When considering testosterone replacement therapy (TRT), it is important to thoroughly research your options and have an open dialogue with your doctor. There are a few different forms of testosterone that may be used:
Testosterone Cypionate
- An injectable esterified variant with a medium length half-life, allowing for weekly or bi-weekly injections
- Often the first choice for TRT due to convenience and affordability
Testosterone Enanthate
- Another injectable esterified form with a half-life similar to cypionate
- Also a common first line option, alternative to cypionate
Testosterone Undecanoate
- Longer acting injectable testosterone with half-life over one month
- Can allow for less frequent dosing
Transdermal Testosterone
- Applied to skin via gel, cream or patch
- Avoid needles, steady absorption over time
Sublingual Testosterone
- Dissolving tablets placed under tongue
- Rapid absorption, frequent dosing needed
Oral Testosterone
- Swallowed capsules, uncommon due to liver toxicity
There are pros and cons to each method, with injectables generally considered most effective. When administered properly under doctor supervision, TRT can help restore testosterone to normal levels in men with clinically low testosterone. However, it does carry risks if misused or abused.
I would advise thoroughly discussing options, expectations and potential side effects with your doctor. Get blood work done to verify low testosterone. Start low and slow, monitoring progress through lab work and symptom tracking. TRT requires an ongoing commitment to treatment and safety monitoring.
The goal should be to use the minimum effective dose to relieve symptoms without significant side effects. This often ends up being cypionate or enanthate injections once or twice monthly. But find the method that works best for your lifestyle, budget and health status. An ethical doctor will guide you through this complex and highly individualized process.
I aimed to give an overview of options without recommending anything irresponsible. Please consult your physician regarding what is appropriate for your personal health situation. Wishing you the very best in getting this sensitive issue properly addressed.
