I’ve got a pile (sorry) since I’m debating switching providers. Since you are telemedicine how do you handle the yearly physical? Is it a requirement? Do you have an recommended providers? I also see you have a monthly fee. Does that change based on dosage or additional medications? Speaking of additional medications. Do you treat sun optimal thyroid? Like just barely out of range type values? I’d like to get my TSH closer to 1 (it’s just above the max now). Do you offer things like anavar if someone wants to try it (with a good reason of course).

AlphaMD's Answer

1. The new telemedicine law regarding controlled substance and a physical exam is still being debated (literally they held a hearing on it this week). No ruling has come from it and so it has yet to take effect. Regardless, based on the current language in the law, The physical exam does not have to be performed by the prescribing provider. Provided that a physical exam is performed by a medical provider, controlled substances are allowed to be prescribed by another provider. When the law goes into effect, we will require our patients to have a physical exam by their primary provider and provide proof of this to us through our portal system.
2. Our monthly fee does include unlimited consultations with the medical provider, injection supplies, shipping fees, as well as the cost of the testosterone and any AIs. If you are on a higher-than-typical dose or require additional medications, that amount may change. These are very small charges typically to the tune of $8-12 per month unless the medication is expensive.
3. We are careful with treating thyroid issues. Unlike testosterone, which you cannot overdose on, too much thyroid can cause palpitations, cardiac toxicity, anxiety, and other issues. We will treat hypothyroidism in symptomatic patients.
4. We do prescribe Anavar for those who qualify.