Sub Q Injections

TestBoss

New Member
Why is it that every doctor that I have told that I am doing sub q injections are like "Those are supposed to be done via Intramuscular." Even the nurses at the place I'm getting my testosterone has said the same thing. It's very annoying. I have to tell them to look at my chart where it says sub q for both HCG and Test. Today at my physical the guy was like you're doing them sub q??? saying it's IM. Is this a new way to do it in the recent years or are people just clueless? I'm going to see a new endocrinologist soon because its covered by insurance, so no telling what she will say.
 
Traditionally, yes, IM delivery, sub Q is rather new but IMHO subq revolves (mostly) around being able to use much smaller needles, like 29g, than any other factor.
 
As long as sub q works, I like the shorter needles. I got my T checked today by my primary care doctor to see what my numbers are since starting. I got a referral to an endo that's covered by insurance instead of the other doctor. Has anyone ever gotten Testosterone from Wells Pharmacy Network?
 
Just more medical folks woefully behind the times with regard to TRT. SubQ is newer than IM, but it has been around for years - its not like it was invented in the last 6 months.
 
The package insert says IM, most every T clinic in the states say IM, most of the more experienced guys on this site seem to favor IM, many guys tried SQ and went back to IM, and IM has been the delivery method of choice for decades. Yet a couple docs who are considered by many to be cutting edge and we're against SQ in the past, have changed their tune and now some guys do it. I agree with Vince that it probably has something to do with their desire to use smaller needles, but I've used Nelson's shoulder technique for about 6 months now, with a 27g 1/2" needle with very little discomfort. I'm not a SQ guy, more of a shallow IM guy, but give it a go and see what you think.
 
I'm also a shallow IM guy, I really like injecting with the Easy Touch 27g 1/2" syringe. I always inject both T and HCG in my shoulders.
 
As noted elsewhere, fellows here swear by one method and back up their claims with labs. Others swear by the other and have labs that support them. I tried both and have labs that indicate it made no difference. Give it a fair trial, test your levels, and let us know.
 
Why is it that every doctor that I have told that I am doing sub q injections are like "Those are supposed to be done via Intramuscular."

I believe the FDA approval for testosterone injections was based on a study of IM injections only. Therefore, the FDA approval is only for IM injections. No one ever submitted a study using SQ injections.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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