Testosterone is an essential factor in males, that does more for men than just promote sex drive. Low Testosterone levels decline as a part of healthy aging and are the cause of several physiological changes. Low Testosterone level symptoms include;
1) Reduced Motivation
2) Erectile Dysfunction
3) Loss of Libido or sex drive
4) Fatigue and low energy
5) Increased Cholesterol Levels
6) Memory and Concentration
7) Decreased Muscle Mass
8) Thyroid Dysfunction and more
Since these symptoms are common in low testosterone, physicians will often include hormone levels as part of routine blood work. Normal levels of testosterone are between 300 and 1,000 ng/dL. If a blood test shows that your levels are far below the norm, your doctor may suggest testosterone injections. The treatment is called TRT.
SYMPTOMS OF LOW TESTOSTERONE
Most men naturally start losing testosterone when they hit their 30’s. (low T). Common symptoms of low Testosterone include:
1) Erectile dysfunction (ED)
2) Changes in sex drive
3) Decreased sperm count
4) Depression or anxiety
5) Weight gain
6) Hot flashes
TESTOSTERONE AND DIAGNOSIS
Many men may want to diagnose themselves with a testosterone kit. The problem with self-diagnosis is that many of the symptoms of low Testosterone are healthy parts of aging. So using it for diagnosis isn’t reliable. Our doctor may order testosterone blood test. It is the only way to find out if you have low testosterone.
To get a perfect reading our doctor will take a look at your health history, physical exam and blood test to measure your testosterone levels. You’ll also likely have a test that measures your red blood cell count.
POTENTIAL BENEFITS OF TESTOSTERONE INJECTIONS THERAPY
The purpose of Testosterone Injections Therapy is to help regulate hormone levels and to help address problems related to low Testosterone. For men with low Testosterone, the benefits of these injections can include:
1) Motivation and Memory Loss
2) Sex Drive & Desire
3) Depression and Energy
4) Cholesterol and Osteoporosis
5) Erectile Dysfunction
6) Muscle Mass and Better Sleep
7) Wounds healing & Illness
8) Thyroid Dysfunction and more
TESTOSTERONE CAN HELP WITH FAT AND MUSCLE CHANGES
Men have less body fat than women; This is partly related to testosterone, which regulates the fat in the body and muscle maintenance in your body. You’ll likely also notice an increase in body fat, especially around your midsection.
Your hormones also help regulate muscle growth. So, with low Testosterone, you may feel like you’re losing muscle size or strength.
Testosterone shots regulate fat distribution, but you shouldn’t expect significant weight loss changes from hormone therapy alone, without exercise. As for maintenance of muscle, testosterone therapy has been found to improve increase muscle mass, but not strength.
TESTOSTERONE INJECTIONS THERAPY AND SPERM COUNT
Low sperm count in men is a common side effect of low Testosterone. This problem can make it difficult to get your partner pregnant.
TESTOSTERONE INJECTIONS THERAPY AND THE BOTTOM LINE
Testosterone injections therapy can only be helpful If you just have low Testosterone. If you’re wondering if testosterone is a right choice for you, ask your doctor. They can test you for low Testosterone. Ask your doctors, or Give us a call, if testosterone injections therapy would be a good choice for you.
If you don’t end up having low Testosterone but still feel like your hormone levels might be off, keep in mind that proper Food, Regular exercise, could help you increase testosterone naturally and make you feel better. If that doesn’t help, be sure you contact us for help.
Causes Low Testosterone is the most critical hormone in men. Low, testosterone (hypogonadism) can cause and is responsible for the male characteristics & helps maintain our sex drive, sperm production, body hair, bone, and muscle.
What’re other causes low testosterone?
(e.g., trauma, castration, radiation or chemotherapy), hormonal disorders like (pituitary tumors or diseases, high levels of prolactin), or other disorders like (chronic liver and kidney disease, HIV/AIDS, too much body fat, and type 2 diabetes and associated obesity).
How is low testosterone diagnosed and tested?
Your doctor will use blood tests to see if the total testosterone level is within the normal range. Will be 300 to 1,000 ng/dL, but this may differ depending on the laboratory and a physical exam, To diagnose low testosterone, you may need more than one early-morning (7 AM — 10 AM) blood test and, sometimes, other analyses of the pituitary gland.
How is low testosterone treated?
There are several methods of testosterone replacement; Testosterone Injections is the best meted to get the full benefits of the therapy:
The best method will depend on the cause of the problem, the patient’s preference and tolerance, and cost.
What should you do with this information?
If you have symptoms talk with one of our specialist, an expert in hormones, can help you determine the causes. Be open with our doctor about your medical history, all prescription and nonprescription drugs, any sexual problems, and any significant changes in your life.
Many lifestyle choices and decisions can also negatively impact our natural testosterone production, including:
• Injury to the body. Any physical or psychological trauma can significantly hinder the natural production of testosterone in men.
• Getting married or having children. High testosterone in men prepares us to find a mate and have a family.
Once those goals have been met, our bodies are programmed to lower testosterone production:
• Excessive drug use
• Excessive marijuana use
• Extreme opiate use
• Excessive alcohol consumption
• High-stress levels
• Lack of sleep or good quality sleep
• Low self-esteem
• Negative thoughts
• Unnatural glandular issues
• And much, much more…
Low Hormone Symptoms also will depend on the cause of the problem:
Causes Low Testosterone Once we hit age 30 the levels of many of our hormones begin to decline. The lean body mass (LBM) of our organs starts to decrease, whereas the adipose (or fat) mass. Between the ages of 30 and 75, the liver, kidneys, brain, and pancreas atrophy by an average of 30%. The LBM declines by ~5% in men and 2.5% in women per decade. Meanwhile, the percent of body fat increases in both sexes during the same period.
Depression impacts all of us at one time or another. It simply isn’t possible to have everything go well all the time. Plenty of people may seem to be lucky and prosperous, with the world at their fingertips. Sadly, that surface appearance completely masks the symptoms of low motivation and/or depression. Depression can hit you like a ton of bricks. The stigma associated with being a man with symptoms of depression can be even more demoralizing and add insult to injury. Most men refuse to admit to feelings of depression, let alone confront or deal with the causative issues.
Muscle Mass and Strength
Once we hit 30, the lean body mass of our organs begins to decrease, whereas the fat mass increases. Between the ages of 40 and 80, the lean body mass declines by ~5% per decade in men and 2.5% per decade in women. Meanwhile, at the same time, the body fat in both sexes increases. These physiological changes are not just an affront to vanity but are a threat to health and longevity. First, aerobic power is directly connected to the amount of lean body mass. Second, this shrinkage of vital organs means that they cannot do their jobs as well, whether it be the heart pumping, the muscles lifting, or the kidneys clearing metabolic waste from the blood. Third, the risk of heart attack, hypertension, and diabetes with an increasing abdominal fat mass.
We all have busy lives and are constantly on the go. Although most people experience sleep problems at some point in their life, one can usually identify the cause of the temporary tiredness and remedy it quickly with good quality rest. Extreme, long-term fatigue is a different story. You do not know what is causing it, and it can gradually destroy your motivation, concentration, and energy levels. Often, the people in your life do not understand what how debilitating fatigue can be.
Sleep disturbance affects every facet of our existence. Many sleep-related problems can be overcome with testosterone therapy. Men with lower testosterone levels have reduced sleep efficiency, with increased nocturnal awakenings and less slow-wave (REM) sleep. Studies have even shown that sleep disturbance caused by sleep apnea, a chronic breathing problem, may be linked to low testosterone levels.
One of the worst aspects of getting older is erectile dysfunction (ED), which causes a reduced ability to perform in the bedroom and lowers your sex drive. One of the main causes of age-related sexual dysfunction is the changes in your metabolism and hormone levels, including reduced testosterone production. Numerous studies have also linked low GH and IGF-I levels to ED.
Decreased Sex Drive and Desire
Low testosterone often leads to a decreased sex drive. Although it is the dominant hormone in men, testosterone also plays a significant role in women. Contrary to popular belief, low libido is not related to the frequency of sexual activity or the amount of satisfaction achieved. Instead, it is determined by the body’s signal indicating sexual desire. This signal declines with age due to the body’s decreased production of testosterone.
Motivation is important for getting the most out of life; without motivation, even the most routine task can be daunting. Many people to assume if they get a good night sleep they will feel rejuvenated in the morning. When you wake your head is immediately flooded with thoughts of what you need to accomplish during the day, even if you sleep well. You might then organize your day, plan your activities, and create a map of the tasks you need to accomplish in order to have a productive day. However, if you do not have motivation then all the preparation in the world will not help you execute your plan for a productive day.
Undetected and untreated high cholesterol is a silent killer! High Cholesterol can lead to an assortment of different health problems, including heart attack, stroke, and death. Although high cholesterol is associated with overweight individuals, you can be thin and still have high cholesterol. GH is an important regulator of LDL and total cholesterol, as well as triglycerides. It lowers diastolic blood pressure by reducing the resistance of arteries and capillaries that carry blood throughout the body. Multiple studies have shown that GH can reduce levels of LDL, or bad, cholesterol.
Many symptoms of aging are a direct or indirect result of diminishing GH and testosterone levels, including low energy and fatigue. By the age of 30, most people are GH-deficient, which can result in somatotropin deficiency syndrome (SDS). Somatotropin is another name for GH. Without GH therapy, GH levels continue to decline, which is sometimes referred to as the somatopause.
Hopefully, you have been skimming through the many pages of our website to try and educate yourself about how to take charge of your life, maximize your potential, and experience life to the fullest. The only way you will ever be able to do this is if you are feeling your best, are able to produce your best, and give your best!
Osteoporosis and Bone Mass
Osteoporosis is the gradual thinning that makes bones brittle and porous which in turn makes them more prone to fracture. If affects approximately 10 million adults in the United States, and is more common in women than men. Of people older than 50 years of age, one in two women and one in eight men are predicted to have an osteoporosis-related fracture in their lifetime. Individuals of Caucasian and Asian ethnicity are also at a high risk.
Think about your children or yourself when you were a child. Do you remember how many times you fell down and scraped your knee? Your arms and legs always seemed to be wearing red badges of courage. Then, a scab would form and then soon disappear, leaving absolutely no trace of the injury. However, when you are young your cells regenerate and repair at a much faster pace, and so your wounds heal more quickly and your bones knit more rapidly. All these processes are under the control of GH and other growth factors. Although GH supplementation won’t restore your healing capacity to that you experienced as a child, it will dramatically accelerate the healing process.
The thyroid and adrenal glands regulate multiple functions throughout the body. If thyroid hormone and cortisol levels are not right, the rest of the body will not function correctly; these critical hormones are just as important as estrogen, progesterone, testosterone, and growth hormone.
Today’s media is full of reports about so-called “superfoods.” While most of these reports are based on some level of fact, misrepresentation or poor interpretation of medical and scientific findings often leads to misinformation and sensational yet misleading headlines. A prime example of this is raw cacao. The health benefits of raw cacao are astounding; however, this, unfortunately, does not necessarily mean that eating a bar of milk chocolate each day will have the same effects. Read on to learn more about the ways in which raw cacao can improve your health and how to take full advantage.
What is Raw Cacao?
Cacao-based products are made from cacao beans and include cacao powder, nibs, paste, and butter.
When purchasing raw cacao products such as powder, it is important to understand the differences between raw cacao powder and the more common cocoa powder. Raw cacao powder is very pure. It is made from raw, unroasted cocoa beans via a process known as cold pressing, which removes the fat in the form of cacao butter; much of the bean and nutrients remain intact.
Cacao is one of the best sources of flavonoids (which are potent antioxidants) available, which means that it has huge health benefits. It is also rich in protein, cholesterol-free and monounsaturated fats, fiber, natural carbohydrates, and minerals (including zinc, iron, potassium, magnesium, copper, manganese, and calcium).
Cocoa powder is produced in a similar way to cacao powder, except that it undergoes high-temperature processing during production. Although it retains significant health benefits, the high temperatures used to destroy some of the nutritional value. As cocoa undergoes further processing to make reduced-strength dark chocolate and milk chocolate, increasing amounts of the nutrients are removed. Therefore, raw cacao powder, cocoa powder, or very strong dark chocolate are recommended for optimal health benefits.
Many people are at an increased risk of cardiovascular events as they age. The good news is that the consumption of certain foods can help reduce this risk. Cocoa-based products can have significant beneficial effects on the cardiovascular system by reducing cardiovascular risk and atherosclerosis, improving circulation, lowering the levels of LDL (bad) and increasing the levels of HDL (good) cholesterol, and reducing blood pressure. Many of these effects are caused by the anti-inflammatory and antioxidant properties of the flavonoids.
Cacao- and cocoa-based products can reduce hypertension. For example, the Cocoa, Cognition, and Aging (CoCoA) Study was performed in 90 elderly individuals who received cocoa-based drinks with high, medium, or low flavonoid content. Blood pressure was reduced significantly in patients that received high- or medium-content cocoa compared with those that received low flavonoid cocoa . The subjects also exhibited improved insulin resistance and reduced lipid peroxidation.
Cardiovascular function. A recent study assessed vascular stiffness in healthy younger (<35) and older (50–80) men who drank cocoa or a control drink twice a day for two weeks. The subjects who drank cocoa exhibited significantly improved cardiovascular function, as measured by improved endothelial function, blood pressure, and vascular stiffness . A second similar study confirmed these effects and also indicated that the consumption of high-flavonoid chocolate improved platelet aggregation (an indicator of the ability of the blood to form clots) compared with low flavonoid chocolate .
Cholesterol. Several studies have investigated the ability of cocoa and cacao to improve cholesterol. For example, consuming 400 g cocoa powder with 500 ml skimmed milk per day increased HDL and lowered LDL cholesterol levels in elderly subjects at high risk of cardiovascular disease . Similar observations were made in young healthy and hypercholesterolemic subjects  and in elderly healthy individuals .
The available data suggest that cocoa and cacao could help protect against cognitive decline in aging individuals.
In the same CoCoA study described above, subjects that received cocoa with a high or medium flavonoid content had significant improvements in two different measures of cognitive function: a trail making test and a verbal fluency test. The improvements were greatest in the high flavonoid vs. the intermediate flavonoid group. However, there were no improvements in the mini-mental state evaluation among groups .
Cocoa and cacao might also protect against dementia and related diseases such as Alzheimer’s disease .
The risk of metabolic diseases often increases as we age, and conditions such as diabetes and obesity are associated with reduced mortality. Luckily, cocoa could help reduce the risk of these conditions and their symptoms. Possibly the most important metabolic effect of cocoa is its ability to improve insulin sensitivity. In one study, subjects received dark or white chocolate (with high and zero flavonoid content, respectively), and insulin sensitivity was assessed using glucose tolerance tests and the quantitative insulin sensitivity check index. Dark, but not white, chocolate significantly improved both measures of insulin sensitivity and reduced blood pressure .
The symptoms of many aging-related diseases have been linked to reduced hormone levels over time. Therefore, improving natural hormone production can reduce the symptoms of many aging-related diseases. Cocoa can have beneficial effects on the production of several hormones.
Stress hormones. We all know that nice, relaxed feeling that occurs when we eat a delicious, rich piece of dark chocolate. It turns out that there is a physiological reason for this! Cocoa can potently inhibit the release of the stress hormone cortisol. Healthy men aged 20–50 who consumed a single piece of dark chocolate had a significantly reduced response to a psychosocial stressor. These effects were caused by inhibiting the release of the stress hormones cortisol and epinephrine from the adrenal gland .
So, there you have it! Cocoa really is a super-food. It is not only delicious but, when eaten in unprocessed forms, it has significant health benefits.
Testosterone Injections – Curious about testosterone injections Therapy? Read more about what you can expect from this treatment and contact us for more information (866) 224-5698
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Anavar has been around since 1964. It was bought out by Pfizer in 2003. Since then, it has seen a popular reemergence and has been termed the “safest” steroid available. Unfortunately, this is dangerous and brings confusion to the masses whom misleadingly supplement with this compound.
We have been receiving many requests for Anavar from patients that have shopped around with other local clinics. Sadly, clinics that, despite the consequential ramifications, opt to sell this controlled substance to their patients. Moreover, they do it under the guise of providing medical treatment, when in fact, this is one of the reasons it was once illegal: there is no real medicinal purpose for Anavar.
Anavar has very little androgenic (testosterone Injections) properties. This is the reason it does not aromatize. Only androgens aromatize.
Initially, Anavar was produced to assist patients with lipodystrophy (excessive muscle loss, usually as a result of AIDS).
The Good, The Bad, and The Ugly. First the Good
Because there is no conversion to estrogen with Anavar, blockers nor inhibitors are needed for its use. Estrogen conversion manifest most of the visible side effects men fear from a testosterone therapy program: mood swings, libido loss, water retention, weight gain, etc.
Anavar increases anabolism significantly. This allows the muscle to absorb a lot more protein. Being in anabolic state intensifies the muscle building process. Strong, dense muscles develop and are longer lasting than when developed on other steroids.
Because Anavar has almost no androgenic properties, it does not cause a swift shutdown of HPTA (the process that invites endogenous low testosterone production)
Muscles developed with the aid of Anavar administration are sharper and more cut.
Studies have shown Anavar to diminish visceral (stomach area) fat with only moderate exercise. Most impressively, even after discontinuing usage, the subjects kept off the fat. Of course, they were still exercising and minding their caloric intake.
Anavar can lubricate joints and assist with joint related pain.
Want to know the truth behind why Anavar is considered the “safest” or “most mild” anabolic steroid available? In its pharmaceutical form, Anavar comes in 2.5 mg tablets. At that therapeutic dose, even a child could take it without systemic repercussions. There is basically no negative impact on the liver, even if taken on a daily basis.
To build significant muscle on Anavar alone, at least 50 mg a day would be needed. At these quantities, arduous taxing of the liver is intense and inevitable.
Anavar is a seventeen alpha alkylated. This means it is structured to prevent a breakdown in the liver. This makes the effects of the drug much greater but puts an unimaginably damaging strain on the liver.
The required dosage for effective muscle “building” is what makes legitimate medical claims of Anavar’s “mildness” a myth.
In a nutshell: With Anavar, what makes it safe, makes it not very effective, and once it becomes effective, it is not very safe.
2.5 mg is the pharmaceutical dosage this brand medication comes in. Patients should be wary of 20 mg to 50 mg tablets. Those are only made through UG laboratories. Patients should require their medication come labeled with their name, the prescribing physician’s name and the providing Laboratories information, including DEA number. This info should be followed up with some quick research on the involved laboratory.
Unless you are suffering from acute muscle wasting, there is no medicinal purpose for taking Anavar.
Anavar is actually pretty amazing stuff “if you are a bodybuilder willing to administer illegal substances.” It does have the ability to increase strength significantly in a short period of time. However, at the dosages required for effective muscle building, the liver finds itself under constant attack. This program can only be used as a kick-start program.
Patients prescribed Anavar under the guise of it being a health supplement should consider very carefully the integrity of the organization they are working with.
A “real” Anavar program should not surpass 4 to 6 weeks. Anything beyond that, especially at dosages beyond the 20mg mark, will have impacting effects on the liver.
Real Testosterone Therapy
In conclusion, Anavar, if abused, is actually the real deal. It then works well to strengthen muscles and build rigid, strong tissue. It might even assist with the loss of stubborn belly fat. Unfortunately, 1) the dosage needed makes it unimaginably toxic to the liver and 2) there is no actual medical use for it and cannot be taken for very long at all. For this reason, unless you are a bodybuilder willing to trade in your future health for accelerated, temporary gains now, Anavar should never be on your radar.
If you are looking for a supplement to take to maximize your masculine efficiency while ensuring a health-enjoying, long, quality life in the future, consider learning more about a bio-identical Testosterone replacement protocol.
Again, if you are considering bettering your health, changing your physique, improving your sex life and libido, consider a bio-identical testosterone replacement program. We can provide you the same type of testosterone your body produces. Of course, there is still the potential for side effects but, because it is bio-identical, your body is more receptive to it and you can continue therapy safely for many years. Most importantly, our doctors are experts in the art of Testosterone replacement therapy. We make sure our patients have all the required counterparts to their therapy to ensure better keeping unwanted side effects out of the picture.
A properly administered testosterone injection program can reignite the fire you have lost. It may sound intense, but the results of revitalizing the male body are unparalleled and near impossible to denote. It is simply a reawakening of life; a happier, more efficient life.
Testosterone Cypionate Description injection for intramuscular injection contains Testosterone Cypionate which is the oil-soluble 17 (beta)- cyclopentyl propionate ester of the androgenic hormone testosterone. Testosterone Cypionate is a white or creamy white crystalline powder, odorless or nearly so and stable in air. It is insoluble in water, freely soluble in alcohol, chloroform, dioxane, ether, and soluble in vegetable oils. The chemical name for Testosterone Cypionate is androst-4-en-3-one,17-(3-cyclopentyl-1-oxopropoxy)-, (17β)-. Its molecular formula is C27H40O3, and the molecular weight 412.61.
The structural formula is represented below:
Testosterone Cypionate injection, USP is available in two strengths, 100 mg/mL and 200 mg/mL Testosterone Cypionate, USP.
Endogenous androgens are responsible for normal growth and development of the male sex organs and for maintenance of secondary sex characteristics. These effects include growth and maturation of the prostate, seminal vesicles, penis, and scrotum; development of male hair distribution, such as beard, pubic, chest, and axillary hair; laryngeal enlargement, vocal cord thickening, and alterations in body musculature and fat distribution. Drugs in this class also cause retention of nitrogen, sodium, potassium, and phosphorous, and decreased urinary excretion of calcium. Androgens have been reported to increase protein anabolism and decrease protein catabolism. Nitrogen balance is improved only when there is sufficient intake of calories and protein.
Androgens are responsible for the growth spurt of adolescence and for eventual termination of linear growth, brought about by fusion of the epiphyseal growth centers. In children, exogenous androgens accelerate linear growth rates but may cause a disproportionate advancement in bone maturation. Use over long periods may result in fusion of the epiphyseal growth centers and termination of the growth process. Androgens have been reported to stimulate the production of red blood cells by enhancing production of erythropoietic stimulation factor.
During exogenous administration of androgens, endogenous testosterone release is inhibited through feedback inhibition of pituitary luteinizing hormone (LH). At large doses of exogenous androgens, spermatogenesis may also be suppressed through feedback inhibition of pituitary follicle stimulating hormone (FSH).
There is a lack of substantial evidence that androgens are effective in fractures, surgery, convalescence, and functional uterine bleeding.
Testosterone esters are less polar than free testosterone. Testosterone esters in oil injected intramuscularly are absorbed slowly from the lipid phase; thus, Testosterone Cypionate can be given at intervals of two to four weeks.
Testosterone in plasma is 98 percent bound to a specific testosterone-estradiol binding globulin, and about 2 percent is free. Generally, the amount of this sex-hormone binding globulin in the plasma will determine the distribution of testosterone between free and bound forms, and the free testosterone concentration will determine its half-life.
About 90 percent of a dose of testosterone injections is excreted in the urine as glucuronic and sulfuric acid conjugates of testosterone and its metabolites; about 6 percent of a dose is excreted in the feces, mostly in the unconjugated form. Inactivation of testosterone occurs primarily in the liver. Testosterone therapy is metabolized to various 17-keto steroids through two different pathways.
The half-life of Testosterone Cypionate, when injected intramuscularly, is approximately eight days.
In many tissues, the activity of testosterone therapy appears to depend on reduction to dihydrotestosterone, which binds to cytosol receptor proteins. The steroid-receptor complex is transported to the nucleus where it initiates transcription events and cellular changes related to androgen action.
Indications and Usage for Testosterone Cypionate description
Testosterone Cypionate description injection is indicated for replacement therapy in the male in conditions associated with symptoms of deficiency or absence of endogenous testosterone.
Primary hypogonadism (congenital or acquired)-testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome; or orchidectomy.
Hypogonadotropic hypogonadism (congenital or acquired): gonadotropin or LHRH deficiency, or pituitary-hypothalamic injury from tumors, trauma, or radiation.
Safety and efficacy of Testosterone Cypionate description in men with “age-related hypogonadism” (also referred to as “late-onset hypogonadism”) have not been established.
Known hypersensitivity to the drug
Males with carcinoma of the breast
Males with known or suspected carcinoma of the prostate gland
Women who are or who may become pregnant
Patients with serious cardiac, hepatic or renal disease
Hypercalcemia may occur in immobilized patients. If this occurs, the drug should be discontinued.
Prolonged use of high doses of androgens (principally the 17-α alkyl-androgens) has been associated with the development of hepatic adenomas, hepatocellular carcinoma, and peliosis hepatis —all potentially life-threatening complications.
Geriatric patients treated with androgens may be at an increased risk of developing prostatic hypertrophy and prostatic carcinoma although conclusive evidence to support this concept is lacking.
There have been postmarketing reports of venous thromboembolic events, including deep vein thrombosis (DVT) and pulmonary embolism (PE), in patients using testosterone products, such as Testosterone Cypionate description. Evaluate patients who report symptoms of pain, edema, warmth, and erythema in the lower extremity for DVT and those who present with acute shortness of breath for PE. If a venous thromboembolic event is suspected, discontinue treatment with Testosterone Cypionate description and initiate appropriate workup and management.
Long term clinical safety trials have not been conducted to assess the cardiovascular outcomes of testosterone replacement therapy in men. To date, epidemiologic studies and randomized controlled trials have been inconclusive for determining the risk of major adverse cardiovascular events (MACE), such as non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death, with the use of testosterone compared to non-use. Some studies, but not all, have reported an increased risk of MACE in association with the use of testosterone replacement therapy in men. Patients should be informed of this possible risk when deciding whether to use or to continue to use Testosterone Cypionate description.
Edema, with or without congestive heart failure, may be a serious complication in patients with preexisting cardiac, renal or hepatic disease.
Gynecomastia may develop and occasionally persists in patients being treated for hypogonadism.
The preservative benzyl alcohol has been associated with serious adverse events, including the “gasping syndrome”, and death in pediatric patients. Although normal therapeutic doses of this product ordinarily deliver amounts of benzyl alcohol that are substantially lower than those reported in association with the “gasping syndrome”, the minimum amount of benzyl alcohol at which toxicity may occur is not known. The risk of benzyl alcohol toxicity depends on the quantity administered and the hepatic capacity to detoxify the chemical. Premature and low-birth weight infants may be more likely to develop toxicity.
Androgen therapy should be used cautiously in healthy males with delayed puberty. The effect on bone maturation should be monitored by assessing the bone age of the wrist and hand every 6 months. In children, androgen treatment may accelerate bone maturation without producing a compensatory gain in linear growth. This adverse effect may result in compromised adult stature. The younger the child the greater the risk of compromising final mature height.
This drug has not been shown to be safe and effective for the enhancement of athletic performance. Because of the potential risk of serious adverse health effects, this drug should not be used for such purpose.
Patients with benign prostatic hypertrophy may develop acute urethral obstruction. Priapism or excessive sexual stimulation may develop. Oligospermia may occur after prolonged administration or excessive dosage. If any of these effects appear, the androgen should be stopped and if restarted, a lower dosage should be utilized.
Testosterone Cypionate description should not be used interchangeably with testosterone propionate description because of differences in duration of action.
Testosterone Cypionate description is not for intravenous use.
Information for Patients
Patients should be instructed to report any of the following: nausea, vomiting, changes in skin color, ankle swelling, too frequent or persistent erections of the penis.
Hemoglobin and hematocrit levels (to detect polycythemia) should be checked periodically in patients receiving long-term androgen administration.
Serum cholesterol may increase during androgen therapy.
Androgens may increase sensitivity to oral anticoagulants. The dosage of the anticoagulant may require a reduction in order to maintain satisfactory therapeutic hypoprothrombinemia.
Concurrent administration of oxyphenbutazone and androgens may result in elevated serum levels of oxyphenbutazone.
In diabetic patients, the metabolic effects of androgens may decrease blood glucose and, therefore, insulin requirements.
Drug/Laboratory Test Interferences
Androgens may decrease levels of thyroxine-binding globulin, resulting in decreased total T4 serum levels and increased resin uptake of T3 and T4. Free thyroid hormone levels remain unchanged, however, and there is no clinical evidence of thyroid dysfunction.
Testosterone has been tested by subcutaneous injection and implantation in mice and rats. The implant induced cervical-uterine tumors in mice, which metastasized in some cases. There is suggestive evidence that injection of testosterone into some strains of female mice increases their susceptibility to hepatoma. Testosterone is also known to increase the number of tumors and decrease the degree of differentiation of chemically induced carcinomas of the liver in rats.
There are rare reports of hepatocellular carcinoma in patients receiving long-term therapy with androgens in high doses. Withdrawal of the drugs did not lead to regression of the tumors in all cases.
Geriatric patients treated with androgens may be at an increased risk of developing prostatic hypertrophy and prostatic carcinoma although conclusive evidence to support this concept is lacking.
Pregnancy Category X. (See CONTRAINDICATIONS)
Benzyl alcohol can cross the placenta. See WARNINGS.
Testosterone Cypionate description is not recommended for use in nursing mothers.
Safety and effectiveness in pediatric patients below the age of 12 years have not been established.
The following adverse reactions in the male have occurred with some androgens:
Endocrine and urogenital: Gynecomastia and excessive frequency and duration of penile erections. Oligospermia may occur at high dosages.
Skin and Appendages: Hirsutism, male pattern of baldness, seborrhea, and acne.