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CategoryTRTTRT
Evidence strengthStrong evidenceStrong evidence
Evidence Score4/55/5
User rating4.6 (58)4.7 (52)
Typical doseInjections: usually 50–100 mg weekly or 100–200 mg every 2 weeks (cypionate/enanthate). Gel: an individual dose, usually 25–100 mg/day, easy to titrate every few weeks based on blood results.Not applicable — this piece describes the full diagnostic pathway preceding TRT, not a drug dosing schedule
FormIntramuscular or subcutaneous injections; transdermal gel applied daily to the skin of the upper arms, shoulders, or abdomenBlood 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 effectsHormone levels in the blood stabilize within a few weeks regardless of form; subjective improvement in energy and libido usually within 3–6 weeks. Differences in how stable well-being feels between forms typically show up only after several full dosing cycles (with injections) or after 2–4 weeks of daily routine (with gel).Not applicable — a diagnostic pathway preceding any possible start of therapy, usually taking several weeks.
Who it's forPeople choosing a TRT form after a confirmed hypogonadism diagnosis and physician approval for therapyMen with symptoms suggesting testosterone deficiency (reduced libido, erectile dysfunction, chronic fatigue, loss of muscle mass) considering TRT