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| Route | How often | Level steadiness | Adjusting the dose |
|---|---|---|---|
| Pellets | Every 3 to 6 months | Very steady | Not practical until the next insertion |
| Injections | Weekly to every few weeks | Peaks and troughs between doses | Easy |
| Creams and gels | Daily | Steady if applied consistently | Easy |
| Troches | Daily | Depends on consistency | Easy |
The site is numbed, a small incision is made in the upper hip, the pellets are inserted, and the incision is closed with adhesive strips. It takes about ten to fifteen minutes.
Usually three to six months. Dose, metabolism and activity level all affect where you land in that range.
Pellets give steadier levels and nothing to manage in between. Injections let you change the dose at any point. Which trade-off you prefer is the real question.
A pellet cannot practically be removed or reduced. If the dose is off, we manage it until the cycle ends and correct it at the next insertion. That is the main reason we do not start people on pellets before their dose is settled.
Minimal. Expect tenderness or bruising for a few days and avoid swimming, hot tubs and heavy lower-body training for roughly [verify] days.
Often within two to four weeks, though it varies. The first cycle tells us a lot about your dose.
No. If your dose is not settled, if your levels have been unstable, or if you may need frequent adjustment, another route is usually a better fit.
Before insertion and again partway through the cycle, then before each subsequent insertion.
Yes. Testosterone pellets for men, and estradiol or testosterone pellets for women.
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