Summary:
Our testosterone creams are custom compounded by our partner pharmacy as specified for each patient’s prescription. On average, our creams have a potency of 200mg per ml, which is about 10-20 times more potent than standard commercial gels and creams. The cream is applied twice daily; once in the morning and once in the evening (usually 4 hours before bed) to the scrotum or inner thigh. The skin here is thinner than most other body areas, meaning that absorption is quick and effective. Studies show that scrotal administration shows up to eight times more bioavailable testosterone in tests than via skin elsewhere on the body.
The cream has a more positive effect on your good cholesterol levels (HDL), and increases levels more than injections. This benefit makes the creams an attractive option to those with high cholesterol and those at risk of cardiovascular disease.
The main advantage we see with the cream is that it has to pass through the skin. Testosterone itself is a relatively inactive hormone. In your hair follicles is an enzyme called 5 alpha-reductase that converts testosterone into the more powerful and beneficial dihydrotestosterone (DHT). DHT is about 10-100 times as biologically active as testosterone and offers improved erectile function, more energy, improved muscle gains, and improved weight loss. This conversion ultimately means you need less cream to get the same beneficial effects as injections.
We supply our patients with a 60-day supply of testosterone cypionate. If you are on a higher dose, this supply will not last quite so long, and your doctor will advise if changing the dosage.
Daily injections are far better than weekly or bi-weekly injections when it comes to optimizing your hormones. With less frequent injections, your testosterone level will be sky high on day one, and then the level will fall until your next dose, giving you a rollercoaster effect. Whereas with daily injections, no such peaks and troughs exist, and your levels are constant. This daily dose, much like the cream, follows the natural testosterone cycle.
The idea of daily injections does raise a few patients’ eyebrows, but this is the best way to maintain optimum testosterone levels compared to less frequent injections.
There is no one size fits all approach to testosterone replacement therapy. Whichever method you choose, both are incredibly effective at optimizing hormone levels. You will end up getting the same physiological benefits with either approach:
Some men do see more benefits with the cream and some with injections. In our experience, the cream carries a bit more punch because it increases DHT levels and helps increase good cholesterol. For many, the cream also means no need to inject, which often seals the deal. Either way, the benefits will speak for themselves.