Convincing a psychiatrist to prescribe TRT Convincing a psychiatrist to prescribe TRT

starting strength gym
Page 1 of 3 123 LastLast
Results 1 to 10 of 25

Thread: Convincing a psychiatrist to prescribe TRT

  1. #1
    Join Date
    Mar 2019
    Posts
    639

    Default Convincing a psychiatrist to prescribe TRT

    • wichita falls texas december seminar 2020
    • wichita falls texas february 2021 seminar
    • starting strength seminar april 2021
    Hey Coach,

    I have a friend and trainee who is in his early 60s and is clearly dealing with low T problems: trouble sleeping, stiff and sore all of the time, poor recovery from relatively low stress training days and major depressive disorder. Hes also bipolar and is uncertain that his psychiatrist would be on board for prescribing or recommending TRT.

    You present a very convincing argument for starting a patient on TRT under circumstances like these and I was hoping that you could recommend some compelling studies/articles to present to his doctor?

  2. #2
    Join Date
    Jul 2007
    Location
    North Texas
    Posts
    43,598

    Default

    Why must his psychiatrist be the one who prescribes the TRT?

  3. #3
    Join Date
    Jul 2019
    Posts
    676

    Default

    From my own experience, the best Dr. to go to would be an endocrinologist. Psychiatrists don't have experience with TRT, and thus don't prescribe it. This is exactly how they should approach it, since doctors shouldn't prescribe treatments they don't know about. Find an endocrinologist with testimonials or reviews online from satisfied patients who receive TRT. Then you know you're dealing with one who's not squeamish about prescribing it.

  4. #4
    Join Date
    Jul 2007
    Location
    North Texas
    Posts
    43,598

    Default

    Just go to a TRT clinic. We know they will prescribe it.

  5. #5
    Join Date
    Jun 2016
    Posts
    156

    Default

    Quote Originally Posted by Mark Rippetoe View Post
    Just go to a TRT clinic. We know they will prescribe it.
    Do you take trt rip? Just curious, if I ever live long enough to be your age I would take it if I had even very mild symptoms of low t.

  6. #6
    Join Date
    Mar 2019
    Posts
    639

    Default

    He previously had asked his psychiatrist if TRT would have negative side effects in regards to treating his bipolar disorder and at the time his psychiatrist felt like it would interfere with the process of getting his meds right.

    Ive almost convinced him to try it without consulting his psychiatrist, but he still wants to check with her before proceeding.

    I told him Id ask around and dig up some studies/articles for him to present to the doc.

  7. #7
    Join Date
    Jul 2007
    Location
    North Texas
    Posts
    43,598

    Default

    What is his level as per the last test?

  8. #8
    Join Date
    Oct 2015
    Posts
    111

    Default

    Prescribing testosterone is not always as easy as some would think. Some states require multiple tests documenting low levels, which are low for age etc. so if a person tests 400 they can’t necessarily just say I’m symptomatic and decide to take exogenous test legally to hit 1000 or whatever.

  9. #9
    Join Date
    Jul 2007
    Location
    North Texas
    Posts
    43,598

    Default

    Which states?

  10. #10
    Join Date
    Mar 2019
    Posts
    639

    Default

    starting strength coach development program
    Quote Originally Posted by Mark Rippetoe View Post
    What is his level as per the last test?
    He never had it checked to his recollection. I recommended he get it checked at a t-clinic years ago, as it has been proven to help treat depression. He then mentioned this to his psychiatrist, who said it wasnt a good idea at the time because they were trying to get his meds right. He was then hard to convince otherwise.

    Recently he had to get off a med that had been linked to alzheimers and he sunk into a pretty bad depression. He stopped training, got out of town for two months and was almost hospitalized twice. Hes back now and wants to get his life in order.

    Seems to me theyre always trying to get his meds right, because he gets depressive, lethargic episodes, at least partly, from having low T. But Im not a doctor...

Page 1 of 3 123 LastLast

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •