VETTING YOUR TOT DOCTOR
Q: How long have you been managing
patients on TOT, and how much of
your total practice do those patients
represent?
This will Tell You: If the Doctor is experienced
in doing this for a living (Optimizing Men and
Women Hormonally)
Q: Do you have a preferred form of
therapy (injections, gels, etc.)?
This will Tell You: If the Doctor truly
understands the delivery systems that work
and the ones to avoid.
Best Answer: 3 Years Minimum and 5-10 Years preferred. If the Doctor
is an Age Management, Endocrinologist or Urologist, the answer should
be 25% of total practice at the minimum and preferably 50% or higher.
Red Flags to Listen for: Brand New in the Clinical Hormone Prescribing
Game, less than 3 years working with patients prescribing hormones.
Best Answer: I prescribe what the patient requests. I TRY TO AVOID
pellet, intranasal and buccal therapies. I recommend injections and
trans-scrotal compounded cream. If a patient is needle-phobic, I will
recommend a transdermal delivery system. Long-term patient
adherence is what is most critical when prescribing TOT.
Red Flags to Listen for: If the Doctor prescribes pellets, intranasal,
orals, or buccals, avoid them and find another Doctor.
PG 1
 VETTING YOUR TOT DOCTOR
Q: How do you determine the dosing
schedule of a new patient?
(Testosterone, AIs, etc.)
This will Tell You: If the Doctor has a
preferred method of hormonal optimization
proven to work with his patients.
Many of the TRT/TOT “Windmill Clinics” will
just put you on a bunch of drugs in addition
to Testosterone to make money, not caring
ultimately to see that you are optimized.
Best Answer: I start low (dosage wise) and go slow measuring blood
work prior to starting therapy to establish a baseline. Once a clinical
need is established (due to symptoms first and blood work second), I
will begin Testosterone in isolation (by itself) to best understand what T
is doing in that patient's endocrine system solely.
For men who are concerned with maintaining fertility, I will recommend
a measured sperm count first. Second, I will recommend freezing sperm
to be safe. Third, I will give them the option of using hCG/hMG/Clomid
before beginning Testosterone. For men educated to the process, I will
offer them the option of using T with hCG/hMG concomitantly (at the
same time). Labs are drawn at 6-8 weeks and measuring/ understand-
ing the balance between T and E is of utmost importance. We under-
stand this by symptoms/side effects and patient feedback. The goal is
for the patient to feel good and balanced.
Red Flags to Listen for: If the Doctor prescribes other medications in
addition to Testosterone in isolation in order to run up their bill(other than
fertility medications like Clomid, hCG/hMG). Many Windmill T Clinics just
put patients on numerous ancillary drugs to make money. Doing this
assures you they are not putting your health as their primary concern.
PG 2
 VETTING YOUR TOT DOCTOR

Q: What is your opinion of the usage Best Answer: AIs are harsh chemicals designed for women cancer
of Aromatase Inhibitors (AIs)? patients. They have been shown in multiple clinical studies (cited in the
book) to cause issues with Bone Mineral Density and HDL cholesterol.
Both of which can be harmful to male health when negatively effected.
When AIs are scripted, there must be an indicated clinical need for the
patient as measured by side effects/symptoms and elevated readings of
E2 (estradiol) via blood work.

There is no specific threshold or E2 measurement level where a man is

‘too high’ or ‘too low’. It has to be based on side effects or feeling.
Normally when men are below 10, there is sexual dysfunction. This
should be avoided, and it’s why indiscriminate prescribing of AIs should
be avoided at all costs. Also, when AI’s are indicated (there is rarely a
clinical need), the MED (minimum effective dosage) principle should
always be followed with ultimate goal of removing the patient from the
AI once balance between Testosterone & Estrogen is achieved. This is
measured by feeling good and in the absence of side effects.

This will Tell You: If the Doctor truly Red Flags to Listen for: If the Clinic/Doctor uses AI’s, immediately leave
understands evidence-based medicine. and find another Doctor/Clinic.
www.AIs
jayccampbellare
.com/brain/esttoxic
rogen-blocking-the-rto
eal-reason-male
why-competitive-amathealth
eur-bodybuilders-are-dying/and will only
cause harm to biological system functioning
over time.

PG 3
 VETTING YOUR TOT DOCTOR
Q: What laboratory blood tests are you
going to draw before initiating TOT?
When do you draw labs again once
TOT starts?
This will Tell You: This gives you a good
idea if the Doctor is truly experienced in
prescribing Hormones as Biomarker
awareness will be top of mind.
Q: How many times will you want to
draw labs per year?
This will Tell You: The Doctor’s experience
level with working with hormonally optimized
patients.
Best Answer: A Pre TOT Hormone Panel found on Page 184 and 185
inside the hTOT
t ps:/ jayc ampbel .gumBible
road.com/l/testosterone-bible is optimal. Labs should be drawn again 6-8 weeks
into therapy to effectively measure changes to the initial baseline
readings. (You can find the ultimate Labs to pull via my partnership with
Private MD Labs where
w.privatemdlabs.com/jayc )
Red Flags to Listen for: If the Doctor doesn’t have a system to pull your
labs or struggles to provide the biomarkers necessary to measure, leave
and find another Doctor.
Best Answer: As many as is needed based on individual patient response
to TOT. Normally 2-3 lab draws per year upon initiation of therapy (first
year). If the patient progresses normally, twice yearly is optimal. Once
a patient is balanced and optimized, once per year blood panels is
acceptable in the absence of symptoms or side effects.
Red Flags to Listen for: Not able to give clear, concise answers or struggles
to answer at all.
PG 4
 VETTING YOUR TOT DOCTOR
Q: What is your preferred therapy for
maintaining fertility? (hCG, hMG,
Clomid etc)
This will Tell You: Whether the Doctor is
experienced with helping Men maintain
fertility while also using Therapeutic
Testosterone.
Q: Will you use these medications with
or without concomitant TOT( i.e. at
the same time as TOT)? Explain your
dosage strategy to me.
This will Tell You: The Doctor’s experience
level when working with patients attempting
to retain their fertility and get their wife/
GF/partner pregnant.
Best Answer: As hopefully previously mentioned hCG, hMG and Clomid
are all options for Men who want to maintain fertility through
w w.jayc ampbel .guEach
optimization. mroad.com/l/testosterone-bstrategy
ible can work as it depends on individual patient
response. Most Doctors will choose the least invasive route to maintain
fertility (using Testosterone as the last course of action) due to its
w w.privatemdlabs.com/jayc production of Testosterone and the HPTA.
disruption of endogenous
Red Flags to Listen for: There are not a lot of Doctors who are experienced
with keeping men fertile while also optimizing them thru the usage of
Therapeutic Testosterone. So listening closely here and asking pointed
questions is important.
Best Answer: The Doctor can choose either course of administration
depending on the wants of the patient in maintaining fertility while also
choosing the best path of optimization. Most Doctors who are highly
skilled at managing a patient's endocrine system can utilize TOT while
also administering hCG/hMG/Clomid at the same time.
Some Doctors will use the medications regularly while others will use
them intermittently (think of it as everyday administration versus 2-3x
weekly usage). Both strategies are proven to work, and a skillful
Physician will likely have his own tried and true strategy.
Red Flags to Listen for: Only a highly skilled and experienced
Optimization Physician will be able to answer this question correctly/
accurately. If you are a Man desiring to retain fertility while becoming
Optimized, make sure you work with a Doctor who can make this happen.
PG 5
 VETTING YOUR TOT DOCTOR
Q: How long does it typically take
before I start seeing results or
‘feeling’ different?
This will Tell You: The Doctor’s true
experience level in working with optimized
patients over time. This is an easy answer
to a Doctor that knows what they are doing.
Best Answer: There is an actual FAQ Question on page 526 in the
hTOT
t ps:/ jayc ampbel.gumrBible
oad.com/l testosterone-bi le that isolates a study that measured all the noticeable effects
of TOT at specific time intervals. Normally brain fog/indecisiveness is
removed within 10 days of administration due to increased dopamine
w w.privatemdlabs.com/jayc Physical effects of better energy, more muscle
release and functioning.
mass, stamina are felt anywhere from 8-16 weeks after administration.
There are many patients who notice things happening before 6 weeks.
It’s really an individual basis and biochemical individuality thing.
Red Flags to Listen for: If the Doctor doesn’t know the answer to this
question, they are not experienced enough to work with you, and the
chances they can optimize you are slim to none.
PG 6
 VETTING YOUR TOT DOCTOR
Q: Will you allow me to administer my
own TOT injections, upon scripting
injectable testosterone?
This will Tell You: If the Doctor is experienced
enough in his practice to say ‘Yes’. If they say
no, this is a big red flag.
Best Answer: Of course, provided your Doctor believes you have a good
w w.jayc ampbel .gumyou’re
sense of what road.com/l/testosterone-bible doing based on your conversations and regular
communication. Hopefully, the Doctor will explicitly demonstrate proper
injection techniques or point you to videos showing the same. As the TOT
w w.privatemdlabs.com/jayc injecting professionally is a learned art form.
Bible accurately describes,
And you should make sure you become adequately skilled in seeing
that you will be injecting yourself for the rest of your life. I’m sure as
technology improves, so will the ability to regularly and safely
administer injections
Red Flags to Listen for: If the Doctor wants you coming into his office
every time to get injected by a nurse or himself, run away and work with
another Doctor.
PG 7