Longevity UnmaskedLongevity Unmasked

Question 212 of 433

Gels, injections, pills, or pellets?

Evidence grade (draft mapping)GGuideline-based / consensus
Plain gel pump bottle on navy with gold light

The short answer

Gels and injections are the standard. Newer oral capsules are an option. I advise against pellets.

Daily gels give steady levels but can transfer to a partner or child through skin contact. Injections are inexpensive; weekly or twice-weekly dosing avoids the peaks and crashes of older schedules. Oral testosterone undecanoate capsules avoid the liver problems of older pills but can raise blood pressure. Pellets are hard to adjust or remove once placed and often deliver more than intended.

“This book is for education. It is not medical advice, and reading it does not make you my patient or create a doctor-patient relationship.” From the book’s medical disclaimer. Full disclaimer

Evidence scope
CLINICAL / SAFETY GUIDANCE — Testosterone formulations: different absorption, transfer, BP, and reversibility considerations.Evidence grade (draft mapping)GGuideline-based / consensusPart 15, Q212 · Part sources
All of Part 15

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