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.