Transdermal Testosterone

1.Transdermal Testosterone is available in commercial gels and patches or compounded creams

2.  Commercial preparations are expensive in comparison

3.  Creams can be compounded up to 20%

4.  Typical Preparations are 4 mg/gram for women and 100mg/gram for men

5.Typical starting doses are ½ gram to 1 gram per day for women and 1 gram per day for men

6. Apply to upper inner arm in women

    **Note Dr Erika Schwartz MD reference – Testosterone cream can cause cellulite in women. They should apply cream to their inner arms

7.Men should apply to love handles or inner thigh area

8.There is no erythrocytosis stimulated w/ transdermal application

9.Blood levels are generally consistent but adequate levels may be difficult to achieve in men

10.Requires daily application, some advocate BID dosing for transdermals

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