Testosterone Cream - Pros & Cons

Pharma / TRT Testosterone Replacement
23

Old thread but do you think any risk using inner thigh or scrotum application with kids. I know they aren’t anywhere near those areas. But I read one article with a dr saying it can still go through cloths. I figure inner thigh have underwear and shorts/pants. Plus I’m going to wash my cloths separate. Probably sounds nuts. But can never be 2 careful with kids

24

No, I do not.

25

What did you even tell your doctor to get creams? I asked my endo about scrotal creams and he just said let’s do Androgel. It’s $150 a month for gel now instead of $35 for injections. I bet even a compound pharmacy would do lower cost for creams. Having to be on this for life is starting to feel stupid.

26

I’m looking into using these guys and the prescribe a cream through a compounding pharmacy. Not sure the cost yet. https://tier1hw.com/

27

Outside of clinics I don’t see many docs that even know the creams exist. If your doc is open to education, I’d bring it up. if not, look else where

28

More experience with the cream than anybody in the country. That clinic is what brought the cream to the forefront.

29

Too bad Nichols is such an arrogant dude. Couldn’t stand him on here.

30

Do you use the cream in your practice ? If so how do your guys do with it vs injections?

31

Not much, 1-2%. Usually, they are adverse to needles. A few read on the internet that they are better, so that is what they want. Those using cream are obviously happy with their results and have not used injections, so they cannot compare them. It is more likely a guy will start with cream and move to injections than the other way around.

32

I have seen a handful of guys that say”they tried everything “ on other forums and then scrotal cream was a game changer. And some of them actually never return to the forums. So I assume they are doing well. I wonder what that is. I messed around with the cream a little and I will say I had insane libido and erections. But felt to amped up. And then coming down in dose I felt like it was too inconsistent how I felt. That said I didn’t give it a long enough run. I’m one of those guys who started reading in forums first before I ever got on trt so I’m sure that complicates matters. And always stayed in the lower end of dosing with injectables because my bad prior experience with test cyp. I had a very strange reaction to it. I don’t have any of the side effects I did on cyp with enanthate. After reading a lot of your posts I’m considering trying once a week injections. I basically started off on a lower dose 70-90mg a week split 3x a week from jump. Based off low shbg. But now I’m thinking maybe I just need a higher dose 1 a week and keep it moving.

33

I have seen that as well.

Yes, guys doing great on TRT aren’t on discussion forums trying to figure it out.

There is no one size fits all formula and many internet guys come across as though there is, and it is, of course, the one that works (currently) for them. You can read through this forum and see numerous examples of that, with some switching protocols often and every one is the greatest, until they change their mind and move to the next one.

It’s frustrating, for me too, when one does not respond as most everyone else. It takes time to sort through other options and sometimes, TRT is not the answer for them. Hang in there and good luck.

By the way, plenty of guys with low SHBG do perfectly fine with once weekly dosing. What matters is how you respond and there is only one way to find out.

1 Like
34

I know a few guys personally who do great with once a week. But It’s been drilled into my head that low shbg guys need “more frequent injections “ I have a friend now that has been begging me to try once a week. Maybe just keeping it simple is all I need.

If you don’t mind, sharing do you have a range that most of your patients seem to do better in? Do you tend to go by ft or tt ? My tt seems to move pretty quick on 3x a week injections. 8 hours after injections I’m 900, with a ft of 200then 26 hours I’m down to 500 with a free t of 15. Maybe I just need a higher dose 1x a week and I’ll be good

35

These guys are all happy with their results:

DOSE TOTAL T FREE T ESTRADIOL SHBG AI
60mg q3.5d 670 137 25 4 .4mg/wk
60mg q3.5d 1241 320 59 19
60mg q3.5d 809 182 46 11
60mg q3.5d 1145 244 64 22
60mg q3.5d 1021 217 77 19
60mg q3.5d 1327 289 68 52
60mg q3.5d 772 201 55 27
60mg q3.5d 833 165 38 18
60mg q3.5d 669 178 36 28
60mg q3.5d 743 178 29 31
70mg q3.5d 956 247 74 26
70mg q3.5d 767 199 54 34
70mg q3.5d 917 186 42 29
70mg q3.5d 843 197 38 42
70mg q3.5d 1263 291 50 17
70mg q3.5d 1578 364 48 29
70mg q3.5d 642 115 65 27
70mg q3.5d 1070 276 90 20
70mg q3.5d 967 233 57 8
70mg q3.5d 813 165 43 29
75mg q3.5d 876 211 68 26
75mg q3.5d 1134 245 51 34
75mg q3.5d 1008 227 37 18
80mg q3.5d 912 206 47 17
80mg q3.5d 966 223 67 27
80mg q3.5d 1073 229 72 18
80mg q3.5d 779 183 52 21
80mg q3.5d 473 99 44 30
80mg q3.5d 901 245 60 15
80mg q3.5d 1131 171 94 24
80mg q3.5d 1618 326 35 37 .25mg/wk
80mg q3.5d 713 123 63 43
80mg q3.5d 943 242 52 26
80mg q3.5d 1047 264 49 29
80mg q3.5d 912 157 64 22
80mg q3.5d 1008 223 54 31
80mg q3.5d 1153 287 71 12
80mg q3.5d 1055 219 55 27
80mg q3.5d 679 166 41 21
80mg q3.5d 838 191 54 24
80mg q3.5d 1098 262 81 20
80mg q3.5d 1238 297 62 27
80mg q3.5d 1118 233 56 31
80mg q3.5d 965 255 71 26
85mg q3.5d 1134 198 47 33
85mg q3.5d 549 144 52 18
85mg q3.5d 1089 179 40 67
160mg qwk 893 228 67 12
160mg qwk 922 214 58 21
160mg qwk 943 266 62 14
160mg qwk 1011 276 58 26
160mg qwk 1322 302 62 31
160mg qwk 998 222 87 44
160mg qwk 909 171 61 13
160mg qwk 1054 243 48 29
160mg qwk 887 221 51 10
160mg qwk 1055 249 43 13
160mg qwk 807 179 49 27
160mg qwk 683 144 61 41
160mg qwk 1629 415 100 23
160mg qwk 1248 281 47 32
160mg qwk 863 199 55 26
160mg qwk 1421 342 65 33
160mg qwk 989 265 54 16
160mg qwk 1031 242 55 21
160mg qwk 734 222 49 26
160mg qwk 899 213 60 22
160mg qwk 1043 278 63 9
90mg q3.5d 812 188 43 22
90mg q3.5d 1121 303 67 49
90mg q3.5d 1032 224 46 20
90mg q3.5d 1089 253 71 26
90mg q3.5d 923 103 22 62
90mg q3.5d 1269 293 37 16
90mg q3.5d 1034 239 56 31
180mg qwk 1076 311 62 7
180mg qwk 1408 324 54 38
180mg qwk 1124 268 63 24
180mg qwk 833 241 77 34
180mg qwk 966 222 56 32
180mg qwk 1238 241 57 29
180mg qwk 935 233 72 26
180mg qwk 1008 247 56 24
180mg qwk 975 269 58 12
180mg qwk 873 213 59 23
180mg qwk 797 219 41 15
180mg qwk 954 288 51 16
180mg qwk 1252 329 83 10
180mg qwk 1102 197 61 19
100mg q3.5d 1801 481 97 14
100mg q3.5d 1081 202 68 23
100mg q3.5d 1276 327 78 9
200mg qwk 923 276 53 22
200mg qwk 1327 342 39 4
200mg qwk 1090 212 51 43
200mg qwk 1080 159 56 64
200mg qwk 1248 312 53 30
200mg qwk 798 163 20 50
200mg qwk 951 226 41 8
200mg qwk 1432 289 64 16
200mg qwk 1177 255 45 29
200mg qwk 965 242 60 3
200mg qwk 1121 311 58 11
200mg qwk 1347 343 67 14
200mg qwk 920 227 58 22
200mg qwk 1145 287 62 8
200mg qwk 954 221 53 21
110mg q3.5d 1128 348 46 17
110mg q3.5d 1311 323 74 38
120mg q3.5d 940 313 74 23
120mg q3.5d 1389 342 27 21 .2mg/wk
120mg q3.5d 1256 321 68 30
7 Likes
36

Wow thank you for that in depth response !! Sorry for many questions. Would you say most of those men are testing on trough day ?

37

Thanks for posting this, it’s very interesting to see even just at a glance the variety of protocols people feel good on. I feel like it almost immediately gave me a clearer big picture understanding of the whole field.

If you don’t mind, I’m curious about a few things:

Do you have any old guys? I’m talking older than 70yo. What do you look out for? What are your apprehensions about treating them?

How many of those men on that list who feel good have been on TRT for a long time, let’s say 5 or more years, and are still doing well on the same protocol? Good libido, mental function, drive/energy, etc…

It’s interesting that so few are on an AI. Is it that most of them never even tried because they felt good enough, or did a decent number of them try and didn’t like it or couldn’t make it work?

EDIT: One last question as I just noticed something. Do you have no one feeling good on less than 120mg/week total? That’s where your list starts and it seems to be ordered by increasing dosage.

2 Likes
38

You’re welcome. I posted that a while back so it was easy.

Easily, almost all. I excluded anyone injecting twice weekly who did not go on injection day and anyone weekly that was two or more days prior to injection day. A few may have slipped through though.

2 Likes
39

Yes. I do not particularly look out for anything. Treated the same as guys in their 50s and 60s. No apprehensions. I’m more apprehensive about frail old guys I see in public who are not on testosterone.

I do not know. There are some. Maybe 5-10.

No. I don’t use AIs very much. Most do not need it. Even some that use it do not need it. They just think they do and want to take it.

Very few. I know there is one taking 80mg. Another taking 50mg twice. A handful doing daily. Less than ten guys, I’d say. Didn’t come across any of them on follow-up when I was putting that list together.

I just did it like that so comparisons would be easier.

3 Likes
40

Amazing work !! Gives me so much more confidence to up my dose. I’ve had some big differences in regards to libido and erections when I first started cream. But felt a little amped up and then started getting fatigue and stuff after 2 weeks. I wonder if I would have rode it out, would it have gotten better. Mr dr wants me to try hybrid protocol (little cream with injections) since I have both on hand. I’m not sure if I want to do that or just up my injection dose and go to 2x a week.

41

Thanks for taking the time to answer.

What would you say is an approximate percentage of your patients taking hCG or Preg/DHEA? Do you notice a pattern there in terms of dosage, age, etc…?

1 Like
42

You’re welcome.

Very few use hCG. Just a guess, 2-3%. Those are younger guys trying to conceive or concerned with atrophy (younger/single). Dosages range from 750-1500IU weekly.

Pregnenalone, none. DHEA, maybe 20%, 10-25mg for women, 25-50mg for men.

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