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Old 02-27-2008, 12:17 PM   #1
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TRT - Pros and Cons of various forms (Gel, Patch, Injections)

TRT can be done in many ways - Gel, Patch, Compounded Gel, Injections, Pellets etc. What are the pros and Cons of each? What Should i choose if i am starting first?

Thanks for your help

 
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Old 02-27-2008, 01:35 PM   #2
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

Quote:
Originally Posted by seth64 View Post
TRT can be done in many ways - Gel, Patch, Compounded Gel, Injections, Pellets etc. What are the pros and Cons of each? What Should i choose if i am starting first?

Thanks for your help
Gel - Pros easy to maintain a good level of T CONs- sticky until dry and can be transfered if you dont wash it off before sex or any vigorous contact (a simple touch shouldn't transfer it if its dry)

Injections - Pros - no risk of transfer Cons - you have to give your self a shot several times a week

Patch - Pros - limited risk of transfer, its easy Cons - possible skin irritation, sometimes doesn't absorb well (vaires from individual)

I've never heard of pellets. dont know the difference between a gel and compound gel.

 
Old 02-27-2008, 09:25 PM   #3
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

This would be my list. Good question by the way:

gels
pro - easy to apply, less conversion to estradiol
con - must use daily, may not be able to get level high enough, keeps T at a virtual constant level 24/7, more conversion to DHT (this could be a pro for some)

patch
pro - easy to apply, lets T level fluctuate thuout the day better simulating natural T levels, i'm guessing less conversion to estradiol
con - must apply daily, skin irritation, visible to others in case you don't want it to be, (not sure what T levvel you can achieve...never tried it)

shots
pro - can get to any T level dessired, usually only once a week application, lets T levels vary thru the week, cheaper
cons - you have to give yourself a shot, tends to convert more to estradiol

pellets:
I don't know enough but I do not go for them because they must be implanted by a doctor and once in you are stuck with them for months even if the level is not right. Some might like the fact they get this injection once every few months and are done.

 
Old 02-29-2008, 05:18 AM   #4
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

One form of TRT that I never see brought up is a cream based formula that a compounding pharmacy (not BALCO) prepares right in the pharmacy itself. Compounding pharmacies make lots of different meds and they are typically "compounded" to make them easier or more comfortable to use and for those with allergies to some additives found in some medications. Mylanta with lidocain for acid reflux pain, for example. Your MD obviously has to prescribe it and its basically Testosterone in a cream/lotion "base". The base can be adjusted if one is allergic to something in the lotion. They have dozens of combos and all are fragrance free. Search "Compounding Pharmacy" on Wikipedia for a good description.

The plus to this cream is no alcohol, no slime and much less skin surface area needed for application. My prescription says: TESTOSTERONE VAN PEN 10% CREAM- APPLY 1 ML (100MG) EACH DAY. It was prepared and put into 3ml syringes (10 total for a month) and each day I push out 1ml into my palm and rub into my arm. 30 day supply cost me $75 without insurance.

Do not get me wrong as I am not saying that this is the best TRT, its just another option. I tried Androgel and didn't like it because it irritated my skin and was so slippery that if I wasn't super careful some of it would run right off me and onto the floor. It also took my whole upper arm and shoulder to apply and I am a big guy. I was prescribed the individual packets and not the pump.

I also did 8 weeks of shots and just found it tedious to go to the MD once a week and wait (up to 30 mins). Plus I live 20 mins away from the office so it was a pain (no pun intended ) to drive in just for a shot.
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Old 02-29-2008, 10:20 AM   #5
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Re: TRT - Pros and Cons of various forms (Gel, Patch, Injections)

Bilbo, I bet the compounded cream is much cheaper than androgel or androderm too. Is this true?

 
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