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CategoryTRTTRT
Evidence strengthModerate evidenceStrong evidence
Evidence Score3/55/5
User rating4.7 (176)4.7 (52)
Typical doseIn typical clinical practice, cypionate doses usually fall in the range of 50-100mg weekly, given intramuscularly or subcutaneously — these are ranges used in practice and clinical comparisons (e.g., Choi et al. 2022 used 100mg weekly), not a recommendation for self-directed use. It's worth noting that the population study by Bi and colleagues (2018) used substantially higher research doses (100-500mg weekly) solely for pharmacological modeling purposes, not as a model for typical replacement therapy.Not applicable — this piece describes the full diagnostic pathway preceding TRT, not a drug dosing schedule
FormOil solution for intramuscular or subcutaneous injectionBlood tests: total testosterone (2x morning), free testosterone, SHBG, LH, FSH, prolactin, estradiol, complete blood count with hematocrit, PSA, lipid panel, fasting glucose or HbA1c, liver function tests, TSH; plus a digital rectal exam and an ADAM/AMS symptom questionnaire
Average price
Monthly cost
Time to effectsSubjective improvement in energy and libido may become noticeable within the first 3-6 weeks of therapy, but full stabilization of hormone concentrations and a reliable assessment of therapeutic effect, including the impact of route of administration on estradiol and hematocrit, usually takes 8-12 weeks of regular injections and follow-up blood tests.Not applicable — a diagnostic pathway preceding any possible start of therapy, usually taking several weeks.
Who it's forMen with laboratory-confirmed hypogonadism starting testosterone replacement therapyMen with symptoms suggesting testosterone deficiency (reduced libido, erectile dysfunction, chronic fatigue, loss of muscle mass) considering TRT