This will be the first installment of a 3 part series reviewing the different delivery methods for administering testosterone. Every person is a universe and what I mean by that is that every treatment has to be individualized according to the his or her need. In order to accomplish this, there are different methods to deliver the hormone into our system.
The different methods are listed below:
- Injectable or intramuscular
- Creams or gels
- transdermal patches
- Buccal (sublingual)
- Oral (pills)
I will be reviewing the first three delivery systems because those are the most relevant to our practice.
This is by far the most widespread delivery method worldwide. It is also one of the oldest and least expensive. It always includes an ester which is attached to the testosterone molecule. What the ester does in essence is create a reservoir in the muscle and slowly releases the testosterone in the bloodstream. There are different types of esters but the two most common are cypionate and enanthate.
For men, the intramuscular form is attractive because it is a weekly or bi weekly dose. It is not a daily dose like the creams or gels where you can easily forget a day or two. Like I mentioned before, it is the innepensive and the most commonly used form. There may be concerns about having to inject oneself or finding someone to inject you. There is also the peaks and valley phenomenon that can occur with the intramuscular form of injection.
A standard dose for men is usually 100-300 milligrams of testosterone per week or every two weeks. In our experience a weekly shot of a lower dose is best because it minimizes the peak and valley issue. Injections are not recommended for use in women because women need a very small dose and it is difficult to measure such a small quantity and deliver it intramuscularly. I will be covering testosterone delivery methods for women in other installments of this blog. All in all, intramuscular testosterone is a very safe and inexpensive way to replace testosterone. If you have any questions please feel free to contact us for a free consultation.