When it comes to making a decision of whether or not to start using testosterone replacement, it is important you arm yourself with medical facts based on peer reviewed published literature. More and more evidence supports the safety and health benefits of using testosterone replacement to treat the symptoms of andropause (fatigue, reduced sex drive, erectile dysfunction, increased body fat, decreased lean body mass). In doing so many patients are not aware that they reduce their risks of dying from all causes by 25-50% (Journal of American Heart Association, 2013). I see hundreds of men in my practice
I am often asked by patients which form of testosterone is best. “Should I use a cream, gel, pellets or injection?” The answer is that it depends. Each has its own advantages and disadvantages. Let me go through them with so you are better equipped to make that decision with your doctor. Topical Cream: Advantage is you can use very high doses vs gels. In a standard lipoderm cream we can use up to 200mg/gram. Compare that to androgel which only has 10mg/gram or 20mg/gram. Creams will also provide very stable levels daily.