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Christoph.'s avatar

The retained in care thing once again rears its ugly head. I'm still reading the article, but wanted to comment while fresh on my mind. The other morning youtube recommended a video that caught my attention. A guy who had been on TRT for some time (testosterone replacement). He was up in Canada, and used one of these private 'men's health' places. The point of the video was that he didn't realize how much of this 'retained in care' he would have to be on to be able to use TRT. This is quite analogous to the 'PrEP' thing (and 'HIV' care in general). He talked about going to a private physician who seemed quite knowledgeable about all the biomedical parameters you would want 'optimized' while on TRT, and as long as this guy was working with him, things were great. But then his practitioner up sticks and moved and so he was no longer available. So now, the guy on TRT is scrambling to not only find TRT (apparently it's more restricted in Canada), but was trying to find someone he could work with to get back into 'retained in care'.

Having been down the TRT route myself, I knew from whence this guy was talking about. He talked about the need for continuous blood donations because TRT can make your blood 'thick' (secondary polycythemia, which happened to me). And then the need for the constant costs of privately buying TRT, and paying for these 'retained in care optimization' sessions.

It was a nightmare for me, just trying to do blood donations. This guy came to the realization that it was more problematic than it was worth, and it's true. You don't just shoot up TRT and it's all peaches and cream. I can't help but notice the parallels to PrEP and being 'HIV positive', it's a constant poke and get tested scheme with your doctor.

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Andrew's avatar

The “ridiculous truth.” ;-)

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