Testosterone Therapy Cost – Treatment Pricing Options at Anti-Aging Group
Pricing for Testosterone Replacement Therapy Programs with Testosterone Injections, Testosterone Creams, Testosterone Gels, Patches and Hormone Implant Pellets for TRT
Types of Injectable Testosterone
There are a number of different types of injectable testosterone. The drug names for the same ester of testosterone may also differ depending on the company who produces it. Below are the main injectable forms of Testosterone which may be used by men for testosterone therapy. Finally, testosterone esters are typically suspended in either cottonseed oil or sesame seed oil. Some people find that they may have an allergic or skin reaction to one of the oils.
Certain brand-name testosterone esters are mass produced by FDA-approved manufacturers using one oil or the other, but by using a compounding pharmacy, you can have any testosterone ester suspended in your choice of oil. With a proper prescription for testosterone therapy a patient can purchase testosterone for replacement:
Testosterone Enanthate: Testosterone Enanthate 200mg/ml Oil is an androgen hormone used in men to provide testosterone when the body cannot produce enough or in women to treat certain conditions and female sexual dysfunction. The chemical formula is C26H40O3. Testosterone enanthate is one of the main forms of testosterone prescribed to men in the United States. It is a slow-acting ester with a release time between 8-10 days. The name-brand of T-enanthate available in the United States is called “Delatestryl,” which is suspended in sesame oil. Testosterone enanthate is typically injected anywhere between once every week to once every three weeks. Generic testosterone enanthate can also be obtained through a compounding pharmacy; such pharmacies can mix T-enanthate in sesame, cotton seed, or any other appropriate oil.
Average Testosterone Enanthate Cost – 200mg/ml Oil 10ml in a medically supervised TRT program $250-$400 per month.
Testosterone Cypionate: Testosterone Cypionate 200mg/ml Oil is an androgen hormone used in men to provide testosterone when the body cannot produce enough or in women to treat certain conditions and female sexual dysfunction. The chemical formula for testosterone cypionate is C27H40O3. Testosterone cypionate is the other main injectable form of testosterone prescribed to men in the United States. It is a slow-acting ester with a release time between 8-10 days, similar to that of enanthate. The name-brand of Testosterone-cypionate available in the United States is called “Depo-Testosterone,” which is suspended in cottonseed oil. Testosterone cypionate is typically injected anywhere between once every week to once every three weeks. Generic testosterone cypionate can also be obtained through a compounding pharmacy; such pharmacies can mix T-cypionate in sesame, cotton seed, or any other appropriate oil.
Average Testosterone Cypionate Cost – 200mg/ml Oil 10ml in a medically supervised TRT program $250-$400 per month.
Sustanon “Sustanon” is the brand name for two formulas of injectable testosterone that contain a blend of esters. “Sustanon 100″ contains three testosterone esters: testosterone propionate (C22H32O3), testosterone phenylpropionate (C28H36O3), and testosterone isocaproate (C25H3803). “Sustanon 250″ contains four testosterone esters: testosterone propionate (C22H32O3), testosterone phenylpropionate (C28H36O3), testosterone isocaproate (C25H3803), and testosterone decanoate (C29H4603). Both formulas feature fast-acting and slow-acting esters, and can be injected anywhere from once every week to once every four weeks. Sustanon is prescribed outside of the United States.
Testosterone Propionate: Chemical formula C22H32O3 Testosterone propionate is a fast-acting ester with a release time of 3-4 days. To keep blood levels from fluctuating greatly, propionate is usually injected between one to three times a week. It is for this reason that it is not usually prescribed for FTM hormone therapy. Some users also report that propionate is a more painful injection, with swelling and noticeable pain around the injection site. Brand names of testosterone propionate include “Testovis” and “Virormone.”
Testosterone phenylpropionate: Chemical formula C28H36O3 Testosterone phenylpropionate is a slow-acting ester, with a release time of 1-3 weeks. A popular name brand for T-phenylpropionate is “Testolent.” Testosterone phenylpropionate is also one of the components of Sustanon and Omnadren.
Omnadren: “Omnadren” is the brand name for a blend of four testosterone esters: testosterone propionate (C22H32O3), testosterone phenylpropionate (C28H36O3), testosterone isocaproate (C25H3803), and testosterone decanoate (C29H4603). In the past, Omnadren consisted of a blend of different esters, but now is essentially the same formula as Sustanon, mentioned above. It features both fast-acting and slow-acting esters, and can be injected anywhere from once every week to once every four weeks. It is sometimes prescribed in parts of Europe.
Aqueous testosterone suspension: In the United States, injectable aqueous (non-esterified) testosterone is available, but it is very short-acting (it is completely released in the system within a matter of hours). The brand name for aqueous testosterone suspension is “Aquaviron.”
Transdermal testosterone: The term “transdermal” refers to topical delivery through the skin by the use of a patch, gel, or cream. Transdermal testosterone is usually applied to the skin daily in small doses in an effort to keep a steady level of testosterone in the system at all times. This approach avoids the “peaks and valleys” in T-levels sometimes associated with injectable testosterone.
With Testosterone injectables, T levels can reach a low-point a few days before the next shot is due, which can cause irritability, hot flashes, and low energy in some users. Daily transdermal application can help alleviate such problems. Indeed, some men who regularly use injectable testosterone sometimes supplement with a gel or patch during the last few days of their dosing cycle to maintain their T levels.
Transdermal application is also attractive to those individuals who are not comfortable with needles and injections. However, there are some disadvantages to transdermal delivery. Some forms of daily transdermal testosterone application, particularly the patch, are substantially more expensive than injectable testosterone and have slower absorption rates. Testosterone patches often cause skin irritation and/or allergic reactions to users. They can fall off with excessive sweating, and they must be fully protected with plastic when swimming. Testosterone cream and gel can be transferred by direct skin contact with a partner; special care must be taken with female partners who wish to avoid potential virilization.
Testosterone patches: There are currently two brand-name testosterone patches available in the United States: “Androderm” and “Testoderm.” There are two forms of Testoderm available: a scrotal patch and a non-scrotal patch. The non-scrotal patch, “Testoderm TTS” – Androderm and Testoderm TTS are quite fast-acting once they have permeated the skin. The testosterone in the patches is suspended in an alcohol-based gel. In order to deliver testosterone efficiently into the body, chemical enhancers are added to the patch to increase permeability of the skin. It is these enhancers that are often the cause of skin irritation in many men.
Some individuals find Testoderm TTS to be less irritating to the skin than Androderm, but this will vary from person to person. Androderm Androderm patches come in two doses: 2.5 mg/patch and 5.0 mg/patch. The actual amount of testosterone in the 2.5 mg patch is 12.2 mg, and the actual amount in the 5.0 mg patch is 24.3 mg. Because absorption is delayed a greater amount is needed as much of the testosterone in the patch will not manage to get into the man’s system. The goal of the 2.5 mg patch comprised of 12.2 mg is to get at least 2.5 mg successfully into the bloodstream per day. Therefore, it is possible to absorb slightly more or slightly less than the 2.5 mg of the testosterone patch’s dosage.
Androderm patches are usually applied on the back, abdomen, thighs, or upper arms. Because the active area of the patch is covered, the wearer does not have to worry about skin contact with a partner. Dosages will vary between 2.5 mg – 10 mg daily, by applying a single patch or combination of patches. As with any form of testosterone, dosage should be determined by your overall health, your testosterone levels as checked by your doctor, and your progress in the treatment program.
Testoderm TTS There are two types of Testoderm patches: one is intended for scrotal application, and one for application on other areas of the body. Testoderm TTS refers to the non-scrotal version of the patch. Testoderm TTS patches come in two doses: 4.0 mg/patch and 6.0 mg/patch. As with Androderm, the actual amount of testosterone in these patches is greater than the listed dose to ensure a minimal amount is delivered to a man’s system due to delayed absorption. Testoderm TTS patches are usually applied on the back, abdomen, thighs, or upper arms. Because the active area of the patch is covered, the wearer does not have to worry about skin contact with a partner. Dosages will vary between 4.0 mg – 10 mg daily, by applying a single patch or combination of patches.
As with any form of testosterone, dosage should be determined by your overall health, results of blood testing and your current testosterone levels as monitored by your physician.
Testosterone gel and cream: There are currently two brand-name versions of testosterone gel available in the United States: Androgel and Testim. There are no brand-name testosterone creams at this time. Both cream and gel formulations of testosterone can be made by compounding pharmacies. Gel formulations of testosterone are typically alcohol-based, whereas creams are typically safflower oil-based. The testosterone in creams and gels is typically quite fast-acting once absorbed through the skin but as with patches absorption can be an issue for some men. It must normally be applied once or twice daily to maintain target testosterone levels. Testosterone creams and gels are applied directly onto the skin and care must be taken to avoid skin-to-skin contact with a partner on the site of application. Transfer of the testosterone from the application site can be prevented by keeping the area covered.
Androgel: Androgel is a clear, alcohol-based gel that contains 1% non-esterified testosterone. It is very fast-acting once it has been absorbed by the skin, and so must be applied 1-2 times daily to maintain T levels. It is available in either unit-dose packets or multiple-dose pumps. The unit dose packets contain either 25 mg or 50 mg of testosterone. Approximately 10% of the applied testosterone from the packets is absorbed into the system, resulting in an effective dose of 2.5 mg or 5.0 mg, respectively. Androgel should be applied to clean, dry skin and should not be applied to the genital area. Application sites should be allowed to dry for a few minutes prior to dressing. Hands should be washed thoroughly with soap and water after application. In order to prevent transfer to another person, clothing should be worn to cover the application sites. If direct skin-to-skin contact with another person is anticipated, the application sites should be washed thoroughly with soap and water. Androgel users should wait at least 2 hours after applying before showering or swimming; for optimal absorption, it may be best to wait 5-6 hours.
AndroGel Cost: AndroGel testosterone hormone therapy is applied daily to the male shoulders, arms or abdomen. This testosterone product is normally administered in 50 milligram daily dosages and packaged in single packets or tubes. Androgel is manufactured by Solvay and has a 70 percent market share of the transdermal testosterone. The avergae cost of Androgel is approximately $300 – $350 per month.
Testim: Testim, like Androgel, is a clear, alcohol-based gel that contains 1% non-esterified testosterone. It is very fast-acting once it has been absorbed by the skin, and so must be applied 1-2 times daily to maintain T levels. It is available in 5.0g unit-dose tubes. A 5.0g unit dose tube contains 50 mg of testosterone. Approximately 10% of the applied testosterone from the tube is absorbed into the system, resulting in an effective dose of 5.0 mg. Testim should be applied to clean, dry skin– preferably to the shoulders and/or upper arms. It should not be applied to the genitals or to the abdomen. Application sites should be allowed to dry for a few minutes prior to dressing. Hands should be washed thoroughly with soap and water after application. In order to prevent transfer to another person, clothing should be worn to cover the application sites. If direct skin-to-skin contact with another person is anticipated, the application sites should be washed thoroughly with soap and water. Users should wait at least 2 hours after applying before showering or swimming; for optimal absorption, it may be best to wait 5-6 hours.
Testim Cost: Like AndroGel, Testim is also applied daily in a 50-milligram dosage. Testim is applied only on arms and shoulders and provides higher levels of serum to users and therfore, greater bioavailability than its competitor AndroGel. The average cost of Testim is approximately $250 – $300 per month.
Pharmacy Compounded Testosterone creams and gels
Compounded testosterone creams and gels can be mixed by compounding pharmacies, and are similar in dosing, application, and precautions to what is described above for Androgel and Testim. There are two advantages of using compounding pharmacies for testosterone gel or cream. The first is cost: until a generic version of the gel is available, compounded gel will usually be the cheaper alternative. The second is customization: your doctor can write a prescription of varying concentration for gels or creams.
Oral testosterone: Chemically unbound testosterone, if taken orally, is not effective since it is immediately deactivated by the liver. One disadvantage of orally administered undecanoate is that it is eliminated from the body very quickly, usually in 3-4 hours. Thus, frequent administration is necessary– usually between 3-6 capsules a day. This can prove to be expensive when compared to injectable testosterone. Finally, when used in male hormone therapy, it has been reported that oral testosterone has not always been successful.
Sublingual/buccal testosterone: Sublingual and buccal testosterone delivery works by either placing a dissolving tablet under your tongue (sublingual) or by placing a tablet against the surface of the gums (buccal). It is different from oral delivery in that very little of the substance is swallowed, avoiding potential liver toxicity. Sublingual Sublingual testosterone can be obtained through compounding pharmacies. Buccal In 2003, the FDA approved a sustained-release buccal testosterone tablet called “Striant.” It acts by adhering to the buccal mucosa (the small depression in the mouth where the gum meets the upper lip above the incisor teeth). Once applied, the tablet softens and delivers testosterone through the buccal mucosa, where it is then absorbed directly into the bloodstream, bypassing the gastrointestinal system and liver. The recommended dosage for Striant is to replace the tablet about every 12 hours, though a different dosing schedule or number of tablets might be required depending on the needs of the patient.
Subcutaneous testosterone pellet: Another relatively new form of testosterone delivery is via a pellet of pure, crystalline testosterone implanted beneath the skin. The pellets are about the size of a grain of rice, and are typically placed in the buttocks or abdomen. The insertion of the pellets is a quick procedure, usually done under local anesthesia. Pellets are typically replaced after 3-4 months. “Testopel” is a brand name for testosterone pellets in the United States. A 200 mg testosterone pellet releases testosterone at a steady rate of 1-3 mg per day. Several pellets can be inserted at the same time to increase dosage. Some users have reported problems with the pellets working their way out from under the skin.
Cost for Testosterone Replacement Therapy
Anti-Aging Group age management physicians only prescribe the highest quality barnd name, FDA-Approved Testosterone hormone injections including those made by Watson, Paddock, Sandoz, Upjon, Dep-Testosterone including injectable testosterone in the following formulations: Testosterone Cypionate, Enanthate, Suspension, and Testosterone Propionate. Testosterone creams and gels like Androgel ® and Testim®; testosterone patches like Androderm® and Testoderm®; hormone implantable pellets like Testopel® are also availble.
The cost of Testosterone Injections depends on dosage requirement and frequency of injections as well as the length of the hormone treatment program. The range for Testosterone Hormone Therapy costs can be from $250 to $500 per month depending upon medical need. Contact Anti-Aging Group to find where you can get Testosterone Therapy Online at www.antiaginggroup.com
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