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What is the Best Testosterone Replacement Therapy?

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testosterone replacement therapy therapy

What is the Best TRT Medication for Optimum Levels?

Testosterone Replacement Therapy (TRT) is commonly used to help people with abnormally low testosterone levels or to maintain optimal levels for health reasons. Decreased muscle mass, lower sex drive, middle-age spread, and fatigue are all common symptoms. Testosterone medication is often prescribed in pills, patches, creams, or injections to increase levels back to normal.

You will often see companies selling what is known as 'Bio-identical' testosterone. This is simply 'manmade' testosterone, that is chemically very similar to that produced in the human body.

Testosterone Injections

Testosterone injections are one of the more common forms of TRT. Testosterone cypionate is commonly injected into the gluteal muscle every 1-3 weeks. It can be administered yourself after being shown the ropes by a nurse or your doctor. The dosage depends on varying factors that will be carefully diagnosed by a doctor using blood or urine tests and often a medical questionnaire to asses your suitability for treatment.

There are two types of injections available, intramuscular and subcutaneous. Intramuscular injections are usually administered once a week using a long needle directly into the muscle. Whereas subcutaneous injections are tiny needles usually about 0.5 inches long which are administered into the fat layer just under the skin often daily at a far lower dose.

Here at Male Excel typical dosage ranges from 0.10ml - 0.25ml daily. We offer a daily dose because to avoid a spike in testosterone, it is far better to have a steady supply rather than a large dose all at once. The thought of giving yourself an injection often puts people off this treatment but in reality it pretty painless once you have done it once it's pretty straight forward.

Testosterone Lipoderm Cream

Testosterone Lipoderm cream is applied to the skin to administer testosterone into your system. It is used to treat hypogonadism and increase testosterone levels in your body. Typical dosage range from 0.25ml – 4ml per day and is delivered in the groin area. With all testosterone creams, certain precautions are vital to ensure cross-contamination doesn't occur.

Topical testosterone creams can cause side effects in women, children, and even pets who accidentally come into contact with it. In children, side effects can be serious and include early-onset puberty, aggressiveness, enlarged genitals, excessive hair growth, and acne. And in women, it is particularly dangerous during pregnancy, where it can cause birth defects.

However, by using the correct precautions these risks can be eradicated.

  • Do not allow the treated area to come into contact with other people
  • Cover the treated area 20 minutes after application
  • Don't allow others to touch clothes or bedding which has come into contact with creams
  • Don't stoke animals after application
  • Wash hands thoroughly after application

Which Should I Use, Testosterone Cream, or Injections?

Which option is best for you is a tricky question to answer, because there is no definitive answer.  Typically testosterone can be injected once a week, twice a week or daily but let's face it injections won't be for everybody. It can be painful for several days after and can give you a spike in testosterone which diminishes over time, until the next dose. If a smaller dose is injected either daily or every other day this can help avoid this issue and provide more consistent levels. For overweight men, injections can trigger the body to convert testosterone into estradiol which can cause sore nipples and swelling in the surrounding areas.

Creams can provide high levels of testosterone in an easy to apply form, but here are important transference issues as discussed earlier. You will have to avoid sexual contact if you have applied the cream less than 4 hours ago especially if applied in the groin area as many doctors suggest. You also must make sure you wash your hands thoroughly after each application.

Absorption of the cream also varies from person to person, some will have excellent levels whilst others won't. So ongoing testing is vital to ensure the best results. For those who have poor absorption, injections will be the obvious alternative for treatment.

If you would like to discuss how male excel can help with maintaining optimal testosterone levels then simply fill in our online medical form and you will receive one of our home test kits.