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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Principles of Testosterone and hCG Injection Technique
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<blockquote data-quote="madman" data-source="post: 223318" data-attributes="member: 13851"><p><strong>8.1 Injection area selection</strong></p><p></p><p></p><p><em>A plethora of research, using various imaging techniques, has demonstrated that – regardless of age, BMI, gender, or race – <strong>skin thickness (epidermis and dermis) is relatively consistent; it ranges from 1.25 mm to 3.25 mm at its extremes but <u>averages approximately 2 mm</u>. (22,104-110)</strong> </em></p><p><em></em></p><p><em><strong>*The thickness of subcutaneous tissue has a much wider variance and is related to <u>gender, body site, and BMI</u>. The subcutaneous layer increases proportionally with an increase in BMI (Figure 11). (22,66,106,111-113)</strong></em></p><p></p><p></p><p></p><p><strong>Figure 11. <u>Subcutaneous tissue (in mm) in male and female adults</u>: the mean values (bold) and ranges (in parentheses) are the results of a series of studies using ultrasound(4)</strong></p><p><em><strong>[ATTACH=full]21679[/ATTACH]</strong></em></p><p><em><strong></strong></em></p><p><em><strong>The buttocks are noted to have the thickest subcutaneous layer, followed by the abdomen, arm, and thigh.</strong> <strong>The subcutaneous thickness can vary slightly within the same anatomical area. (109)</strong> Women are noted to have approximately 5 mm greater subcutaneous fat than men with the same BMI.(1,22,65,109-114) </em></p><p><em></em></p><p><em>Best practice indicates that rates of unexplained hypoglycemia and increased glycemic variability are lower when the abdomen is used exclusively as an injection site. </em></p><p><em></em></p><p><em><strong>1.</strong> <strong>To avoid intramuscular injection, and in consideration of safety and ease in self-injection, the abdomen, thighs, and buttocks are the recommended self-injection areas for adults. </strong>The buttocks are noted to have the thickest subcutaneous layer of these areas. (4,106,108-110)</em></p><p></p><p> <em><strong>2.</strong> <strong>The areas of injection are defined as:</strong></em></p><p><em></em></p><p><em>• <strong><u>Abdomen boundaries</u>:</strong> 1 cm above symphysis, 1 cm below lowest rib, 1 cm away from the umbilicus, and laterally at the flanks</em></p><p></p><p> <em>• <strong><u>Thighs</u>:</strong> upper 3rd anterior lateral aspect of both thighs </em></p><p><em></em></p><p><em>• <strong><u>Buttocks</u>:</strong> posterior lateral aspect of both upper buttocks and flanks</em></p></blockquote><p></p>
[QUOTE="madman, post: 223318, member: 13851"] [B]8.1 Injection area selection[/B] [I]A plethora of research, using various imaging techniques, has demonstrated that – regardless of age, BMI, gender, or race – [B]skin thickness (epidermis and dermis) is relatively consistent; it ranges from 1.25 mm to 3.25 mm at its extremes but [U]averages approximately 2 mm[/U]. (22,104-110)[/B] [B]*The thickness of subcutaneous tissue has a much wider variance and is related to [U]gender, body site, and BMI[/U]. The subcutaneous layer increases proportionally with an increase in BMI (Figure 11). (22,66,106,111-113)[/B][/I] [B]Figure 11. [U]Subcutaneous tissue (in mm) in male and female adults[/U]: the mean values (bold) and ranges (in parentheses) are the results of a series of studies using ultrasound(4)[/B] [I][B][ATTACH type="full" alt="Screenshot (13025).png"]21679[/ATTACH] The buttocks are noted to have the thickest subcutaneous layer, followed by the abdomen, arm, and thigh.[/B] [B]The subcutaneous thickness can vary slightly within the same anatomical area. (109)[/B] Women are noted to have approximately 5 mm greater subcutaneous fat than men with the same BMI.(1,22,65,109-114) Best practice indicates that rates of unexplained hypoglycemia and increased glycemic variability are lower when the abdomen is used exclusively as an injection site. [B]1.[/B] [B]To avoid intramuscular injection, and in consideration of safety and ease in self-injection, the abdomen, thighs, and buttocks are the recommended self-injection areas for adults. [/B]The buttocks are noted to have the thickest subcutaneous layer of these areas. (4,106,108-110)[/I] [I][B]2.[/B] [B]The areas of injection are defined as:[/B] • [B][U]Abdomen boundaries[/U]:[/B] 1 cm above symphysis, 1 cm below lowest rib, 1 cm away from the umbilicus, and laterally at the flanks[/I] [I]• [B][U]Thighs[/U]:[/B] upper 3rd anterior lateral aspect of both thighs • [B][U]Buttocks[/U]:[/B] posterior lateral aspect of both upper buttocks and flanks[/I] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
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Principles of Testosterone and hCG Injection Technique
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