Recently, I had a conversation with a friend that echoed many discussions I’ve had with patients—particularly those who’ve been prescribed hormone treatments like testosterone or growth hormone analogues by online providers.
These treatments are often marketed as quick fixes for fatigue, low libido, or general wellness. But here’s the catch: when the person or company prescribing a treatment is also the one selling it, there’s an inherent conflict of interest. That’s why it’s so important to scrutinize the recommendation carefully.
The Problem with Profit-Driven Prescriptions
I’ve seen too many patients placed on unnecessarily high doses of testosterone without a proper discussion of the risks—like increased chances of heart disease, certain cancers, or infertility. And while medications like HCG are sometimes used to preserve fertility, they’re not guaranteed to work and can be costly.
What’s more concerning is that many of these providers don’t prepare patients for how difficult it can be to stop these treatments. The withdrawal symptoms can be severe, and the body doesn’t always bounce back easily.
As a specialist, I don’t receive any financial benefit from the medications I prescribe. That’s intentional. It’s a safeguard to ensure that my medical advice is based solely on what’s best for the patient—not what’s best for my bottom line. This is also why doctors in Australia aren’t allowed to own pharmacies: prescribing and dispensing must remain separate.
The Rise of Unregulated Providers
Unfortunately, many non-PBS (Pharmaceutical Benefits Scheme) medications fall outside the scope of regulation. Companies like Biov8 or agingsolutions not only prescribe these treatments but also profit from selling them. That’s a red flag.
I’m also concerned about the growing trend of patients being prescribed long lists of expensive supplements—often by the same person selling them. This practice blurs the line between healthcare and salesmanship.
Why Second Opinions Matter
As a non-procedural doctor, my income comes solely from seeing patients—not from procedures or product sales. In contrast, procedural specialists like surgeons do earn money from performing surgeries, which is why their field is heavily regulated to prevent unnecessary operations.
Most surgeons are ethical and only recommend surgery when it’s truly needed. But I’ve still seen cases of inappropriate bariatric or orthopedic surgeries. That’s why I always recommend seeking a second opinion before undergoing any major elective procedure—and the same logic applies to hormone or supplement therapies.
Final Thoughts
Before starting any expensive treatment or supplement regimen, ask yourself:
- Does the prescriber stand to gain financially from this recommendation?
- Have I been given a balanced explanation of the risks and benefits?
- Would a second opinion help me feel more confident in this decision?
Your health is too important to leave in the hands of someone who might be more focused on profit than your well-being.