TRT Management In Bangkok

[Thai Ron]

Does anyone know of a BANGKOK (NOT Pattaya) clinic or service that offers a managed TRT service.

I know of one called Maximum Clinic (might be affiliated with Dr. Olivier Clinic in Pattaya but not sure) but it's a major piss take at 11,000 a month.

When I say "managed", I mean a place that offers weekly or monthly T injections plus other meds like aromatase inhibitors (Arimidex etc) and HCG to help combat testicular atrophy.

 

Failing that, how about just a clinic or wellness center at one of the hospital groups that has a practitioner or two with experience in this field of medical practice.

I've tried hospital urologists but they've only been able to prescribe T injections.

If I ask anything about aromatase inhibitors or HCG, they want to refer me to an endocrinologist who often has no experience of these hormones' relevance to TRT and doesn't want to prescribe.

[perthperson]

You may be seeking something that is unavailable but you could try looking for Anti Aging services in one of the Major hospitals. 

 

Generally speaking you should avoid "clinics". 

[Sheryl]

Yes, the anti-aging clinics attached to hospitals is likely your best bet. But they may be expensive.

 

Bumrungrad's is called Vita Life  https://www.bumrungrad.com/en/wellness-antiaging-vitallife-center-bangkok-thailand

 

Bangkok Hospital's is called Bangkok Royal Life Anti-Aging  http://www.bangkokhospital.com/index.php/en/diseases-treatment/royal-hormone

 

Samitivej's is called Life Center  https://www.samitivejhospitals.com/en/centers/life-center/

 

If you don't mind crossing the river Yanhee ospital is likely to cost less than any of the above http://www.yanheeshop.com/en/allshop/57-anti-aging-medicine.html

[speedtripler]

Did you find  any good specialist for trt, Hcg or ai's in bkk ? 

[Thai Ron]

On 1/25/2018 at 2:23 AM, speedtripler said:

Did you find  any good specialist for trt, Hcg or ai's in bkk ? 

No but I did find a pharmacy in Bangkok willing to sell the items under the counter.

[speedtripler]

14 hours ago, Thai Ron said:

No but I did find a pharmacy in Bangkok willing to sell the items under the counter.

I've  got a good pharmacy that can order me anything

It's not exactly the same as an endocrinology report though

 

Although, if you keep your doses sensible I have found side effects are very minimal 

 

[Thai Ron]

22 hours ago, speedtripler said:

I've  got a good pharmacy that can order me anything

It's not exactly the same as an endocrinology report though

 

Although, if you keep your doses sensible I have found side effects are very minimal 

 

The aforementioned Maximum Clinic purport to provide micro-management of TRT and all its bolt-ons but it's 11,000 baht a month.

I didn't bother with the HCG in the end - nuts didn't shrink and no man boobs. 

I'm on a sensible dose of Testoviron Depot every three weeks so..

[speedtripler]

2 hours ago, Thai Ron said:

The aforementioned Maximum Clinic purport to provide micro-management of TRT and all its bolt-ons but it's 11,000 baht a month.

I didn't bother with the HCG in the end - nuts didn't shrink and no man boobs. 

I'm on a sensible dose of Testoviron Depot every three weeks so..

11k a month in Thailand is excessive, and thats being  FUCKIN.G polite about it.... 

Sustanon 250mg costs me 750thb x 10ml 

 

I don't have any negative effects from it but that's at a (relatively) low dosage 

 

Basically, less is more when it comes to vitamin T.... 

 

If you're still gaining fat, greasy skin, estrogenic side effects etc you're likely taking too much and should reduce your dose by 50% instead of trying to control the side effects of taking too much with other drugs..... 

[ThaiNoobie101]

Following.

[itsallmedia]

Will the urology depts at the hospitals prescribe HCG and AI with their TRT protocols? Hoping to go through the hospital with insurance.

[Sheryl]

1. Urology departments do not prescribe anything. Individual doctors working out of them prescribe. In government hospitals, there are standard protocols that doctors are encouraged to follow, though more senior doctors can and will deviate from these when an individual case warrants it. The junior doctors, still in training, are expected to follow the protocols.  In private hospitals there are no such limitations, all doctors are already past their training and free to prescribe as they see fit. There can be -- and usually are -- huge differences in treatment approaches  between doctors in the same department.

 

2. While there are some urologists who specialize in TRT most do not. TRT is also the province of endocrinologists and specialists in anti-aging medicine. Note that when I say "TRT" I mean testosterone replacement for male andropause and not use of steroids (T and other) for "perfromance enhancement" purposes in people with already normal T levels.

 

3. HCG is not approved, anywhere, for use in TRT. It is illegally used in "performance enhancement" regimens (bodybuilders, professional athletes etc). No urologist or endocrinologist, and probably not even an anti-aging specialist, is going to prescribe those to you. And your insurance company would never reimburse such off-label use. In fact seeing it listed would immediately ring alarm bells as to whether you had a legitimate medical need for TRT at all.

 

4. Routine AI use in TRT is still off-label. I am not sure if any hospital based urologists or endocrinologists prescribe it in that manner, though they likely would if it became necessary to control gynecomastia. Anti-aging specialists may be  more likely to. As it is off-label you may have trouble getting insurance to cover it.

 

Note that most men suffering from low T are treated with T replacement alone and most do fine on that. I would suggest you at least try this before investigating off-label drug use. If you develop gynecomastia on T replacement that is one thing, but demanding AI from the onset is another and would probably necessitate use of a stand alone clinic not affiliated with a hospital.