Gray RETA 和您的医生/PCP

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Birdie said:
I did not and I will not. I wasted a lot of time trying it his way--now we are doing it mine.
Oh PREACH sister! The System <tm> is a shit show of treating “very” sick people and if you’re not sick enough then you get a shrug.

Or landing on my symptom as a diagnosis instead of asking: what could cause this?

I’ve lived in three states, 8+ doctors a hand full of mental health professionals and the only thing they do is what everyone else has done.

“Why don’t you test for Vitamin D?”

“Oh, everyone’s low in this region.” 🤦‍♀️

And that one basic add on test got the ball rolling toward improvement… and could have been done in 2011 or earlier. It’s maddening.

.

I hear you very clearly. I’ve done it the “right way” and it gave me sadness and misery. I’m not signing up for the rest of my life to be like that.
 
In addition to seeing my GP a few weeks ago, I see my cardiologist in April. He gave me shit for gaining weight last year when I went from 190 to 209. He'll be happy this time when I guess I'll be around 185-190lbs. I know he'll ask me how, and I'll probably tell him low carb. He' s a sharp shit, so he might figure it out.
 
ambot88 said:
I never got any blood work and didn't tell my doctor - I sort of wish I'd gotten initial bloodwork though just to see the difference.
Im in same boat wish i had waited to get initial blood work of course i could not wait got blood work 4 weeks into reta and nad and blood

Work show low iron. Borderline anemia. Not sure if peps would cause that. Did have aquablation of prostate surgery back on Dec 22 and had heavy blood clotting. Well see well keep doing labs and see if iron levels come up.
 
I had my yearly check-in with my PA a month ago. I did not mention Reta, I was about 20lbs lighter but it didn't come up. We had the usual "Anything you want to discuss? How is everything going? Any concerns/issues? Any questions for me?...". Asked him to do a bunch of blood tests (I had a list prepared) in addition to the usual one we do, and he had no problem with it. Next day got my results and his feedback that everything looks great and results are better then last year, carry on.
 
I tell my doctor everything I take. He just wants me to keep up on bloodwork and keep him in the loop.

Definitely get bloodwork done before you start anything.
 
Vash_ said:
I tell my doctor everything I take. He just wants me to keep up on bloodwork and keep him in the loop.

Definitely get bloodwork done before you start anything.
This is my approach. My docs don’t care too much if things seem reasonable and they’re not the one signing the prescription (liable).
 
After 30 years of adulting, one thing has been quite clear from the medical profession. Most patients Primary Care provider are a Pharmaceutical liaison. They are compensated by Big Pharma to write scripts for specific medicines. This is never disclosed to the patient. So when your Doctor disagrees with patients using off-label or compounded drugs, the resistance is based on profit margin, not personal care. Always follow the money....
 
chewonmysac said:
After 30 years of adulting, one thing has been quite clear from the medical profession. Most patients Primary Care provider are a Pharmaceutical liaison. They are compensated by Big Pharma to write scripts for specific medicines. This is never disclosed to the patient. So when your Doctor disagrees with patients using off-label or compounded drugs, the resistance is based on profit margin, not personal care. Always follow the money....
Many doctors are influenced by BP, but many are also not, to be fair. I went to a new doctor one time and these people (patients) were bringing in literal backpacks and small cases of Rx. I was amazed at how many meds some of these people were taking.

When I had my appointment, he looked at my meds and labs, and immediately recommended 3 new brand name medications, and 2 of them had generics as I found out later. When I mentioned the cost, he opened this walk-in closet with what had to be 500 different medications in it and handed them both to me. It was the size of a small pharmacy. I found a new doctor after that and was put on only one new med, and it was generic. Live and learn.
 
chewonmysac said:
After 30 years of adulting, one thing has been quite clear from the medical profession. Most patients Primary Care provider are a Pharmaceutical liaison. They are compensated by Big Pharma to write scripts for specific medicines. This is never disclosed to the patient. So when your Doctor disagrees with patients using off-label or compounded drugs, the resistance is based on profit margin, not personal care. Always follow the money....
True follow the money but not for the reasons you are putting forth. As a physician, I can tell you there are no kick backs for these meds. All payments to any physicians from a drug company have to be listed on the government website. easy to check out. they usually just want to cover their ass in case they get sued for medical malpractice by money hungry lawyers who will blame them for not recommending that you stop grey market. On the other hand, it is important for them to know as they had me stop the reta 2 weeks prior to my neurosurgery
 
I plan to tell mine without telling him.

He's a good doctor, because I only see good doctors, and I define those as "a doctor who understands that I am engaging him as a subject matter expert on medicine and health, and that ultimately I and NOT he own decisions about my own health, and that his role is to make sure I am fully informed and supported so I can make the decisions that are right for me; who will not attempt to exert some kind of weird directoral control over my decisions or even presume the right to scold or lecture."

I also understand that he has responsibilities to our health system's insurance contracts, and I will not openly state I'm using tirzepatide and possibly retatrutide later that I did not obtain a prescription for, because then he'd be bound to note that in my chart, which could cause issues down the line. But he has no repsponsibility to note hypotheticals I broach to him, which he will know full well are not hypothetical because he is not an idiot, and will understand are not intended to be believed hypothetical, and I doubt he'll be confused about why I'm phrasing it that way because I don't see doctors who are idiots.

Basically, I'll have the same conversation with him as I would if I were using cocaine or amphetamines regularly and were not ready to stop. I expect that he'll let me know how that may possibly change which considerations apply to me when managing my health, and we'll go from there.
 
I have been quasi-honest with my providers. I DID tell them that I was taking Tirzepatide, which is true. I did NOT disclose that I am stacking that with Retatrutide. I figure that one GLP-1 disclosure covers what they would need to know.

Results: My cardiologist, electrophysiologist, rheumatologist and nephrologist all were Very Happy to learn that I was taking a GLP-1 , because the data shows it is improving my Obstructive Sleep Apnea, AFib flares and joie de vivre. They ALL have no problem with sourcing compounded because of the cost of the brand. NO, I have not told them I source Gray. LOL.

But, more importantly, the data shows that I have moved my Chronic Kidney Disease markers from Stage 3 down to Stage 2; and I have no more pain from bone-on-bone bilateral knee osteoarthritis. I no longer need a cane to walk and can now use both knees to climb stairs again.

I have not seen my GP since starting, but I am sure she will be shocked because I am down 70 pounds from when I last saw her last June. I will tell hear that I am on a Compounded GLP-1.
 
chewonmysac said:
After 30 years of adulting, one thing has been quite clear from the medical profession. Most patients Primary Care provider are a Pharmaceutical liaison. They are compensated by Big Pharma to write scripts for specific medicines. This is never disclosed to the patient. So when your Doctor disagrees with patients using off-label or compounded drugs, the resistance is based on profit margin, not personal care. Always follow the money....
I think you may be a tad cynical, lol. I think another less nefarious reason for them to be cautious about compounded drugs is that they follow FDA guidelines carefully, for licensing reasons as well as relying on data and documented human trials published in peer reviewed journals. Most of the peptides we use do not have enough human trials and established data to satisfy their licensing requirements.
 
Mc_ppka_tp said:
I hadn't thought of how to answer her questions about my weight loss and I do not want my Chinese Reta usage documented. I think I'll borrow the zepbound telehealth "white lie".
Quick follow up. I had my appointment and my PA looked over my file and report from the dietician and was so excited with my results she never asked how I did it. She was more concerned how my metabolism and organs were handling the weight loss. So she ordered a slew of blood tests and included a few I suggested. So I never really had to tell her my little rehearsed "white lie"
 
To cover their ass, legally Doctors really have to tell you they do not approve, and it might be dangerous, as it is not an approved drug , and if something goes wrong because of it, it would be better to have that they said this, written in their notes, but individual reactions are mostly going to depend on how interested in the research they are, and if they have even heard of it.

I had no issues telling my doctor about grey tirzepatide, he had prescribed ozempic and tirzepatide before this. He did seem a bit more concerned about the safety and sourcing of hgh , more so than any medical effects, when I told him about that recently when I wanted to get igf-1 levels checked. Not really sure why the reaction would be different. Did not get around to telling him about the reta as well. At least I am not in the US, and live somewhere with sensible government subsidised medical care, and do not have to worry about insurance companies that sound like something out of a dystopian nightmare, and doctor patient confidentiality is no longer a thing.
 
I discussed my use of grey reta with my doctor and why I was using it over Tirz.we discussed the pros and she was impressed with my thinking and reasoning. I also asked her to leave it out of my records, which she did. I love my doctor.
 
attcbf said:
What panels do you get?
I do CBC, CMP, HbA1c, lipids, TSH, and fasting insulin done every time. I'll order other labs if I am curious: testosterone, IGF-1, etc.
 
Raidersilver said:
Im in same boat wish i had waited to get initial blood work of course i could not wait got blood work 4 weeks into reta and nad and blood

Work show low iron. Borderline anemia. Not sure if peps would cause that. Did have aquablation of prostate surgery back on Dec 22 and had heavy blood clotting. Well see well keep doing labs and see if iron levels come up.

Test for ferritin too, it Is the iron reserves your body has. Hope you are improving.
 
Thank you for all the differing insights in this thread. I have a great relationship with my PCP and I don't want to jeopardize that, probably my biggest holdout for not starting yet.

Not sure what direction I will go yet much to consider.
 
Pinngo said:
I haven't bothered to tell mine. My yearly visit for the last decade has essentially been "your bloodwork is fine, you seem healthy as a horse, but you're over weight. Work on that. Have a nice day, thanks for the $$$."

I'm doing quarterly blood work that is more comprehensive than they order for 1/4 the price, I monitor heart rate, sleep, etc through my watch and check blood pressure regularly. I'm not too fussed with them not knowing and don't really think it would make a difference for my specific situation.
My experience has been lacking with my PCP. I find myself educating and answering his questions. If it isn't on his insurance checklist and not available at wallgreens, he has no clue. This is why they call it "The Practice of Medicine"
 
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