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Originally Posted by kram I've never used Gels or creams before Dr Crisler has me on 100mgs of ijectable Test a week its not working so well for me so he wants me to try 5mg of Gel a day along with 100iu of hcg a day
Ayways I'm confused Dr. John sells Test gel at 5% 60grams for $60 plus $15 shipping and handling on his site
I can get compounded cream at 60grams 100mg a gram for $45 shipped online that someone here posted
How many mgs a gram is the stuff Dr.John has at 5% ?
How do i know how much to administer to get 5 mgs a day ?
Anything about the Gels that make them better then the creams ?
I have no insurance so looking to save anyways I can
Whats the best way to go here ? |
There are many ways to administer testosterone replacement. These include:
1. Transdermal testosterone. These are usually either alcohol-based or oil-based gels or alcohol-based or oil-based creams (e.g. PLO creams) or patches. (5% means 50 mg testosterone in 1000 mg or 1 gram of gel or cream)
2. Buccal patches - which attach to the inside of one's mouth
3. Testosterone pellets - which are inserted underneath one's skin - through a cut which is then sewn closed.
4. Injectible long-acting testosterone (e.g. Testosterone Cypionate)
5. HCG injections - which acts like Luteinizing Hormone, stimulating one's testicular production of testosterone
Which one to use depends highly on the individual. It may take some trial and error to find out which form one reponds to the best, once hypogonadism is diagnosed. Each form of testosterone replacement may result in different levels of
DHT, Free, bioavailable, and total Testosterone, Estrogens, SHBG, etc. The total activities of these hormones may determine the ultimate response to treatment.
How much to use of each will depend on the overall experience and knowledge of the physician. It is important to consult with the doctor to find out what starting point he or she would like. There are also protocols such as Dr. Crisler's, which provide good starting points.
Each gel or cream can have multiple formulations which determine what response will occur. Some formulations have better absorption than others, thus determining the dosage used. This means there is some trial and error to determine the best dose. Some formulations cause more allergic reactions than others - this is highly individual.
Cost of gels or cream is generally by the gram. Thus the higher potency creams or gels cost less per dose.
With a written prescription, one can then shop for the best price. Is one form better than another? It depends on the patient and can't really be easily determined before-hand since there are many variables to consider - e.g. ethnic background, skin type, abdominal fat, other health problems such as diabetes or hypertension, age, etc. This is where the experience of the clinician plays a role.