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Testosterone Replacement Therapy
Why should you bother for this?
What is Testosterone?
Testosterone is the primary androgenic hormone
which is responsible for normal growth and
development of male sex organs and maintenance
of secondary sex characteristics
What Causes Testosterone Deficiency?
When the testes fail to produce normal levels of testosterone
(Male: 300 -1,000 ng/dL) hypogonadism results.

Primary Hypogonadism

Secondary Hypogonadism

Due to testicular failure i.e. when
testosterone levels are low and pituitary
gonadotropins are elevated

When there is inadequate secretion of
pituitary gonadotropins, LH and FSH, to
stimulate testosterone production in the
testes.
Proper Diagnosis is Important
A medical history, physical exam, and the proper
laboratory evaluation are necessary with regards to –

 Abnormalities at birth
 Current status of sexual
function

 Sexual characteristics, such as beard growth,
muscular strength, and energy level
Know Essential Laboratory Diagnosis
FSH, LH, SHBG, Total and Free Testosterone, DHEA and
Estradiol
The following tests should be done in the morning.
What Testosterone Treatment can do
 Improves libido and erectile function

 Improves energy and mood
 Enhances body composition by
increasing muscle strength and
reducing adipose

 Increases body density
 Impose positive effects on fatigue,
mood, and sexual function
Types of Testosterone Replacement
Therapy
1. Intramuscular injection - an intramuscular
injection of 200 to 300 mg testosterone
enanthate is generally sufficient to produce
serum testosterone levels

2. Oral agents - may cause elevations in liver
function tests and abnormalities at liver scan and
biopsy. Due to it's potential for hepatotoxicity,
these formulations are not recommended for
clinical use.
3. Transdermal Vehicle - a daily dosage ranging from 10mg to
200mg per ml in the early morning hours is efficient to provide
adequate testosterone level

NOTE:
It is recommended that you
administer testosterone twice a
day - Once upon waking (5am to
7am) and again in the mid day (1
to 4pm).
Here at Empower Pharmacy the most common and
effective dosage routes are available as injectable and
transdermal dosage forms.
Monitor Your Testosterone Level
 Is there any changes in the clinical symptoms and signs
of testosterone deficiency such as acne and increase in
breast size and tenderness?
 Check your serum testosterone levels between 5 to
7 hours after application of a transdermal delivery
systems
Always speak to your prescribing physician before initiating
treatment and check your Prostate Specific Antigen (PSA)
and hematocrit level during testosterone therapy….
-Issued in public interest by

12123 Jones Rd, Houston, TX 77070
Toll Free: (877) 562-8577

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Empower pharmacy

  • 1. Testosterone Replacement Therapy Why should you bother for this?
  • 2. What is Testosterone? Testosterone is the primary androgenic hormone which is responsible for normal growth and development of male sex organs and maintenance of secondary sex characteristics
  • 3. What Causes Testosterone Deficiency? When the testes fail to produce normal levels of testosterone (Male: 300 -1,000 ng/dL) hypogonadism results. Primary Hypogonadism Secondary Hypogonadism Due to testicular failure i.e. when testosterone levels are low and pituitary gonadotropins are elevated When there is inadequate secretion of pituitary gonadotropins, LH and FSH, to stimulate testosterone production in the testes.
  • 4. Proper Diagnosis is Important A medical history, physical exam, and the proper laboratory evaluation are necessary with regards to –  Abnormalities at birth  Current status of sexual function  Sexual characteristics, such as beard growth, muscular strength, and energy level
  • 5. Know Essential Laboratory Diagnosis FSH, LH, SHBG, Total and Free Testosterone, DHEA and Estradiol The following tests should be done in the morning.
  • 6. What Testosterone Treatment can do  Improves libido and erectile function  Improves energy and mood  Enhances body composition by increasing muscle strength and reducing adipose  Increases body density  Impose positive effects on fatigue, mood, and sexual function
  • 7. Types of Testosterone Replacement Therapy 1. Intramuscular injection - an intramuscular injection of 200 to 300 mg testosterone enanthate is generally sufficient to produce serum testosterone levels 2. Oral agents - may cause elevations in liver function tests and abnormalities at liver scan and biopsy. Due to it's potential for hepatotoxicity, these formulations are not recommended for clinical use.
  • 8. 3. Transdermal Vehicle - a daily dosage ranging from 10mg to 200mg per ml in the early morning hours is efficient to provide adequate testosterone level NOTE: It is recommended that you administer testosterone twice a day - Once upon waking (5am to 7am) and again in the mid day (1 to 4pm).
  • 9. Here at Empower Pharmacy the most common and effective dosage routes are available as injectable and transdermal dosage forms.
  • 10. Monitor Your Testosterone Level  Is there any changes in the clinical symptoms and signs of testosterone deficiency such as acne and increase in breast size and tenderness?  Check your serum testosterone levels between 5 to 7 hours after application of a transdermal delivery systems
  • 11. Always speak to your prescribing physician before initiating treatment and check your Prostate Specific Antigen (PSA) and hematocrit level during testosterone therapy…. -Issued in public interest by 12123 Jones Rd, Houston, TX 77070 Toll Free: (877) 562-8577