anyone who has a history of AAS use, that’s gone on to have success with TRT on the NHS. It’s something I’ve never heard of.  
 

If you’re going down the private TRT route, you’ll have no problems. 
 

 

Share this post


Link to post
Share on other sites
22 minutes ago, Pez189 said:

Its difficult, depending on your levels of course. NHS generally prescribe TRT with TT levels under 8nmol. Have a look at these Guidelines, which state you may have a chance between 8-12nmol, although it’s rare. 

Id be interested to hear of anyone who has a history of AAS use, that’s gone on to have success with TRT on the NHS. It’s something I’ve never heard of.  
 

If you’re going down the private TRT route, you’ll have no problems. 
 

 

Interesting this one. Let’s say you used AAS 5 years ago (or that’s what you say) , once , stupidly and never again. Now your test levels are in the gutter. You’re honest with your dr. I doubt they can leave you untreated? Of course it’ll be frowned upon and now on your record. 
 

personally I wouldn’t mention Aas use. But be interesting to know if people have. Smokers get cancer treatment, obese people get diabetes treatment, etc. 

Share this post


Link to post
Share on other sites

As @Pez189 has said, I highly doubt you’d be able to get NHS TRT especially with a history of AAS use. 
 

Any private TRT company will welcome you in but you will be paying through your nose for it, I know pez recommends Leger clinic because they’re the cheapest and rated highly. 
 

If it was me, I would just stick to sourcing pharma grade test e or sus and carry on self prescribing your trt with blood work every now and then. 

Share this post


Link to post
Share on other sites
7 minutes ago, Youdontknowme said:

Interesting this one. Let’s say you used AAS 5 years ago (or that’s what you say) , once , stupidly and never again. Now your test levels are in the gutter. You’re honest with your dr. I doubt they can leave you untreated? Of course it’ll be frowned upon and now on your record. 
 

personally I wouldn’t mention Aas use. But be interesting to know if people have. Smokers get cancer treatment, obese people get diabetes treatment, etc. 

The problem with NHS treatment is that they’re well behind in terms of TRT treatment offering sustanon, Nebido and gel forms of test. 
 

Nebido is great for them because they only have to see you once in a blue moon ( less stress on nurses to have to keep regularly injecting us) but wouldn’t say it’s a great option

Sustanon they recommend the full 250mg every 3/4 weeks which is insane because yo ur levels are crashed way before your next shot so you’re up and down.

Most of us on here don’t want sub optimal levels , we want high end of normal and the NHS isn’t going to be an olive branch for that. 
 

I originally went through a private endo and he started me off 125mg every 10 days, by day 7-10 my test levels were down to 6. I’m now on 150mg every 7 days, feel great and my endo has been talking to the NHS GP and they’re happy enough to transfer me over on the same protocol ( how the f**k I managed this I don’t know, must just be one of the lucky few) 

Share this post


Link to post
Share on other sites

If i didn't pin my 250mg for 3 weeks my levels would be through my boots so being in the range for treatment wouldn't be a problem, I think the best way to approach the doctor would be to rhym off every low test symptom known to man and let him tell me he suspects low testosterone rather than me blurting out I think I've got low test. I just don't like the thought of sourcing my own test for the rest of my life... maybe ill just leave it until I'm in a better age bracket, thanks guys

Share this post


Link to post
Share on other sites

Yea I'm in the same boat. 

Especially post-Covid, supply chains got interrupted enormously. I've had to wait an extra month + for international purchases. I had enough on hand but made me realise it'd be better to have a local prescription. Also don't have to fret about what may or may not be in my UG gear.

Share this post


Link to post
Share on other sites
5 hours ago, Wildkid said:

Sustanon they recommend the full 250mg every 3/4 weeks which is insane

Doubt it. Works fine for me. I suspect it will for most. Micro managing hormones is something that was invented by American doctors for the purpose of extracting more money out of folk for more consultations. Anyone that ever used deca knows it takes about 3 weeks to start working. The deconate ester in sustanon has a half life of the best part of 2 weeks. No need to administer it weekly. Once a month is fine. Endogenous testosterone levels fluctuate naturally. The same fluctuations using exogenous hormones will be no different.

Share this post


Link to post
Share on other sites
11 minutes ago, Sasnak said:

Doubt it. Works fine for me. I suspect it will for most. Micro managing hormones is something that was invented by American doctors for the purpose of extracting more money out of folk for more consultations. Anyone that ever used deca knows it takes about 3 weeks to start working. The deconate ester in sustanon has a half life of the best part of 2 weeks. No need to administer it weekly. Once a month is fine. Endogenous testosterone levels fluctuate naturally. The same fluctuations using exogenous hormones will be no different.

Completely agree with you in a sense that levels fluctuate all the time normally. Me personally I couldn’t taken 250mg every 3 weeks as I would be feeling symptoms after 7-10 days of low T. What works for one; might not work for another. 

Share this post


Link to post
Share on other sites
16 minutes ago, Sasnak said:

. The deconate ester in sustanon has a half life of the best part of 2 weeks. No need to administer it weekly. Once a month is fine. Endogenous testosterone levels fluctuate naturally. The same fluctuations using exogenous hormones will be no different.

But what about the other esters in Sustanon?  As that’s 1 part of a 4 part story.  There’s a case to argue because of the prop ester for example that EOD or E3D is best practice, which is what TMHC used to recommend as the only way Sust would give stable levels.  Now I think they don’t even advise Sustanon at all for TRT and just opt for single esters like E or C. 

Share this post


Link to post
Share on other sites
49 minutes ago, Wildkid said:

What works for one; might not work for another

It would appear that some aromatise very quickly. This can be sorted with ai. I genuinely don’t believe there are any other exceptions other than the hypochondriacs who think there brain will explode if their natural levels drop below 10nmol

Share this post


Link to post
Share on other sites
34 minutes ago, Pez189 said:

Now I think they don’t even advise Sustanon at all for TRT and just opt for single esters like E or C.

I think this all goes back to my previous point about the American invention of micromanaging hormones for the sole purpose of charging people. Personally I think E or C is probably better for trt. There won’t be much in it, however 

Share this post


Link to post
Share on other sites
1 hour ago, Sasnak said:

Doubt it. Works fine for me. I suspect it will for most. Micro managing hormones is something that was invented by American doctors for the purpose of extracting more money out of folk for more consultations. Anyone that ever used deca knows it takes about 3 weeks to start working. The deconate ester in sustanon has a half life of the best part of 2 weeks. No need to administer it weekly. Once a month is fine. Endogenous testosterone levels fluctuate naturally. The same fluctuations using exogenous hormones will be no different.

I'd agree with this if it was only test dec, but it's not mate

I've tried sustanon every 2 weeks and by day 10 I was feeling s**t

Endogenous test does fluctuate...but it fluctuates up as well as down...it doesn't taper down to nearly nothing after a couple of weeks

All person dependant I guess, but I think as someone who can dose sust once a month you're in the minority mate

Share this post


Link to post
Share on other sites
4 hours ago, anaboliclove said:

If i didn't pin my 250mg for 3 weeks my levels would be through my boots so being in the range for treatment wouldn't be a problem, I think the best way to approach the doctor would be to rhym off every low test symptom known to man and let him tell me he suspects low testosterone rather than me blurting out I think I've got low test. I just don't like the thought of sourcing my own test for the rest of my life... maybe ill just leave it until I'm in a better age bracket, thanks guys

Tell the Dr all low T symptoms and your be offered anti depressants  and  tadafil 

Share this post


Link to post
Share on other sites

I know a guy who got on the juice in his early 20s (was almost an Olympic swimmer) and totally tanked his endocrine system. He’s now on NHS TRT but I believe he played the “I was a foolish youth” card. I’ve also seen another similar case on another forum.  

Share this post


Link to post
Share on other sites

It's actually really easy. I went on private TRT for a few months, then went to see a private endo and said I would like to continue treatment on the NHS. He didn't asked any questions since I was already on TRT and worked out a treatment plan that he sent to my GP. 

I've been on Nebido ever since. 

Share this post


Link to post
Share on other sites
7 hours ago, Nautilus said:

It’s generally all about your levels. You’d likely be ok under 8nmol.

I said it before On here Regarding TRT, that the NHS treat numbers and not patients/symptoms And someone started a argument about it. Stating surely the NHS wouldn’t leave you high and dry if you had genuine symptoms but didn’t fall into their number range. But in reality that’s what happens All the time. Guys offered no help At all or antidepressants or viagra etc  

8nmol is a low level but any higher and I do think the NHS would be treating the majority of men in the country so it’s a tricky one. Maybe there needs to be more research into why men’s testosterone levels are declining in general, as there are various studies that argue evidence of that and it’s quite clearly a big problem. 

Share this post


Link to post
Share on other sites
11 hours ago, Shergar said:

What is your protocol buddy?

Danny

I currently have an injection every 10 weeks. Sometimes I feel the need to extend this to every 12 weeks. My GP is happy to authorise changes between 10 and 12 weeks. Anything other than this I would have to go through my endo.

To be honest I have never felt the need to drop to less than every 10 weeks even when my numbers have dipped. I'm a great believer in the less is better approach, something you don't see very often on here ;)

Share this post


Link to post
Share on other sites
44 minutes ago, Mingster said:

 Sometimes I feel the need to extend this to every 12 weeks.

What kind of things gives you that need buddy?

Thanks

Danny

Share this post


Link to post
Share on other sites
40 minutes ago, Shergar said:

What kind of things gives you that need buddy?

Thanks

Danny

If my trough reading exceeds 15n/mol I'll go back to 12 weeks.

People bang on about trough readings in the 20's being optimal, but I disagree. I can still add strength and muscle with much lower readings and I'm positively ancient.

Share this post


Link to post
Share on other sites
On 10/08/2020 at 7:37 AM, MFM said:

It's actually really easy. I went on private TRT for a few months, then went to see a private endo and said I would like to continue treatment on the NHS. He didn't asked any questions since I was already on TRT and worked out a treatment plan that he sent to my GP. 

I've been on Nebido ever since. 

This^^^^^ I went to the Leger Clinic ( as I wasn't prepared to wait for an NHS endo appointment)  My bloods were well below 8 nmol. Dr Savage had my blood tested and prescribed Nebido. After a couple of letters to my GP they took over the prescription and monitoring of my bloods, twice a year.  This was 6 years ago and I have had no issues from my GP since. 

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×