What's new

Second visit with Dr Komer

Thread starter #1
Joined
Sep 1, 2018
Messages
222
Likes
199
So, I had my second visit at Dr Komers office (my first with Dr Komer himself). To start, I've been on 250mg/week of Test C prescribed by my GP for the last 3 years, I sought out Dr Komer as my GP has no clue about E2 management or other blood values. After my first initial visit, I was sent for blood work and asked to donate blood 2 weeks before getting the BW done and to do the BW 3 days after my TRT pin. My T levels came back at 27nmol/dl and Dr Komer said he would like to see them in the mid 30's, however my hemocrit levels are high, so he cannot raise my script yet. My E2 levels were a bit high as well and he prescribed me 0.5mg Arimidex per week to get this under control. Also advised on a very comprehensive vitamin routine and switching to a full Ketogenic diet. He took over my Test C script from my GP at the current 250mg/week regimen. Going for some more BW to check iron levels and Vit D levels in 6 weeks with a folow up with him in 8 weeks. Over all I'm very happy with him, and got the impression he was very interested in my well being and reaching optimal levels for myself. I was apprehensive after hearing some of the other members feed back on him and how they were disappointed with their TRT doses and such. I think they may have been expecting too much or were not really in need of a Dr's assistance and may have been just seeking a free test script IMHO.
 

66Chevy

Super Moderator
Joined
Jul 6, 2011
Messages
5,858
Likes
2,810
Location
Great Wide Open
Sounds very comprehensive, with a emphasis on optimizing your health overall...which is exactly how things should be managed by a Dr in my opinion.

In regards to other members feedback on trt docs I think guys need to lose their cycling mindset and truly embrace the trt mindset. This synthetic hormone treatment is for life and health needs to be the main priority not trying to run the highest amount of test possible. If you are in the med/high range of T, E is in a happy place and all your other health markers are good as well as actually feeling good, then that is exactly where your test dose is best FOR YOU.
 
Thread starter #4
Joined
Sep 1, 2018
Messages
222
Likes
199
Glad to hear you share your experience with him. He seems like one of the best out there. What's he going to charge you?

Is he telling you to shed weight to control E2 with the keto diet? A short term thing?
Billing for Dr Komer is as follows, first initial visit is covered by OHIP, second visit is $300, 3rd and 4th are $99 each. E2 is being managed with the Adex, the Keto diet and vitamin regimen is to control my high hemocrit (both hemocrit and E2 are higher than should be based on T levels in the BW) and will be long term. This is also due to my unique medical history and the fact i survived stage 4 cancer 8 years ago, Dr Komer believes the Keto diet long term will help reduce the chance of the cancer returning, also I have a high level of inflamation (possibly due to 5 day a week workouts) that he wants to manage as well. I'm starting another cycle sunday now that my hormone panel is done for now, but will keep levels on the lower side.
 
Thread starter #6
Joined
Sep 1, 2018
Messages
222
Likes
199
Great info man, thanks for the write up. Sounds like he is a really attentive doc.
He seems to know his stuff, he wasn't overly chatty and didn't really want to hear a lot of "bro science" type anecdotal stuff. He was direct and to the point about stuff and that might throw some people off. He did ask me what i wanted to weigh (I'm currently yo-yoing in the 280's) I told him in the 250-260 range, which would eliminate the 20-30lbs of fat i currently walk around with. My reverse T3 levels are also way high and need to be lowered which is why I am carrying the extra weight according to him.
 

LesPaul

Registered
Joined
Dec 3, 2018
Messages
158
Likes
118
Location
Ontario
He's my / was my Doc also. I paid $100 at first visit and OHIP covered the rest. After a year of being stable he kicked me back to my GP.
He did tell me I was a poster boy for TRT?? He use the line on you? lol
 
Thread starter #8
Joined
Sep 1, 2018
Messages
222
Likes
199
He's my / was my Doc also. I paid $100 at first visit and OHIP covered the rest. After a year of being stable he kicked me back to my GP.
He did tell me I was a poster boy for TRT?? He use the line on you? lol
No I'm already on TRT and have been for 3-4 years or so. My visits with him are around monitoring and managing the levels and blood work.
 

LesPaul

Registered
Joined
Dec 3, 2018
Messages
158
Likes
118
Location
Ontario
No I'm already on TRT and have been for 3-4 years or so. My visits with him are around monitoring and managing the levels and blood work.
Interesting. I was a little disappointed to get kicked back to my Doc who wanted nothing to do with TRT. The first set of labs my Doc did after Komer he forget the estrogen.... Honestly ....
 
Thread starter #10
Joined
Sep 1, 2018
Messages
222
Likes
199
Interesting. I was a little disappointed to get kicked back to my Doc who wanted nothing to do with TRT. The first set of labs my Doc did after Komer he forget the estrogen.... Honestly ....
How long ago did you see Dr Komer? I get the impression that he will monitor me for 4 visits over a 1 year time period to dial in the dosages then, send me back to my GP with the recommendations for the scripts. This would be fairly normal for a specialist.
 

LesPaul

Registered
Joined
Dec 3, 2018
Messages
158
Likes
118
Location
Ontario
How long ago did you see Dr Komer? I get the impression that he will monitor me for 4 visits over a 1 year time period to dial in the dosages then, send me back to my GP with the recommendations for the scripts. This would be fairly normal for a specialist.
Yes, one year. Stable so released and they sent recommendations of labs and scripts to my GP. Just tough going from Komer back to a guy who thought 6.6 Total T was fine. No TRT required.
 
Top