question from a user
Honest question, pro’s and con’ of BHRT pellets vs injecting test? Was recently recommending for TRT and pellets are an option. Curious what your thoughts are on this.
AlphaMD's Answer
Pellets can be an effective option when considering TRT. The obvious benefit is that you only need pellets placed every 3-4 months.
However, at least in our experience, the downsides of the pellets outweigh this benefit.Pellets are notoriously hard to dose. And if you dose it too high, you are left dealing with side-effects for 3 months. If under-dosed, your low T symptoms don’t get better.
Also, we have encountered many patients who metabolize the pellets too fast, so they are technically low T again after a month or so. But they can’t get new pellets for another 2 months.
The benefit of injections is you can make more frequent and smaller changes. If your dose is too high and you get side effects, you can skip a shot or two and then continue on a lower dose.
Essentially, it is much faster and easier to create a personalized TRT protocol with injections.
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