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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Testosterone Replacement Therapy: Products and Costs
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<blockquote data-quote="Nelson Vergel" data-source="post: 249886" data-attributes="member: 3"><p>Did you know that testosterone deficiency has a prevalence of <a href="https://www.urologytimes.com/view/testosterone-levels-show-steady-decrease-among-young-us-men" target="_blank">up to 40%</a> in adult males in the United States? A man is deficient in testosterone when his T levels fall below 300 ng/dL of blood. Although this is slightly worrisome news, there are multiple testosterone replacement options you can take advantage of these days.</p><p></p><p>This article focuses on some of the most important testosterone products in 2023. Keep reading to learn key facts, statistics, price ranges and optimal dosage related to your favorite testosterone products.</p><p></p><h2>Top Testosterone Replacement Therapy Options You Have in 2023</h2><p></p><p>Fortunately, there are many ways you can get more testosterone into your system. There are patches, pellets, gels, injections, even oral capsules that you can take once or twice a day. If you don't really fancy having to inject testosterone once a week, you can take capsules orally and reap all the benefits of testosterone replacement therapy.</p><p></p><p>The following is a quick list of testosterone replacement products you can take advantage of to increase blood T levels. Administration of T products should only be done according to the strict guidance of your TRT doctor.</p><p></p><h2>FDA-Approved Testosterone Brands</h2> <ol> <li data-xf-list-type="ol">Androderm: Androderm is a transdermal testosterone patch that delivers testosterone through the skin. It is applied daily to maintain stable testosterone levels in men with low testosterone due to certain medical conditions[<a href="https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information" target="_blank">1</a>]. This option is no longer used by most doctors since its efficacy was not good and it caused skin irritation.</li> <li data-xf-list-type="ol">AndroGel: AndroGel is a topical testosterone gel that is applied directly to the skin, typically on the upper arms, shoulders, or abdomen. It is designed for daily use to help maintain consistent testosterone levels for men with low testosterone[<a href="https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information" target="_blank">1</a>]. It comes in two concentrations.</li> <li data-xf-list-type="ol">Fortesta: Fortesta is another topical testosterone gel applied to the skin, usually on the front and inner thighs. It is used for testosterone replacement therapy in males with low testosterone levels[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Testim: Testim is a testosterone gel applied daily to the skin, typically on the upper arms and shoulders, to help maintain consistent testosterone levels in men with low testosterone due to certain medical conditions[<a href="https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information" target="_blank">1</a>].</li> <li data-xf-list-type="ol">Depo-Testosterone: Depo-Testosterone is an injectable form of testosterone prescribed for men with low testosterone levels. It is administered by a healthcare professional at regular intervals, typically every two to four weeks[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Testopel: Testopel is a subcutaneous testosterone pellet that is implanted under the skin by a healthcare professional. The pellets release testosterone over an extended period, typically three to six months[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Aveed: Aveed is an injectable testosterone undecanoate solution designed for long-acting testosterone replacement therapy. It is administered by a healthcare professional at regular intervals, typically every 10 weeks after an initial loading phase[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Natesto: Natesto is a testosterone nasal gel that is applied inside the nostrils for testosterone replacement therapy. It is used to treat men with low testosterone levels due to certain medical conditions[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Vogelxo: Vogelxo is a topical testosterone gel applied daily to the skin, usually on the upper arms, shoulders, or abdomen. It is used for testosterone replacement therapy in males with low testosterone levels[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Xyosted: Xyosted is a subcutaneous testosterone enanthate autoinjector for weekly self-administration. It is prescribed for men with low testosterone levels due to certain medical conditions[<a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">2</a>].</li> <li data-xf-list-type="ol">Jatenzo: Jatenzo is an oral testosterone undecanoate capsule approved by the FDA to treat men with certain forms of hypogonadism. It is taken orally to help maintain stable testosterone levels in men with low testosterone [2]</li> </ol><h2>Testosterone Treatment Prices and Dosing</h2><h3>Androgel 1%</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>55-85 for the generic pump, 90-190 for 50 mg generic packets; also, around 650 USD for Brand 50 mg packets</p><p></p><p><strong>Delivery mode: </strong>pump and/or packet</p><p></p><p><strong>Dosage: </strong>25 mg/2.5 g or 50mg/5g</p><p></p><p><strong>Where to apply </strong>shoulders, upper arms or on the abdomen</p><p></p><p><strong>Starting dosage: </strong>50 mg daily dose early in the morning</p><p></p><p><strong>When to measure: </strong>in the morning before applying the gel</p><p></p><h3>Androgel 1.62%</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>40-140 for the generic pump, 620-640 for Brand pump</p><p></p><p><strong>Delivery mode: </strong>pump and/or packet</p><p></p><p><strong>Dosage: </strong>20.25 mg or 40.5 mg</p><p></p><p><strong>Where to apply </strong>shoulders or upper arms</p><p></p><p><strong>Starting dosage: </strong>40.5 mg daily dose early in the morning</p><p></p><p><strong>When to measure </strong>in the morning before applying the gel</p><p></p><h3>Testim 1%</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>around 600-610 for packets</p><p></p><p><strong>Delivery mode: </strong>pump</p><p></p><p><strong>Dosage: </strong>20.25 mg per actuation</p><p></p><p><strong>Where to apply </strong>shoulders or upper arms</p><p></p><p><strong>Starting dosage: </strong>one pump on each shoulder for a total of 40.5 mg early in the morning, it can also be applied on inner thighs</p><p></p><p><strong>When to measure: </strong>in the morning before applying the gel</p><p></p><h3>Fortesta 2%</h3><p></p><p><strong>Delivery mode: </strong>pump</p><p></p><p><strong>Dosage: </strong>50 mg or 100 mg</p><p></p><p><strong>Where to apply </strong>shoulders or upper arms</p><p></p><p><strong>Starting dosage: </strong>two pumps daily in the morning on each thigh</p><p></p><p><strong>When to measure: </strong>2 hours after applying a dose</p><p></p><h3>Vogelxo</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>100-350 for 1% pump, 120-350 for generic packets</p><p></p><p><strong>Delivery mode: </strong>shoulders or upper arms</p><p></p><p><strong>Dosage: </strong>50 mg from 4 actuations of 12.5 mg testosterone</p><p></p><p><strong>Where to apply </strong>shoulders or upper arms</p><p></p><p><strong>Starting dosage: </strong>50 mg daily in the morning</p><p></p><p><strong>When to measure </strong>before applying a dose</p><p></p><h3>Androderm</h3><p></p><p><strong>Delivery mode: </strong>patch applied at night after 10 PM</p><p></p><p><strong>Dosage:</strong> 2 mg per day, 2.5 mg per day, 4 mg per day or 5 mg per day</p><p></p><p><strong>Where to apply: </strong>abdomen, upper arms, thighs, back</p><p></p><p><strong>Starting dosage: </strong>4 mg per day</p><p></p><p><strong>When to measure: </strong>12 hours after skin application</p><p></p><h3>Natesto</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>195-300 for 5.5 mg/actuation</p><p></p><p><strong>Delivery mode: </strong>intranasal pump</p><p></p><p><strong>Dosage: </strong>5.5 mg per pump actuation</p><p></p><p><strong>Where to apply </strong>intranasal</p><p></p><p><strong>Starting dosage: </strong>11 mg (2 actuations) 3 times per day at an interval of 6-8 hours</p><p></p><p><strong>When to measure: </strong>2 hours after nasal application</p><p></p><h3>Jatenzo</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>around 950 for 237 mg BID pill</p><p></p><p><strong>Delivery mode: </strong>oral capsule</p><p></p><p><strong>Dosage: </strong>158 mg, 198 mg, or 237 mg</p><p></p><p><strong>Where to apply </strong>oral</p><p></p><p><strong>Starting dosage: </strong>237 mg capsule twice a day (one in the morning, one in the evening)</p><p></p><p><strong>When to measure: </strong>6 hours after the morning dose</p><p></p><h3>Testopel</h3><p></p><p><strong>Delivery mode: </strong>pellet</p><p></p><p><strong>Dosage: </strong>75 mg per pellet</p><p></p><p><strong>Where to apply </strong>can be inserted under the skin, in the fat of the buttocks, thigh or lower abdominal wall</p><p></p><p><strong>Starting dosage: </strong>150-450 mg every 3 to 6 months</p><p></p><p><strong>When to measure: </strong>at the end of the dosing interval</p><p></p><h3>Aveed</h3><p></p><p><strong>Delivery mode: </strong>injectable solution</p><p></p><p><strong>Dosage: </strong>100 mg/10 ml vial, 200 mg/1-10 ml vial or 750 mg/3 ml vial</p><p></p><p><strong>Where to apply: </strong>intramuscular in the glute or thigh muscles</p><p></p><p><strong>Starting dosage: </strong>750 mg (3 ml) in the beginning, then after 4 weeks then after every 10 weeks; 75-100 mg/week also or 150-200 mg every 2 weeks</p><p></p><p><strong>When to measure: </strong>injections are administered every 10 weeks and T measurement should be done somewhere in between injections (after 5 weeks or so since the last one)</p><p></p><h3>Xyosted</h3><p></p><p><strong>Price for a 30-day supply (in USD): </strong>455-575 for 50 mg, 75 mg and 100 mg injections</p><p></p><p><strong>Delivery mode: </strong>the solution is placed in the autoinjector</p><p></p><p><strong>Dosage: </strong>50 mg, 75 mg or 100 mg respectively</p><p></p><p><strong>Where to apply:</strong> in the abdominal region under the skin</p><p></p><p><strong>Starting dosage: </strong>75 mg applied under the skin once a week</p><p></p><p><strong>When to measure T levels: </strong>trough concentrations are measured 7 days after the most recent dose and only after 6 weeks since the beginning of treatment.</p><p></p><p>These are just a few popular testosterone replacement products available in the US. Keep in mind that you can also procure testosterone enanthate in 5 ml (1000mgs) vials from certain pharmacies. This option usually costs less than $30 for a 30-day supply and the testosterone can be injected by each patient without requiring a doctor's visit.</p><p></p><p>Similarly, TRT patients can also go for testosterone cypionate as 4 ml (800 mgs) vials that can be injected into the muscle. The price for a 30-day supply starts at around $30 and it can go up to $85 from a good vendor.</p><p></p><h2>Check Out How AUA and ES Guidelines Differ on Testosterone Ranges</h2><p></p><p>AUA stands for American Urology Association and ES stands for Endocrine Society. They provide detailed insights and standards on how to interpret hormone levels and blood test results. In some cases, these committees can give different interpretations when it comes to testosterone levels.</p><p></p><h3>AUA Guidelines: What is a Normal Testosterone Range?</h3><p></p><p>According to the American Urology Association, you should measure your testosterone levels in the morning in a fasted state to get accurate results. The normal range is between 450 ng/dL and 600 ng/dL of blood.</p><p></p><p>If your levels fall below 300 ng/dL of blood, you are considered to be deficient in testosterone. If you start testosterone replacement therapy, your first evaluation should be between 2 and 4 weeks after beginning treatment. You will also have to attend follow-up visits 6 to 12 months after starting TRT.</p><p></p><h3>ES Guidelines: What is a Normal Testosterone Range?</h3><p></p><p>On the other hand, the Endocrine Society gives slightly different reference ranges. For example, the normal testosterone range is between 264 ng/dL and 916 ng/dL of blood. The best moment to test your T levels is early in the morning in a fasted state.</p><p></p><p>Testosterone deficiency is confirmed if your T levels fall below 264 ng/dL of blood. Your first evaluation should be done after 3 months of TRT and follow-up visits should be done after 6 to 12 months of beginning your testosterone replacement protocol.</p><p></p><h2>How to Get Your Own <a href="https://www.discountedlabs.com/testosterone-lab-tests?product_list_limit=36" target="_blank">Testosterone Test</a></h2><p></p><p>Remember that now it's easier than ever to check your testosterone levels and see if you are a suitable candidate for testosterone replacement therapy. If your T levels fall below 300 ng/dL then you should talk with a TRT doctor and see what testosterone replacement options you have.</p><p></p><p>Check your testosterone levels quickly and confidentially by ordering a total and free testosterone <a href="https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms" target="_blank">test from DiscountedLabs</a> today.</p><p></p><h2>Key Facts About Testosterone</h2><p></p><p>It's important to also have some basic understanding of how testosterone works in the body, so you can make better decisions when talking with your TRT doctor. For example, more than 95% of your testosterone is produced by the Leydig cells in your testicles.</p><p></p><p><strong>Testosterone daily production</strong> ranges from 3 mg to 11 mg and it peaks early in the morning. Healthy adult males have the highest concentration of testosterone early in the morning and it gradually drops throughout the day. That's why the best moment to measure your T levels is early in the morning to get accurate results.</p><p></p><p><strong>Natural Testosterone Short half-life</strong> - your testosterone has a half-life between 10 and 100 minutes. It peaks once every 3 hours as the luteinizing hormone stimulates the Leydig cells to produce more testosterone. With the passing of time, these cells become less sensitive to LH and they produce increasingly low T levels. It's estimated that males lose about 1%in testosterone production every year after the age of 30.</p><p></p><p><strong>2 percent is free </strong>- about 2% of your total testosterone level is free. This means that it circulates freely through the bloodstream and it can bind to other organs or tissues. 70% of your testosterone is bound to sex hormone-binding globulin and nearly 30% is bound to albumin.</p><p></p><p><strong>Testosterone metabolism - </strong>fractions of your testosterone are converted into other hormones and substances. For example, from 5% to 8% of your testosterone is converted into dihydrotestosterone (DHT). This hormone is responsible for prostate maturation and the growth of the body, facial and pubic hair.</p><p></p><p>About 0.3% up to 0. 5% of your testosterone is also converted into estradiol by the aromatase enzyme. Estradiol plays a vital role in libido and bone health in men.</p><p></p><p><strong>Trough concentration </strong>- this refers to the lowest concentration of a drug in the bloodstream immediately before injecting or administering another dose. It's highly recommended to measure your testosterone levels at trough concentration because this will produce the most accurate results. Based on these results, TRT doctors can make more accurate adjustments to your protocol.</p><p></p><h2>Find Out More About Testosterone Products!</h2><p></p><p>This is just a brief overview of some of the most popular testosterone products in the US, but there's plenty more high-quality information out there. Visit <a href="https://www.excelmale.com/forum/" target="_blank">Excelmale.com today</a> and learn everything you need to know about testosterone, TRT, how to interpret your blood test data, and how to tweak your protocol for optimal results.</p><p></p><p>Also, you can download the Testosterone Replacement Options paper from <a href="https://www.excelmale.com/forum/threads/testosterone-replacement-therapy-options.26953/" target="_blank">this link</a>.</p><p></p><p> </p><p></p><p>================</p><p></p><h2>References:</h2><p></p><p>[1] "FDA-approved testosterone formulations include the topical gel, transdermal patch, buccal system (applied to upper gum or inner cheek), and injection. The manufacturers of two prescription..." URL: <a href="https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information" target="_blank">Testosterone Information</a></p><p></p><p>[2] "by Drugs.com Brand names of testosterone include Androderm, AndroGel, Fortesta, Testim, Depo-Testosterone, Testopel, Aveed, Natesto, Vogelxo, Xyosted, Jatenzo, Tlando, and Kyzatrex. Testosterone is an androgen indicated for testosterone replacement therapy in males." URL: <a href="https://www.drugs.com/medical-answers/brands-testosterone-3510863/" target="_blank">What are the brands of testosterone?</a></p><p></p><p> </p><p></p><h2>Recommended Sources:</h2> <h2></h2><p></p><p><a href="https://www.excelmale.com/forum/threads/testosterone-replacement-therapy-options.26953/" target="_blank">Testosterone Replacement Therapy Options | Excel Male TRT Forum</a></p><p></p><p><a href="https://www.excelmale.com/testosterone-replacement-products-in-the-u-s-video-review-by-nelson-vergel/" target="_blank">Testosterone Replacement Products in the U.S.: Video Review by Nelson Vergel - ExcelMale</a></p><p></p><p><a href="https://www.discountedlabs.com/blog/testosterone-test-near-me-your-complete-guide" target="_blank">Testosterone Test Near Me: Your Complete Guide</a></p><p></p><p><a href="https://www.urologytimes.com/view/testosterone-levels-show-steady-decrease-among-young-us-men" target="_blank">Testosterone levels show steady decrease among young US men</a></p><p></p><p><a href="https://www.discountedlabs.com/blog/testosterone-replacement-therapy-products-and-costs" target="_blank">Continue reading...</a></p></blockquote><p></p>
[QUOTE="Nelson Vergel, post: 249886, member: 3"] Did you know that testosterone deficiency has a prevalence of [URL='https://www.urologytimes.com/view/testosterone-levels-show-steady-decrease-among-young-us-men']up to 40%[/URL] in adult males in the United States? A man is deficient in testosterone when his T levels fall below 300 ng/dL of blood. Although this is slightly worrisome news, there are multiple testosterone replacement options you can take advantage of these days. This article focuses on some of the most important testosterone products in 2023. Keep reading to learn key facts, statistics, price ranges and optimal dosage related to your favorite testosterone products. [HEADING=1]Top Testosterone Replacement Therapy Options You Have in 2023[/HEADING] Fortunately, there are many ways you can get more testosterone into your system. There are patches, pellets, gels, injections, even oral capsules that you can take once or twice a day. If you don't really fancy having to inject testosterone once a week, you can take capsules orally and reap all the benefits of testosterone replacement therapy. The following is a quick list of testosterone replacement products you can take advantage of to increase blood T levels. Administration of T products should only be done according to the strict guidance of your TRT doctor. [HEADING=1]FDA-Approved Testosterone Brands[/HEADING] [LIST=1] [*]Androderm: Androderm is a transdermal testosterone patch that delivers testosterone through the skin. It is applied daily to maintain stable testosterone levels in men with low testosterone due to certain medical conditions[[URL='https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information']1[/URL]]. This option is no longer used by most doctors since its efficacy was not good and it caused skin irritation. [*]AndroGel: AndroGel is a topical testosterone gel that is applied directly to the skin, typically on the upper arms, shoulders, or abdomen. It is designed for daily use to help maintain consistent testosterone levels for men with low testosterone[[URL='https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information']1[/URL]]. It comes in two concentrations. [*]Fortesta: Fortesta is another topical testosterone gel applied to the skin, usually on the front and inner thighs. It is used for testosterone replacement therapy in males with low testosterone levels[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Testim: Testim is a testosterone gel applied daily to the skin, typically on the upper arms and shoulders, to help maintain consistent testosterone levels in men with low testosterone due to certain medical conditions[[URL='https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information']1[/URL]]. [*]Depo-Testosterone: Depo-Testosterone is an injectable form of testosterone prescribed for men with low testosterone levels. It is administered by a healthcare professional at regular intervals, typically every two to four weeks[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Testopel: Testopel is a subcutaneous testosterone pellet that is implanted under the skin by a healthcare professional. The pellets release testosterone over an extended period, typically three to six months[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Aveed: Aveed is an injectable testosterone undecanoate solution designed for long-acting testosterone replacement therapy. It is administered by a healthcare professional at regular intervals, typically every 10 weeks after an initial loading phase[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Natesto: Natesto is a testosterone nasal gel that is applied inside the nostrils for testosterone replacement therapy. It is used to treat men with low testosterone levels due to certain medical conditions[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Vogelxo: Vogelxo is a topical testosterone gel applied daily to the skin, usually on the upper arms, shoulders, or abdomen. It is used for testosterone replacement therapy in males with low testosterone levels[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Xyosted: Xyosted is a subcutaneous testosterone enanthate autoinjector for weekly self-administration. It is prescribed for men with low testosterone levels due to certain medical conditions[[URL='https://www.drugs.com/medical-answers/brands-testosterone-3510863/']2[/URL]]. [*]Jatenzo: Jatenzo is an oral testosterone undecanoate capsule approved by the FDA to treat men with certain forms of hypogonadism. It is taken orally to help maintain stable testosterone levels in men with low testosterone [2] [/LIST] [HEADING=1]Testosterone Treatment Prices and Dosing[/HEADING] [HEADING=2]Androgel 1%[/HEADING] [B]Price for a 30-day supply (in USD): [/B]55-85 for the generic pump, 90-190 for 50 mg generic packets; also, around 650 USD for Brand 50 mg packets [B]Delivery mode: [/B]pump and/or packet [B]Dosage: [/B]25 mg/2.5 g or 50mg/5g [B]Where to apply [/B]shoulders, upper arms or on the abdomen [B]Starting dosage: [/B]50 mg daily dose early in the morning [B]When to measure: [/B]in the morning before applying the gel [HEADING=2]Androgel 1.62%[/HEADING] [B]Price for a 30-day supply (in USD): [/B]40-140 for the generic pump, 620-640 for Brand pump [B]Delivery mode: [/B]pump and/or packet [B]Dosage: [/B]20.25 mg or 40.5 mg [B]Where to apply [/B]shoulders or upper arms [B]Starting dosage: [/B]40.5 mg daily dose early in the morning [B]When to measure [/B]in the morning before applying the gel [HEADING=2]Testim 1%[/HEADING] [B]Price for a 30-day supply (in USD): [/B]around 600-610 for packets [B]Delivery mode: [/B]pump [B]Dosage: [/B]20.25 mg per actuation [B]Where to apply [/B]shoulders or upper arms [B]Starting dosage: [/B]one pump on each shoulder for a total of 40.5 mg early in the morning, it can also be applied on inner thighs [B]When to measure: [/B]in the morning before applying the gel [HEADING=2]Fortesta 2%[/HEADING] [B]Delivery mode: [/B]pump [B]Dosage: [/B]50 mg or 100 mg [B]Where to apply [/B]shoulders or upper arms [B]Starting dosage: [/B]two pumps daily in the morning on each thigh [B]When to measure: [/B]2 hours after applying a dose [HEADING=2]Vogelxo[/HEADING] [B]Price for a 30-day supply (in USD): [/B]100-350 for 1% pump, 120-350 for generic packets [B]Delivery mode: [/B]shoulders or upper arms [B]Dosage: [/B]50 mg from 4 actuations of 12.5 mg testosterone [B]Where to apply [/B]shoulders or upper arms [B]Starting dosage: [/B]50 mg daily in the morning [B]When to measure [/B]before applying a dose [HEADING=2]Androderm[/HEADING] [B]Delivery mode: [/B]patch applied at night after 10 PM [B]Dosage:[/B] 2 mg per day, 2.5 mg per day, 4 mg per day or 5 mg per day [B]Where to apply: [/B]abdomen, upper arms, thighs, back [B]Starting dosage: [/B]4 mg per day [B]When to measure: [/B]12 hours after skin application [HEADING=2]Natesto[/HEADING] [B]Price for a 30-day supply (in USD): [/B]195-300 for 5.5 mg/actuation [B]Delivery mode: [/B]intranasal pump [B]Dosage: [/B]5.5 mg per pump actuation [B]Where to apply [/B]intranasal [B]Starting dosage: [/B]11 mg (2 actuations) 3 times per day at an interval of 6-8 hours [B]When to measure: [/B]2 hours after nasal application [HEADING=2]Jatenzo[/HEADING] [B]Price for a 30-day supply (in USD): [/B]around 950 for 237 mg BID pill [B]Delivery mode: [/B]oral capsule [B]Dosage: [/B]158 mg, 198 mg, or 237 mg [B]Where to apply [/B]oral [B]Starting dosage: [/B]237 mg capsule twice a day (one in the morning, one in the evening) [B]When to measure: [/B]6 hours after the morning dose [HEADING=2]Testopel[/HEADING] [B]Delivery mode: [/B]pellet [B]Dosage: [/B]75 mg per pellet [B]Where to apply [/B]can be inserted under the skin, in the fat of the buttocks, thigh or lower abdominal wall [B]Starting dosage: [/B]150-450 mg every 3 to 6 months [B]When to measure: [/B]at the end of the dosing interval [HEADING=2]Aveed[/HEADING] [B]Delivery mode: [/B]injectable solution [B]Dosage: [/B]100 mg/10 ml vial, 200 mg/1-10 ml vial or 750 mg/3 ml vial [B]Where to apply: [/B]intramuscular in the glute or thigh muscles [B]Starting dosage: [/B]750 mg (3 ml) in the beginning, then after 4 weeks then after every 10 weeks; 75-100 mg/week also or 150-200 mg every 2 weeks [B]When to measure: [/B]injections are administered every 10 weeks and T measurement should be done somewhere in between injections (after 5 weeks or so since the last one) [HEADING=2]Xyosted[/HEADING] [B]Price for a 30-day supply (in USD): [/B]455-575 for 50 mg, 75 mg and 100 mg injections [B]Delivery mode: [/B]the solution is placed in the autoinjector [B]Dosage: [/B]50 mg, 75 mg or 100 mg respectively [B]Where to apply:[/B] in the abdominal region under the skin [B]Starting dosage: [/B]75 mg applied under the skin once a week [B]When to measure T levels: [/B]trough concentrations are measured 7 days after the most recent dose and only after 6 weeks since the beginning of treatment. These are just a few popular testosterone replacement products available in the US. Keep in mind that you can also procure testosterone enanthate in 5 ml (1000mgs) vials from certain pharmacies. This option usually costs less than $30 for a 30-day supply and the testosterone can be injected by each patient without requiring a doctor's visit. Similarly, TRT patients can also go for testosterone cypionate as 4 ml (800 mgs) vials that can be injected into the muscle. The price for a 30-day supply starts at around $30 and it can go up to $85 from a good vendor. [HEADING=1]Check Out How AUA and ES Guidelines Differ on Testosterone Ranges[/HEADING] AUA stands for American Urology Association and ES stands for Endocrine Society. They provide detailed insights and standards on how to interpret hormone levels and blood test results. In some cases, these committees can give different interpretations when it comes to testosterone levels. [HEADING=2]AUA Guidelines: What is a Normal Testosterone Range?[/HEADING] According to the American Urology Association, you should measure your testosterone levels in the morning in a fasted state to get accurate results. The normal range is between 450 ng/dL and 600 ng/dL of blood. If your levels fall below 300 ng/dL of blood, you are considered to be deficient in testosterone. If you start testosterone replacement therapy, your first evaluation should be between 2 and 4 weeks after beginning treatment. You will also have to attend follow-up visits 6 to 12 months after starting TRT. [HEADING=2]ES Guidelines: What is a Normal Testosterone Range?[/HEADING] On the other hand, the Endocrine Society gives slightly different reference ranges. For example, the normal testosterone range is between 264 ng/dL and 916 ng/dL of blood. The best moment to test your T levels is early in the morning in a fasted state. Testosterone deficiency is confirmed if your T levels fall below 264 ng/dL of blood. Your first evaluation should be done after 3 months of TRT and follow-up visits should be done after 6 to 12 months of beginning your testosterone replacement protocol. [HEADING=1]How to Get Your Own [URL='https://www.discountedlabs.com/testosterone-lab-tests?product_list_limit=36']Testosterone Test[/URL][/HEADING] Remember that now it's easier than ever to check your testosterone levels and see if you are a suitable candidate for testosterone replacement therapy. If your T levels fall below 300 ng/dL then you should talk with a TRT doctor and see what testosterone replacement options you have. Check your testosterone levels quickly and confidentially by ordering a total and free testosterone [URL='https://www.discountedlabs.com/testosterone-free-dialysis-and-total-ls-ms-ms']test from DiscountedLabs[/URL] today. [HEADING=1]Key Facts About Testosterone[/HEADING] It's important to also have some basic understanding of how testosterone works in the body, so you can make better decisions when talking with your TRT doctor. For example, more than 95% of your testosterone is produced by the Leydig cells in your testicles. [B]Testosterone daily production[/B] ranges from 3 mg to 11 mg and it peaks early in the morning. Healthy adult males have the highest concentration of testosterone early in the morning and it gradually drops throughout the day. That's why the best moment to measure your T levels is early in the morning to get accurate results. [B]Natural Testosterone Short half-life[/B] - your testosterone has a half-life between 10 and 100 minutes. It peaks once every 3 hours as the luteinizing hormone stimulates the Leydig cells to produce more testosterone. With the passing of time, these cells become less sensitive to LH and they produce increasingly low T levels. It's estimated that males lose about 1%in testosterone production every year after the age of 30. [B]2 percent is free [/B]- about 2% of your total testosterone level is free. This means that it circulates freely through the bloodstream and it can bind to other organs or tissues. 70% of your testosterone is bound to sex hormone-binding globulin and nearly 30% is bound to albumin. [B]Testosterone metabolism - [/B]fractions of your testosterone are converted into other hormones and substances. For example, from 5% to 8% of your testosterone is converted into dihydrotestosterone (DHT). This hormone is responsible for prostate maturation and the growth of the body, facial and pubic hair. About 0.3% up to 0. 5% of your testosterone is also converted into estradiol by the aromatase enzyme. Estradiol plays a vital role in libido and bone health in men. [B]Trough concentration [/B]- this refers to the lowest concentration of a drug in the bloodstream immediately before injecting or administering another dose. It's highly recommended to measure your testosterone levels at trough concentration because this will produce the most accurate results. Based on these results, TRT doctors can make more accurate adjustments to your protocol. [HEADING=1]Find Out More About Testosterone Products![/HEADING] This is just a brief overview of some of the most popular testosterone products in the US, but there's plenty more high-quality information out there. Visit [URL='https://www.excelmale.com/forum/']Excelmale.com today[/URL] and learn everything you need to know about testosterone, TRT, how to interpret your blood test data, and how to tweak your protocol for optimal results. Also, you can download the Testosterone Replacement Options paper from [URL='https://www.excelmale.com/forum/threads/testosterone-replacement-therapy-options.26953/']this link[/URL]. ================ [HEADING=1]References:[/HEADING] [1] "FDA-approved testosterone formulations include the topical gel, transdermal patch, buccal system (applied to upper gum or inner cheek), and injection. The manufacturers of two prescription..." URL: [URL="https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/testosterone-information"]Testosterone Information[/URL] [2] "by Drugs.com Brand names of testosterone include Androderm, AndroGel, Fortesta, Testim, Depo-Testosterone, Testopel, Aveed, Natesto, Vogelxo, Xyosted, Jatenzo, Tlando, and Kyzatrex. Testosterone is an androgen indicated for testosterone replacement therapy in males." URL: [URL="https://www.drugs.com/medical-answers/brands-testosterone-3510863/"]What are the brands of testosterone?[/URL] [HEADING=1]Recommended Sources: [/HEADING] [URL='https://www.excelmale.com/forum/threads/testosterone-replacement-therapy-options.26953/']Testosterone Replacement Therapy Options | Excel Male TRT Forum[/URL] [URL='https://www.excelmale.com/testosterone-replacement-products-in-the-u-s-video-review-by-nelson-vergel/']Testosterone Replacement Products in the U.S.: Video Review by Nelson Vergel - ExcelMale[/URL] [URL='https://www.discountedlabs.com/blog/testosterone-test-near-me-your-complete-guide']Testosterone Test Near Me: Your Complete Guide[/URL] [URL='https://www.urologytimes.com/view/testosterone-levels-show-steady-decrease-among-young-us-men']Testosterone levels show steady decrease among young US men[/URL] [url="https://www.discountedlabs.com/blog/testosterone-replacement-therapy-products-and-costs"]Continue reading...[/url] [/QUOTE]
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