Many people ask us if injectable testosterone is better than testosterone cream. Pharmacist Layne explains how injectable and cream affect dosing and side effects. For more information check out the link below: www.mtolympusrx.com
@@AH20XX where do you buy the cream from and how much is it? What were your T levels before and after the cream? Can someone get T levels over 1000 with the cream or is that only possible with injections? I tried the injections but I keep hitting a nerve or have some pain afterwards along with severe muscle twitches. I do not look forward to my next injection because of it. And the thought of dealing with this pain for the rest of my life is just dreadful.
@@CJ-yf5cr I don’t know where are you injecting but try searching a little more. I have learned that that leg and gluts is where you hit nerves and it’s not good at all. Pecs and lats is better. Just inject less amount of what you will do on glut or leg. You can inject twice a week instead of once. Shoulder or chest is fine.... just do it with a thinner needle 29g 1/2” works.
Great video compared to the majority of other videos out there. I stopped my last injection 4 weeks ago, been using cream for 2 weeks. I haven’t noticed any estrogen side effects . Everything else seems the same. No complaints.
I have used both cream and injections. He is right about injecting every 2 weeks. So….you inject every 3 days. Like I do. 60mgs every 3.5 days. And that keeps me in the sweet spot. Insurance covers my testosterone cypionate. It lasts me roughly 10 weeks. And if my insurance didn’t cover it. It was 103.00 for the 10 weeks worth. Cheaper then the cream. Needles are subcutaneous. 1/2 inch. 27 gauge. Rather painless.
That's all correct. And if you inject in the upper, outer quadrant of the buttocks, it really is painless. Very few nerves there. I recommend at least a 5/8" needle to get into the muscle. 1/2" will work if you are lean enough. Cheers!
Thanks for the easy to understand, informative video. What is the strongest compounded testosterone one can get? I have just started using TT 200MG/ML T cream 2 clicks (0.5ml) a day. Is it best to apply .25ml twice a day rather than .5ml once daily. Also do I require a script to get thru you and could you ship to Australia? Many thanks.
Hi. My pleasure! Sorry for the delayed response. The 200mg/ml is about the strongest that can be compounded. It starts getting too pasty and thick at higher concentrations than that. Once a day application is fine for maintaining testosterone and it also allows you to space the application apart from when you have contact with another person, preventing transfer. We do require prescriptions, but cannot ship to Australia. Compounding pharmacies are abundant over in Oz though. I suggest you do some phone shopping for the best price.
The cream would mimic better. But you should inject at least once per week. Lots of guys like once every 5 days or twice a week. Once every 2 weeks is bum advice.
Thanks for the comment. In my 20 years doing this, I find most guys settle on twice a week. Once a week allows it to drop into too much of a trough and can be a little too high of a peak precipitating acne. All you have to do is break through that threshold once or twice to trigger acne. I find that women can get away with once a week--probably because it's a much smaller dose.
Great video ! My Endocrinologist and also Urologist prescribed me Testogel 2x50mg daily but both of them want me to take this double dose in the morning. Do you recommend to split the dose to morning and evening to have more stable testosterone level ? Applying only in the morning seems to be more natural but creates more peaks daily. I have close to 0 own testosterone production and so have to rely only on this.
I love the gel version from Ferring with their new delivery Matrix, works like a fucking charm💪👌💪 my value is just in the Top scale of free test with 3 pumps Daily. Will never switch to injectable✊
Was there a pun intended with that bomb? I have thousands of guys on transdermal and they love it. An interesting pearl about injectable: It is known to have a neutral or negative effect on your lipid profile, whereas transdermal testosterone has a beneficial effect on your cholesterol. Injectable also seems to cause more aggression.
Thank you good report. Where can I get this compound testosterone with my doctors prescription of course? What is the brand? Thank you. Finally a video for men. Straight dope on how things work. Thank you.
You can get testosterone cream at a compounding pharmacy. Chances are there's one close to wherever you live. You could get it from us (Mt Olympus Compounding) if you happen to live in Utah, Wyoming, or Nevada. Those are the only states we're currently licensed in. If you google "compounding pharmacy near me" you should be able to find something close. Let me know if you have any troubles. Thanks for the comment. I appreciate the support.
Hey mr k. Do you feel one application of a 10pct cream will give clinical ranges. So instead of 2 clicks for 100mg it would be 1 click for 50mg once a day. Your thoughts?
I have a question I really hope you could answer.. cream testosterone might not is what I need When I was a baby according to my neurologist I had a brain stroke in the right side of my brain,now I’m 36 my left leg is much smaller than the right one like the calf specially..can something like cream testosterone help me to get the muscles bigger ?
Hi Doc i use the cream for 6 weeks and nothing,zero effect. It comes from my pharmacist. I am 49 yo. 4 weeks at 37.5 mg per day and then 75mg per day (applied early morning on washed skin) for 2 weeks and sadly exactly the same, zero effects. Should I switch for injections cause I don’t respond to topic in my case? Thanks 🙏
What do you mean no effects? If you watch the video, injections are not recommended due to spiking. How do you know it's not working? 2 weeks is nowhere near enough time on it. You need to go 2-3 months and then get blood work done to check your levels.
Depending on your cream, the strength, and your starting testosterone level your dose may be too low. I just started and my doctor has me on 150mg/ml cream and I apply .5 ml twice a day for a total of 150 mg. You started at a very small dose and still only advanced to half of what most people are starting at. Initial improvement usually doesn't start showing for three weeks with improved erections, better sleep, and more energy but optimal effects take months.
5 лет назад
Injections twice a week work well also. I don’t know of too many doctors (who know what they’re doing) who would give a guy one shot every 2 weeks... that’s ridiculous. But daily cream is the way to go if you can afford it.
You're right. More frequent, smaller dose injections better reach the goal of mimicking physiologic release if you're up for it. Anything to flatten that dose vs time curve. But it is an intramuscular injection with an inch or longer needle, so... not pain free. A T shot every two weeks IS ridiculous, but you'd be surprised what I see. If you choose injections, I recommend twice a week at a minimum. You can even inject daily, in which case you can do a more shallow sub-q injection. Even closer to ideal! Thanks JH. -Pharmacist Layne
I’ve been on test gel 1.62% like 5 months now. I’m really dissatisfied so far. My starting total T was 144-155. I started with one 20.25 mg packet per day, only got to 235. I then doubled to one 40.5 packet per day and my last blood test showed 175. Doc just doubled it to two packets per day. We will see. I’m not optimistic.
@@ScottHendrix-yz3du I’ve been on 81 mg per day for a couple months. Haven’t seen too much difference. Sexual function is better, but mood, energy, motivation still feels stuck.
@@liamlynch2115 I got my testosterone level to 800 on the shot. One per week and I got to 1300 using the cream. Was not expecting that. I'm still experimenting trying to figure all this sht out. It actually gets complicated. Thanks for the feed back.
Brand name gels like Androgel are garbage for most people because the dose is too low to make an actual impact. Find a doctor that works with a compounding pharmacy that makes cream and even if you start out at 100mg/ml you will be better off than you are now
I’m just starting out here in Australia & they have given me 1ml daily (10%test & 1.5%DHEA) & have been told not to put it on scrotum ?? Why only once a day also ? I feel like this won’t work as well as applying twice
Very interesting video I enjoyed it. I am super concerned as I've been on testosterone cypionate injections 3 years at 120mg a week total. My urologist wanted me to try the 5% compounding cream so I agreed . I am just really worried my levels are going to tank they have be starting out on 50mg total a day with the cream isn't that way low? I feel I'm going to be miserable.
I would say the most common topical strength we see for men is 200mg a day. Keep your urologist updated on what you're experiencing and how you're feeling. Hopefully with your feedback you two can come to a dose that's right for you!
I hope so and I really appreciate the reply. I honestly thought about just doing 100mg a day with this 5% cream mainly because the test concentration is so low. I feel that would be a mote acceptable dosage.
Could I ask what the half life of test cream is, as some Docs prescribing x 2 applications per day and some once. I’d prefer once if that gives a more natural response, but obviously depends on the half life and dosage of 1 application. Would really appreciate your thoughts
@@nicoc7024 The half life is approximately 10-14 hours depending on the source of your information. Twice a day application is better than once a day but just like with injections. Usually they are prescribed for once a week but people tend to inject twice a week to avoid the extreme highs and lows.
@@jimpurewal2661 I am trying to educate myself and it’s an uphill task when it comes to HRT for women. Perhaps you’d like to help with information instead of condemnation.
I am 62 with high PSA 3.7, my Dr wants to start me out with 200 injection once a month.He says insurance does not cover cream,though my insurance said they do
Thank you so much for a positive spin on trt cream. I am injecting right now and I'm seeing my urologist next week to see about getting on a cream. With the cream, can you apply it on the scrotum?
@@zshark365 wrong. If you are getting your CREAM (not gel) from a compounding pharmacy the directions specifically state: Apply to scrotum or inner thigh.
@@S.Uranus wrong. If you are getting your CREAM (not gel) from a compounding pharmacy the directions specifically state: Apply to scrotum or inner thigh.
I would search for a compounding pharmacy near you and contact them. They should have knowledge of providers near you that can prescribe these types of creams.
Any TRT clinic worth a damn won’t prescribe injections every other week 🤣. I like your content but dude, that’s got some serious spin to it. I could make a video saying “injections once a week vs creams every 3 days” and completely flip the narrative. They both have efficacy for sure. But doesn’t an IM injection allow the body to more effectively absorb it?
Thank you. And, in case you're wondering, your boys are not going to shrink away if you apply testosterone to your scrotum. You can expect perhaps a 10-15% reduction in testicle size with ongoing testosterone supplementation simply because you are relieving your boys of some of the work of production, but you likely won't even notice. It's more with age.
We're generally looking to apply cream to areas of the body that have thin skin and are out of the way (meaning won't come into contact with others). Some good areas would be the upper inner arm, upper inner thigh, and chest.
My husband had a baseline testosterone of 100ng/dL. His doctor suggested testosterone injections. Would the cream alone get him in the normal range or with someone that low of numbers benefit more from injections?
Testosterone creams have always gotten a bad rap because "bro science" from the meatheads at the gym will tell you to stop being a wuss and take the needle. BUT, the truth is, all recent studies have shown that the injections and creams have the same effect in raising testosterone levels.
Im curious as to why androgel is applied to the shoulders and stomach but (as people mentioned in comments) you can apply the creams scrotally. Thanks for the video im trying to switch from injection to topical because of headaches and androgel is way too expensive.
Androgel is a commercially made transdermal testosterone preparation in what we call a carbomer gel, which uses alcohol (about 67%) as the delivery vehicle. Alcohol generally does not sit well on tender thin skin like that of the scrotum. It can burn, especially if it gets near the anus. This is why they have you avoid those areas. Additionally, because of it's relatively weak concentration of T, you have to apply 5-10 or more grams of gel to get therapeutic blood levels. That's kind of a lot to smear all over your boys, so they direct you to larger surface areas (no judgment whatsoever there with the adjective). Compounding pharmacies generally concentrate the testosterone in their formulations requiring less volume to deliver the same payload, and use bases compatible with sensitive skin. The scrotum is ideal because it is out of the way (avoids contact transference to others) and its very absorptive. We get good levels when applying there. And... as you mentioned. Compounded testosterone is MUCH cheaper. Compounded testosterone is often covered by insurance. Ask your compounding pharmacy. Thanks for your question, Mr. Chip.
@@cranbell99 Just curious, how has it worked for you? I just took my 2nd testosterone test last week and if my levels are still low they will give ,e the option to get on it if I want. He did mention the cream but wanted to check to see how others have made out with it
Im moving to NC. Could you recommend a dr. That would prescribe this for my low t? I dont want androgel and the clinics just push injections and charge way too much. Thanks!
@@hormonespecialist Hello do you know of a good doctor near Winston Salem NC? I just moved here and I need to find one I’ve been treated for low t since I was 28 . I’m now in my 40s
Hi, I have heard topical testosterone raises DHT levels significantly. Is this true, and should I be concerned of balding? Also thank you for the video
Hi! You're welcome. It is true that the topical testosterone route raises DHT levels higher than injectable, especially when applied in the genital area. This is because there is a higher 5 alpha reductase enzyme level in the skin and genitals, which is what converts testosterone to DHT, but here is the hard truth. The likelihood of male baldness is most influenced by genetics. And those predisposed to it genetically can experience hair loss from even normal circulating levels of testosterone, so I think DHT concentrations are a bit of a wild goose chase. Yes, they bind with a higher affinity to androgen receptors than testosterone, but your receptors are likely already saturated, so we're back to genes. Thank your parents. I really don't like blocking DHT (with finasteride or dutasteride) because it's a party killer. DHT is a much more potent stimulator of libido that testosterone and you don't want to be without it. Besides, haven't you heard? Bald is sexy, man! I know, it's mostly the bald guys saying that.
Hi Fred. The body naturally pulses the release of sex hormones so that receptors do not develop resistance. So morning OR evening is okay. It's best to make that decision based on when you are less likely to transfer your topically applied testosterone to your partner. The decision to apply hormones to the skin should be made by the owner of the skin! Now, having said that, testosterone drives libido and more so at higher levels, so if you want to apply it closer to the time of sexual activity, you'll probably like that. But give yourself 2-3 hours after applying it before rubbing that skin on somebody else's.
Hello,a question: I have been using compounded testosterone cream 200mg/g 50ml 100mg testosterone per pump for three months now,normally i had to use 100mg 2 times a day, so 200mg in total, but I only use 50mg 2 times a day (AM/PM) , after three months i did a blood test to the 12 hours before the second administration and my total T was 350 and free T 5.62 so especially free T is dramatically low(( so my question is, is it normal that my Testosterone in the blood has dropped so much after 12 hours or is it just my dosage is too low? Thank you very much in advance!🙏
You would more than likely need to find a pharmacy that could compound the cream. Compounding pharmacies can make different dosage forms that are not usually found at your typical pharmacy.
@@hormonespecialist Excellent video!! Been reading through all the guys comments, some great knowledge and experience’s here. I was going to ask a similar question about the UK…from reading all of the above I take it you don’t ship there? I have seen one or two guys above talking about the gel…if I am after the cream which many of the guys above are…what are we looking for…as I’m just assuming it’s not going to be that easy to find even in the uk…but will be starting some research straight after this!!!
I presume by "eod" and "ed" you mean every other day and every day? I like that dosing schedule, AND it can be dosed sub-q with a shorter needle, so less painful. You use the same weekly dose (commonly around 1ml of the 200mg/ml testosterone cypionate) divided by the number of doses you give in a week. Be sure and get 3/10cc insulin syringes with 29 guage 1/2" needles. If you try and use the short needles, they are smaller around (31 guage, which will be like sucking honey through a straw) and won't work well. I have patients who do daily SQ injections. It just requires some patience pulling the oil up into the smaller syringes. You should check with your doctor if you want to administer your testosterone differently than the label directs. I'm just giving you options to discuss. -Pharmacist Layne
Cream?? Not a chance. If the levels are to high and to low in 2 weeks administration do it every week cipionate. Cream you have to do it every day, you cant sweat after, you have to wait for the absorption. Not for me.
I don't mind your take on the subject. You just simply state the cream is "not for me". I see so many people saying they won't use cream because it's not as effective as the injections. Injections have been the gold standard for so long that people are afraid to try anything new. Yes, you do have to administer every day but in reality, it's not too bad, apply, let it dry for 30 seconds, go on your way. You just can't hit the gym or have sex for 5 hours to avoid transference. The reality of it is that all recent studies have found the creams to be just as effective as the injections so it's a matter of personal preference. It's a personal choice and you like what you like.
1:13 this is kind of comparing apples and oranges, if you were compare this with microdosing testosterone injecting every day in the morning, you would have the same effect. No endocrinologist in 2023 is doing this old brutal injecting once every week or 2 anymore.
No, its just that people vary and some skin is thicker/thinner than others. For X percentage of men, topical just doesn't work. In this case, its now a question of convenience, rather, one of necessity. After all, who would prefer something you rub on? Not to mention is a whole lot easier to travel with.
