Just got blood work back from PCP and my TT was 246. Normal range 250-1100.
She referred me to a local endocrinologist who i see next week.
My questions are what should i expect? Will i get injections right away?
Will more testing need to be done?
What if he tries to prescribe the cream instead of injections?
Just a little anxious because i want this appt to go well.
Thanks for any and all replies guys.
Depends on the doc. The 'guidelines' are to have 2 consecutive tests with low numbers. Also, if FT is good, they might do nothing.
If another test gives you that, or they just prescribe ... next will be the form. Docs have favorites but cost can be huge. I'm on 200/wk with a 10ml vile @$15ea - so with syringes, alcohol and cotton balls its about $100/year. Topicals would cost $5,000/yr. SubQ $6,600/yr. So find out costs. The example above with kids is also a good excuse if you want injection.
Dose will be in the air. Another 'guideline' is to inject 200ml once for 3 weeks and check nadir. They do this twice. If 'low' (whatever they decide that is), then 200ml for 2 weeks and check nadir. Twice again. Etc. Some docs will target 400's. Others 600s. Depends on what the guy is like.
Another 'guideline' is that if you don't feel better in 6 months, then discontinue. [ This is somewhat ridiculous especially with a low target ]. So remember to say you feel somewhat better but were hoping to feel more so (if you want a higher amount). If you say you don't feel any benefit, some will just drop you.
As another note, after you make it through all of that, if you have a choice, always have bloods checked nadir. I've got docs in NY freaking out with 200mg/wk even though nadir is sometimes below 400. Can't imagine what trouble they might stir if they saw a peak. Now maybe docs are laid-back where you are but this is the way it is where I live.
