What is the best testosterone replacement therapy? (TRT) is a common question for men looking to optimize their hormones and feel the benefits this life-changing treatment offers. TRT is a treatment for people with abnormally low testosterone levels to restore optimal hormone balance and promote healthy aging. Common symptoms of low T include decreased muscle mass, lower sex drive, middle-age spread, and fatigue. Testosterone medication is often prescribed in pills, patches, creams, pellets, troches, and injections.
Bioidentical Hormones are Best
The latest and most effective hormones available are called bioidentical. These hormones have the same molecular structure as the hormones your body produces naturally. Because they are chemically the same as those in the human body, they promote the same positive benefits as the real thing. Bioidentical testosterone rarely causes any side effects, and patients tend to experience a greater sense of well-being and vigor.
We only recommend two options for the best testosterone replacement therapy - daily testosterone injections and a twice-daily testosterone lipoderm cream. All other methods fail to follow the principle that natural testosterone production happens daily and that all TRT protocols should recreate the body's daily cycle.
Testosterone cypionate is commonly injected in large doses into the gluteal muscle every 1-3 weeks. However, this method is proving to be dated and, in our experience, problematic. The latest research shows that low-dose, daily injections promote far more benefits because this method mimics the body's natural hormone cycle.
There are two types of injections available, intramuscular and subcutaneous.
- Intramuscular injections: This is a painful method where a long needle punctures the skin directly deep into the muscle. This type of therapy uses testosterone at an unnaturally high dose at weekly or bi-weekly intervals - creating an unnatural spike in hormone levels that eventually crash until your next dose.
- Subcutaneous injections: This type of injection is by far the best option for your short and long-term health. You inject the testosterone using a tiny needle about 0.5 inches long into the fat layer just under the skin. Subcutaneous injections are for daily use at a far lower dose. Daily injections promote consistent hormone levels that stay stabilized - just like when you were younger.
Male Excel's typical dosage ranges from 0.10ml - to 0.25ml daily. We offer a daily dose to avoid a spike in testosterone. It is far better to have a steady supply rather than a large dose all at once. The thought of giving yourself an injection often puts people off this treatment, but in reality, it's pretty painless, and most patients get used to it quickly.
Testosterone Lipoderm Cream
The other option we offer is testosterone Lipoderm cream. Many patients consider the question, what is the best testosterone replacement therapy for them? and many opt for the cream to avoid self-injecting.
The cream is applied to the skin to administer testosterone into your system. It is for the treatment of hypogonadism and to increase testosterone levels in your body. Delivered to the scrotum typical dosage range from 0.25ml to 4ml per day. Importantly our testosterone creams are around 20X more potent than most creams available through your standard providers.
Most doctors and clinics prescribe off-the-shelf creams that will only ever get your testosterone levels into the 'normal range' of over 300ng/Dl. Normal testosterone levels are pretty much useless and are not the same as optimal.
Our cream should get you in the upper end of optimal, which is 900-1200ng/Dl. Only at optimal levels will you see your symptoms reduce, be able to burn fat, build muscle, and feel the energy of youth return.
Precautions with Testosterone Cream
Certain precautions are vital to ensure cross-contamination doesn't occur as with all testosterone creams. Topical testosterone creams can cause side effects in women, children, and pets. In children, side effects can be serious and include early-onset puberty, aggressiveness, enlarged genitals, excessive hair growth, and acne. And in women, it is hazardous during pregnancy, where it can cause congenital disabilities.
However, by using the correct precautions, you can eradicate the risks.
- Do not allow the treated area to come into contact with other people
- Cover the treated area 20 minutes after application
- Don't allow others to touch clothes or bedding which has come into contact with creams
- Don't stoke animals after applying the cream
- Wash hands thoroughly after application
What is the Best Testosterone Therapy for Me? Cream or Injections?
Which is the best testosterone replacement therapy for you is tricky because everyone has their own needs. Most clinics offer injectable testosterone once a week or even every two weeks. In our experience, this is the wrong protocol to follow. These injections are painful for several days after and can give you a spike in testosterone, which diminishes until the next dose. Using a smaller dose daily helps avoid the highs and lows, providing more consistent levels - significantly reducing the 'pain factor.'
Our creams provide optimal testosterone levels and are easy-to-apply, but you should consider potential transference issues. You should avoid sexual contact if you applied the cream less than 4 hours ago due to scrotal application. You also must make sure you wash your hands thoroughly after each application.
Absorption of the cream also varies from person to person. Some will have excellent levels, while others won't. So ongoing testing is vital to ensure the best results. Injections will be the obvious alternative for treatment for those with poor absorption.
Both testosterone delivery options we recommend will get you to optimal hormone levels. The cream is slightly better for reducing cholesterol and increasing DHT. However, the cream may be inconvenient if you have young children due to transference issues. But many men love that the injections are once daily instead of applying the cream in the morning and evening.
If you want to see how TRT could change your life, why not try our free online assessment to see if low T could be holding you back?
Or give us a call at +1(833) 625-3392 to speak to an expert who will be happy to help.