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I tend to agree, Nelson. In practice, as you may know, the majority of my patients indeed do quite well with once weekly or q5-6 day IM injections. I do not necessarily agree with your statement that most men are too busy to do twice weekly injections. For those patients of mine who either need twice weekly injections or prefer twice weekly injections, they seem to have no issues with sticking to that routine. An intramuscular injection takes five minutes at the most...first thing in the morning or just before bed, most guys will have no difficulty fitting that into their schedule. Now if this were the good old days when you had to actually go to your physicians office to have your injection done, then that obviously would be a different story. With those guys that need or prefer twice weekly injections, what I do find to be more challenging then the actual time commitment involved is actually remembering to do the twice-weekly injections. I tell my guys it is "six of one" and "a half a dozen of the other" and what works for one doesn't necessarily work for another.

Dr Saya