TRT Treatment Protocols
The first step in starting TRT is typically choosing the testosterone preparation type - injections, transdermal gels/creams, patches, pellets, or oral forms (rarely used). Each has pros and cons to consider with your doctor.
"We start TRT using a careful titration protocol to dial in optimal dosing tailored to the individual while monitoring progress and labs every 90 days," comments Dr. John Smith of Rebalance Hormone Clinic.
TRT Injections like testosterone cypionate or enanthate directly raise testosterone levels, releasing hormones steadily over 1-2 weeks. Injections are convenient, requiring less frequent dosing than gels or patches. Potential drawbacks are injection discomfort, swelling, or redness.
Transdermal testosterone gels like AndroGel or Testim absorb through the skin, delivering hormones steadily. Gels require daily application and two dosing options - 1% or 1.62% strength. Skin irritation and potential transfer to partners/children require precautions.
Testosterone patches adhere to the skin, releasing hormones directly into circulation over 24 hours. Brands like Androderm help maintain stable testosterone levels. Drawbacks may be skin reactions, visibility, or adhesion issues.
Subdermal testosterone pellets implanted under the skin release hormones steadily for 4-6 months, avoiding frequent dosing. Pellets require a minor office procedure for insertion/removal. Infection or expulsion are rare risks.
Oral testosterone capsules are rarely prescribed due to potential liver toxicity. Short-acting injections/gels are preferred over pills. An exception is Jatenzo, specially designed for oral ingestion.
Once treatment begins, follow-up bloodwork and symptom reviews determine if TRT protocol adjustments are beneficial. Most men notice improvements in many areas within weeks, although maximum benefits take months.