TRT Parmacy or Doctor in Phuket

[Stront]

I need testosterone for TRT. (Testosterone Replacement Therapy).   I am on Nebido, but its torture, the swings are wild, every time I exercise i get deep testosterone lows and feel like a zombie for a day, start to feel better, exercise again and back down I go.  Its a nightmare.  Went to doctor at Bangkok hospital, I was only 8 weeks into my last Nebido shot and blood tests revealed my Testosterone is already low.  His suggestion, getting Nebido more often, which i don't think is going to work.  I am already 2 weeks in on my last shot and still getting wild testosterone swings. (As I feel the swings in symptoms)

 

I want to go on Testosterone Enanthate and inject myself, 250mg once a week.  My kid is a type 1 diabetic so doing the injections is no problem for me.  I also am 110% convinced my body is converting whatever Test i do get from the shots into estrogen, even when my Testosterone was low, my Estrogen levels are on the high side of Normal, and given that Test converts to Est, I think thats where a lot of my Nebido is ending up.  So i need an estrogen blocker, Tamoxifen 10-20mg would probably do me good, and is unlikely to do much harm.  I  explained this to the doctor, he just blinked at me and explained he doesn't want to do Nebido shots more often than once every 9 weeks, he wouldn't even consider an estrogen blocker. 

 

So anyway, I went to a local pharmacy that has a good general stock of drugs, asked the pharmacist for Tamoxifen Sandoz 20mg and Testoviron Depot.  Mai Mee.  Asked, can you recommend where I can get, he said "Bangkok Hospital"  I know what the result will be if i go there, more blinking and telling me he won't do nebido soooner than 9 weeks (which i never asked for).

 

So where in Phuket can i get these, I read they are easy to get OTC, but I can't find it anywhere.  If i have to go to a doctor to get a prescription thats fine with me, but where would be the best place to go.  I'm no body builder all I want is to feel half normal for a change and not have every symptom on the Low Testosterone symptom chart every 2nd to 3rd day of my life.  I will even fly to Bangkok to get them if i have to, if they are available in sukhimvit, but I would rather just get locally.  Anyone have any suggestions?

[Swimman]

What you want will only be available from one of the Private hospitals although if you have the time you could try Vichira hospital.

 

BTW - The legal sale/purchase of steroids in Thailand requires a Drs prescription. 

Edited April 19, 2018 by Swimman

[Stront]

2 hours ago, Swimman said:

What you want will only be available from one of the Private hospitals although if you have the time you could try Vichira hospital.

Thanks for the reply.  I will try another hospital (Vichira isn't far from me).  I don't mind getting a prescription at all, I just don't want to get another Dr forcing nebido on me when its not up to the job, and especially when they take no notice of issues such as the roller coaster effect and the increased estrogen that it causes (and long term health problems associated with that).  Does it need to be a Hospital, or could I just go to a clinic?

 

2 hours ago, Swimman said:

BTW - The legal sale/purchase of steroids in Thailand requires a Drs prescription. 

This is where its confusing, because there are a lot of posts I have seen (mostly old) saying they are legal OTC.  I also understand whats legal, and what's done on the street are two different things here, and im not interested in illegal (and possibly counterfeit) drugs, either.  But, MIMS also says both of these are available OTC, but a pharmacist needs to supply.  So, did the situation with regard to OTC purchase change at some time in the recent past?

[Sheryl]

Testosterone is legal OTC in Thailand.

 

Tamoxifen is not.

 

I don't know of any good specialists in TRT in Phuket. There is one in Pattaya who many people have recommended:

https://www.dr-olivier-clinic.com/testosterone-andropause/

 

Or in Bangkok

https://www.bumrungrad.com/en/men-health-center-bangkok-thailand

 

 

[eezergood]

Anyone got further updates for TRT in Phuket? I see a clinic advertising, but in Bangla road..........

[mokwit]

Oestrogen spiking is more likely with large injections intramuscularly and less likely with smaller more frequently injections Sub Cutaneously into the SubQ fat. Roller coaster effect is more likely with large infrequent injections as you go from supraphysiological spike levels to deficiency levels as you will likely have shut down your own T so when the injection wears off you effectively have no T. Stabler levels from SubQ.

 

An alternative to Tamoxifen which blocks the oestrogen receptors is Anastrazole which blocks conversion of Testosterone to Oestrogen by binding to the aromatase enzyme. You need to monitor Oestrogen levels to make sure you don't take it too low.

 

If you can get to BKK or Pattaya I recommend Dr Tim Lopez at Maximum Performance Wellness Centre - especially as you may have some fine tuning to do.

 

If they are out of stock of Testoviron, an alternative Pharma grade is Rotex

[mokwit]

Didn't check first if this was one of those old threads brought back to life, but will leave the info there.

[eezergood]

They have a maximum clinic in Phuket - as yet no feedback. Have been monitoring my T (total & free) for a while and its naturally on the low end, with no ill effects. However im past 40 and there is a history of colon/prostate cancer in the family so my concern is prevention rather.