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Men’s HRT Injectable Cypionate

Injectable Testosterone FAQ’S

What type of testosterone would I receive if I stated treatment?

OVME® administers testosterone cypionate, in an injectable prescription grade testosterone.  To learn more about testosterone and the conditions it may be able to help with, call 770.504.6000 to get started today.

 

The scientifically proven benefits of testosterone include:  increased lean muscle, decreased body fat, better sleeping, better mood, increase sex drive, and improved erectile performance.  In addition to hormone optimization, OVME® recommends routine exercise and a sensible, plant-based diet for optimal results.  Our team of physicians, physician assistants, and nurse practitioners will facilitate complimentary nutrition and fitness plans for OVME® members.

Would being on T-Therapy make my body stop producing natural testosterone?

The hypothalamus and pituitary detect the presence of testosterone and regulate production in the body. When levels of testosterone are properly regulated, natural production does diminish within the body because optimum levels are achieved. When testosterone levels fall due to therapy interruptions, the hypothalamus and pituitary detect the drop and resume the chemical signaling that results in the natural production of testosterone. However, for a man who has Low-T, the body either transmits inadequate signals to produce sufficient testosterone naturally, or the body cannot respond appropriately to the signals to produce sufficient testosterone. Therefore, patients who have Low-T and discontinue therapy will most likely return to their natural baseline production, but their baseline level is, in effect, inadequate. At OVME, we utilize HCG to assist the body in naturally producing T while on a therapy regimen.

What is HCG and who needs it?

HCG or human chorionic gonadotropin is a hormone that is analogous to lutenizing hormone (LH). This is the hormone signal from the pituitary gland that stimulates the testicles to produce testosterone. Although HCG does increase testosterone production, the response is not generally adequate to resolve the symptoms of Low-T. HCG has a number of benefits such as encouraging normal sperm production, maintaining testicular size, and maintaining ejaculate volume for improved climax. It also helps to prevent a rapid drop-off in testosterone levels should a man have an interruption in therapy for vacation or other event. Additionally, OVME utilizes HCG to help younger patients maintain fertility during therapy.

How long do I need to stay on the therapy?

Hypogonadism is a chronic condition for many men. There are some who have temporary conditions leading to Low-T, which include significant infection or other short-term physical or emotional stress. However, for many patients who have been feeling the symptoms of Low-T for more than just a few months, the condition is long-standing and will require testosterone replacement. Just as a diabetic can require insulin or someone with hypothyroidism can requires thyroid replacement to be healthy, someone with hypogonadism can require testosterone replacement to be at his best indefinitely. However, many men are able to get off of therapy or reduce their dose to extremely low levels as their bodies become healthier.

How often would I receive injections?

Proper injections occur every 7-8 days, depending on your need. Testosterone injections only last for 7-8 days in your body so it’s important to stay regular to avoid peaks and valleys in how you feel. At OVME, you don’t need an appointment for weekly therapy, just walk in. You should be out in 15 minutes start to finish.

Why do I have to come in every week?

The life of testosterone cypionate is 7-8 days no matter the amount of testosterone that is injected. As such, half the dose is present in the body one week after injection. Men who have bi-weekly or monthly injections go from high levels to very low levels which isn’t optimal for good health. Our therapy takes care to maintain levels that are within the therapeutic range. As such, patients do not experience the “good weeks and bad weeks” associated with a therapy that is administered once or twice a month. We tailor a dosing regimen for each patient to optimize his therapy. It has been our experience that some are able to maintain benefits with injections every ten days. While this can be attempted, the vast majority of patients require dosing every week. In essence, we believe that it is safer to provide patients with smaller weekly maintenance doses rather than larger concentrated bi-weekly or monthly injections.

Where in my body would I receive my injections?

Based on patient preference, injections are given in the gluteus or deltoid muscle on alternating sides with each injection.

How long will it take for the shots to start working?

Every patient has a unique set of factors affecting how rapidly the injections work for them, including other medical conditions, medications, body fat percentage, severity of testosterone deficiency, etc. Although most patients feel some degree of improvement within four weeks, some people feel improvement after the first injection while some may take two to three months. If symptoms don’t improve after 9 weeks of therapy, alternate treatments and diagnoses are considered.

Will my body become dependent on these shots forever like a blood pressure medicine? In other words, once I start can I ever stop?

Properly managed testosterone therapy does not result in long-term “dependence” and patients who stop therapy will return to their baseline over a period of weeks to months.

Who gives the shots? What are their credentials?

Licensed nurses or Medical Doctors that have received training specific to our therapy give our injections. These nurses are also trained to draw blood (phlebotomy) and have demonstrated their expertise and skill under the direction of our medical director or local provider.

If I have to leave town for a couple of weeks how will that affect my treatment?

As noted previously, we have means of dealing with gaps in therapy, including dose adjustments and the use of HCG. We will work with you to tailor your therapy keeping it safe and effective.

Can OVME’s therapy contaminate my wife or kids like a gel or cream can?

No. OVME’s injections are not transferable to others.

Is testosterone a steroid?

Testosterone is a steroid. There are many naturally occurring steroids in the body including cortisol, estrogen, and testosterone. The term steroid simply refers to the presence of a particular 4-ringed chemical structure.

Why can't you just write me a prescription and let me give my own shots? My wife is an RN…

OVME’s physicians have adopted the policy of not writing prescriptions for testosterone. We believe testosterone administration is much safer when given at appropriate doses and intervals when there is provider oversight. Though testosterone therapy is an established medical practice it can be harmful if done incorrectly or not properly monitored. OVME’s program works to reduce any negative outcomes by proper administration and monitoring the treatment in our clinics.

I don't like to give blood. Why do I have to give blood multiple times?

We draw blood to ensure that doses are appropriate for each patient and to detect any potential side effects. No one enjoys having a blood draw, but our phlebotomists are highly skilled and will make your experience as painless as possible

My PCP doesn't think I need testosterone therapy. Why is that? He says my levels are “normal” or “low normal”.

There are many different blood tests that all have different “reference ranges”. However, it is important to understand how those reference ranges were determined. For purposes of serum testosterone reference ranges, the “norms” are not age adjusted, in other words, men ages 18-80 are thrown in to the same patient population, thus a wide spectrum from 250-1100 is now considered “normal”. However, it is our belief that a 20-year-old should not have the same testosterone level as an average 80-year-old and be considered in the range of “normal” or “low normal”. Multiple studies have demonstrated that testosterone levels should not be expected to drop significantly just due to aging. Thus, for those men with Low-T symptoms who have what some consider “borderline levels” treatment with testosterone is often clinically supported and recommended.

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