Couple TRT Questions: 1ml Vials Only Single Use?

wI have started receiving my Testosterone Replacement Therapy (TRT), specifically Test Cypionate, from a nurse practitioner and it has been much easier than the clinic I went to before COVID-19. After a period of coming off TRT due to issues with doctors during the pandemic, my nurse practitioner took me on as a patient. I’m not sure if it’s because he said my testosterone levels were at the lowest possible point, as I had a test level of 29 ng/dL. I can’t remember the exact unit of measurement, but it should ideally be 600+ and I was at 550 on day 7 of taking 100mgTest Cypionate.

My nurse practitioner will be monitoring my levels and may increase my dosage to 150mg depending on how I feel. Previously, he used to refer me to a local endocrinologist who prescribed me put However, my nurse practitioner gives me vials that are supposed to be 1ml/200mg and recommends that I use the entire vial in one go, resulting in approximately 115ml left over each week which he advises me to discard. The vials actually contain around 230mg, but upon reading the label, I discovered that the additional amount is comprised of other ingredients to make it injectable. It seems like there is only 200mg of cypionate itself. While it’s nice to receive double the amount of test due to not wanting to reuse the vial, I’m unsure if this practice is normal. Additionally, I’m unsure why the nurse practitioner switched me to weekly 100mg injections instead of the previous biweekly 200mg, but it resulted in receiving five vials per month instead of four.

Initially, when they first filled my prescription, they only had 1ml vials and gave me two for the month. This was intended for two injections each month. It seems that my insurance only covers monthly refills. However, now I am prescribed five vials per month. When I questioned the pharmacist about the excess vials, they explained that I should take my 100mg per week and discard the vial after one use. I was confused about the five vials and called my nurse practitioner, who mentioned something about some people being able to get two 0.5ml shots from one 1ml vial but emphasizing that these are intended for single use. I hope my nurse practitioner doesn’t take into account my confusion and reduce my prescription to only two vials per month.

In summary, my concern is whether it is normal to be instructed to discard half of my vial containing 100mg of the medication.

Brother - Please summarize your question in a more understandable and succinct manner if you want responses.

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Technically yes. However if you can find one guy that actually does this, I’ll give you $100.

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Sweet Lord Little Baby Jesus!

Paragraph breaks please.

Short answer…you use the entire vial and insure you have inventory. Congrats!

Always have inventory.

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There was a shortage of Sustanon in the UK recently, and men were forced off therapy and suffered greatly for months on end. I assure you, if they were throwing out unused Test from those ampoules, they aren’t anymore.

They say “Single Use Vial” but as long as you use a new pin and use the second dose at your next pinning, you are absolutely fine.

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Amen.

I know, this is the draft, and I re-wrote it; In made it legible, and shortened it, but somehow nothing went through, when I replaced it

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Well that is what the pharmacy told me because they were giving me twice the amount of test cypoinate when I went from 200mg per 14 days and once I picked up I thought It was multiple months but then when I used it for those two months I went back to refill it and said you’re a month late and I was like what and I yeah I don’t know why and then they said “well some people can enough out of 1 vial for 2 injections so that is the confusion” so, the gave me 4 200mg/ml maybe 5 cause my script was 5 but I can’t remember but at least 4 for the month my script id 400 mg per month but I had 800 and was supposed to pick up a month ago. Well I hope I didn’t screw that up and now they’re gonna tell me to get 2 out of them. I usually tl on myself when good stuff happens, always find a way but I’m hoping this isn’t the cas and it sounded like it wasn’t

Each of the 1 ml vials typically has 1.1 to 1.15 ml. Plenty for 2 0.5 ml injections.

I know but they’re still giving me 800mg per month instead of 400mg and that was the reason, going to pick up and see what happens this month here in a bit

Great. What is the issue? Keep the rest for rainy day.

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Yeah, but when I called and asked why I had so much extra, he said that I just do my .5 injections toss the bottle. That is why I got 4 vials instead of 2 when I went up to 4 injections to weekly from 2 shots per month

Awesome. Do your 0.5 ml injection and dont toss the bottle. Instead do another 0.5 ml injection. And then do another 0.1 to 0.15 ml injection later so you use all the contents of the vial.

First injection from next vial will be 0.35 or 0.4 ml. Make sense? Your efficiency goes from less than 50% to 99+%. Voila…inventory.

Do you understand proper injection technique? Cleaning the vial and your injection site?

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I I know right, I was just curious if it was normal, well no that got it and I called to say something and I was a month late, hope they don’t take it away , I wouldn’t mind being on 150mg at least, doctor was gonna change it, but now doesn’t really matter. Maybe I could get him to change it to 220 weekly lmao!!! So that is Just 1600 per month due to those pesky single-use vials, ugh!! Sucks for me, being a grrmaaphobe and all. :joy: Jk, but that is cool
Because I won’t be too high but I can get a good feel for what works best for me, prolly the whole 200m/wk.

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1600 what per month? Dollars? Or 1600 mg of inventory?

10 ml vials are more cost effective but that is another story.

I am not trying to get you to take more just explaining the simple concept of inventory build to the tune of at least 0.5 ml per week of 200 mg/ml test ester.

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I was kidding I was saying if he put me up to 220 I’d have to “throw away 180 per wk for a total of 400mg per week x 4= 1600mg. It was a joke tho

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Gotcha. That would be criminally insane.

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No but I’m still curious what my pharmacy has today I’m gonna head there now and see I’ll see what they say

Oh, and Thank you for providing this information, and I appreciate you checking if I was aware injections safety. It’s concerning to think that there may be individuals out there who are unaware and could potentially face serious consequences like a missing butt cheek would be bad. My father actually had a near-death experience due to an injection in his hip/butt area at the hospital. He developed a severe infection that was resistant to all the antibiotics he was given. Thankfully, the last available antibiotic ended up saving his life from what we were start to think certain death

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Congrats. Christmas in July.

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