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All forms of pharmaceutically manufactured bio-identical testosterone are federally classified as controlled substances, which means that in order to legally purchase and use them, you must have a valid medical prescription. But of the various forms currently available, what do doctors prescribe for low testosterone levels most frequently? And how do they decide which form is the appropriate one for a patient to use? A variety of factors goes into these decisions and, as you can imagine, sometimes those factors involve what a patient’s health care insurance will agree to cover.
However, long before adults in the US had to involve their insurance providers in their decision regarding their medical care, doctors were prescribing injectable testosterone for their Low T patients since this is the only form of treatment that existed. Up until fairly recently, it remained the only form of treatment and both doctors and their patients were very satisfied with the therapeutic results that these injections delivered. They still are; but in recent years, the introduction of other forms of TRT (testosterone replacement therapy) has given Low T patients some additional options such as topical creams and gels, implanted pellets and oral forms that are absorbed through cheek tissue.
Yet among the doctors and clinics that specialize in treating adult-onset hormone disorders like Low T, what do doctors prescribe for low testosterone most often? The injectable forms include three different types; cypionate, enanthate and propionate are all forms of pharmaceutical grade testosterone that have different biochemical properties. Among the general practitioners who prescribe Low T therapy for their patients (and not all of them do), the newer topically applied forms are more popular. It could be that since they are easier to use than injections, first-time TRT patients may prefer to use them; or it could be that general practitioners prefer to prescribe them because they don’t have the experience and training that hormone replacement medical specialists have.
However, the clinical evidence that has been produced thus far indicates that the results delivered by topical TRT treatments (as well as the other new forms) have not been as consistent or effective as the injectable treatments. This is why the doctors who specialize in providing adults with safe and effective male hormone replacement therapy typically favor the use of testosterone injections for their patients.
As important as knowing what do doctors prescribe for low testosterone levels is to understand why they prescribe these treatments. Reversing the declines in your healthfulness and vitality by supplementing your deficient male hormone supply is the goal of medically prescribed testosterone replacement therapy. All of the benefits that an adult using TRT receives are based on undoing the detrimental effects caused by the progressive loss of your naturally produced testosterone.
So perhaps the best way to illustrate the results that men receive from this therapy is to compare and contrast what a typical before and after scenario is for a man who has developed Low T symptoms.
Before using TRT:
During and after the use of TRT:
So now you know what do doctors prescribe for low testosterone levels, as well as why these powerful treatments are prescribed for adults who are afflicted with the discouraging symptoms associated with Low T levels. You would probably also like to find out how TRT doctors individually prescribe the appropriate dosage for each of their patients.
TRT patients are generally comprised of adults of widely varying ages; in different conditions of healthfulness; of different genders (women can develop testosterone deficiencies, especially post-menopause); and each with their own unique medical history and person requirements for therapy. So then how do doctors decide on what each individual patient’s optimal treatment dosage should be?
Precise dosing is essential to successful TRT programs, particularly when patients are using injectable testosterone. But this one of the factors that makes the use of injections so effective; and doctors can adjust dosages as required, which allows them to fine-tune a patient’s treatment. The other forms don’t allow for this level of dosage precision – and individual dosages are typically going to be determined by evaluating a patient’s age; weight; overall condition of health; severity and frequency of the patient’s symptoms; and personal therapeutic goals.
Getting back to what do doctors prescribe for low testosterone levels, we mentioned that it is common for primary care providers and family doctors to prescribe one of the topically applied forms that most of us have seen advertised. These gels and creams require less precision than injections; however, they also need to be applied daily … can cause cross-contamination to others through close contact … and can be significantly more expensive to use than injections. But the doctors who prescribe them for their patients are able to do so without having the extensive knowledge and experience that TRT specialists have gained.
Correct dosing is also what reduces the risk for any patient to experience unwanted side effects, which typically occur when a treatment dosage is too high or is used too frequently. Most patients using the injectable form of Low T therapy only require a few injections per month over the course of a 6-month treatment cycle. TRT doctors monitor their patients’ therapeutic progress through the administration of periodic testosterone blood levels testing. The goal is to restore the patient’s male hormone levels into the mid to high end of the clinically established normal range, which is what provides adults with the maximum amount of benefits, and to sustain them there.
Most adults who start using testosterone replacement therapy intend to continue using it indefinitely; but this really doesn’t factor into what do doctors prescribe for low testosterone levels. All of the currently available forms of Low T treatment have been clinically studied, evaluated and approved in regard to both the effectiveness and the safety of patients using them long-term under the appropriate medical supervision.
The long-term use is necessary because once your body has stopped producing an adequate amount of testosterone to keep your male hormone levels within the normal and healthy range, supplementation is really the only medical solution that is available to you. Medical science has not produced a treatment solution that can cause your endocrine system to produce more testosterone, and this is why Low T patients must continue to cycle on and off treatment throughout their adult years – it is the only way for them to sustain the benefits of the higher levels that they have achieved.
Yet there are some things that you can do to support your male hormone supply that have nothing to do with the answer to what do doctors prescribe for low testosterone levels. Being overweight can actually contribute to testosterone loss, so you may need to change to a healthier diet and get more exercise if your weight has increased to an unhealthy extent. Stress is another contributing factor to Low T; in fact, the higher incidence of testosterone deficiency in adult men has been shown, in clinical studies, to be linked to the increased stress that now pervades daily life. The increased exposure to the environmental toxins of today’s world has also been cited as a Low T factor, so making a conscious effort to reduce your exposure to harmful chemicals and other toxins can protect your testosterone levels.
Your best ally in maintaining the wellness and vitality benefits that healthily balanced male hormone levels provide is a knowledgeable, experienced and caring TRT doctor. You’ll find doctors like this at Nexel Medical, where we specialize in successfully treating adults who have developed undesirable Low T symptoms.
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