So my doctor suggested as switch to bio-identical testosterone. Says cypionate makes little sense to the body and has far more risk. Anyone heard of this or use? He suggested biote.
No serious. 60mg weekly shot me to 1150. I was just as surprised. I thought I must be over dosing but my draw is 0.3ml twice a week. My urologist said if I did not reduce I would have a stroke so he got my attention.
The starting dose of Xyosted is 75 mg, administered subcutaneously in the abdominal region once a week.
Dose adjustment
Measure total testosterone trough concentrations (measured 7 days after the most recent dose) following 6 weeks of dosing, following 6 weeks after dose adjustment, and periodically while on treatment with Xyosted. A trough concentration between 350 ng/dL and 650 ng/dL generally provides testosterone exposures in the normal range during the entire dosing interval.
Decrease the dose by 25 mg if the total testosterone trough concentration (Ctrough) is ≥650 ng/dL.
Increase the dose by 25 mg if the total testosterone Ctrough is <350 ng/dL.
Maintain the same dose if the total testosterone Ctrough is ≥350 ng/dL and <650 ng/dL.
This is my original instructions from my provider. I backed down to 0.3ml, see below. There were instructions for sub q self injections that I did not include.
“I will send in a prescription for Testosterone Cypionate to your pharmacy. Depending on the dose this will last up to 3 months. I have also attached a coupon as your insurance is unlikely to cover the medication.
Clean top of vial with alcohol. Use alcohol pads liberally, clean everything!
The typical dose is 0.4 ml twice weekly like Sunday and Wednesday. Be super accurate with measuring this so you don’t run out early.
Clean skin site well, abdominal wall is the best site. Site will get sore over the next 24 hours but nothing major. Move the site around to different areas of the abdomen with each administration”.