TESTOSTERONE Replacement THERAPY CUSTOMIZED FOR YOU
We will work with you to develop a TRT plan that fits you . There are a variety of types of testosterone and delivery options.
TRT is not an isolated process. It is intertwined with our lifestyle, overall health, it is involved in and affects multiple other hormonal pathways. However classically there are a few basic components of TRT.
TRT BASIC COMPONENTS
Selective Estrogen Receptor Modulators (SERM)
USED WITH OR WITHOUT TRT SERMs STIMULATE NATURAL TESTOSTERONE PRODUCTION. WHEN USED WITH TRT HELP TO PREVENT TESTICULAR SHRINKING
HCG
PLAYS A SIMILAR ROLE TO THAT OF SERMS. HELPING TO MAINTAIN NATURAL TESTOSTERONE PRODUCTION, PREVENT TESTICULAR ATROPHY AND CAN HELP MAINTAIN FERTILITY
AROMATASE INHIBITORS
BASIC ADJUNCTIVE THERAPY IN TRT TO HELP PREVENT THE CONVERSION OF TESTOSTERONE INTO ESTROGEN HELPING TO MAINTAIN AN OPTIMAL ESTROGEN LEVEL
TESTOSTERONE TYPE
TRADITIONALLY TESTOSTERONE CYPIONATE HAS BEEN THE MOST INJECTABLE STEROID USED IN TRT. FOR THOSE WANTING A MORE ANABOLIC EFFECT NANDROLONE IS AN OPTION AS WELL AS OTHER FORMULATIONS AND DELIVERY MECHANISMS
TESTOSTERONE
Testosterone Cypionate Injection
Probably the most common form of injectable testosterone. Testosterone cypionate is a synthetic version of the naturally occurring male hormone testosterone. It is an esterified variant, which means it has a cyclopentylpropionate ester attached to the testosterone molecule, allowing it to be released slowly into the bloodstream following intramuscular injection. Injections are typically given every 3-10 days. Injections can be given SQ or IM.
Nandrolone Decanoate Injection
Nandrolone decanoate (“Deca,”) is a synthetic derivative of testosterone. Nandrolone deca has a relatively low androgenic effect compared to testosterone, which makes it popular among users seeking muscle gains with fewer androgenic side effects. Typically used in conjunction with tesosterone cypionate no minimize androgenic side effects.
Testosterone Troches
These are oral tablets that dissolve in your mouth and get absorbed directly through your oral mucosa. This allows for quick absorption. No injections needed. No risk of contact with others like creams.
Nandrolone Decanoate / Testosterone Cypionate / Testosterone Enanthate Injection
Nadrolone in a 1:2 ratio with testosterone to enhance anabolic effect, decrease androgenic and help prevent erectile dysfuntcion that nandrolone can cause.
Testosterone Cream
Most common form of TRT. Avoid needles. Can apply in a single dose daily.
Other Testosterone Formulations
We also offer testosterone in a nasal spray format as well as pellets that can be injected. If there are contraindications to other forms of testosterone these are viable options we can discuss.
SERMs
CLOMIFENE
At Function of Y Health, we offer specialized care and treatment for a variety of medical conditions, including heart disease, diabetes, and cancer.
ENCLOMIPHENE
In the context of TRT, enclomifene works as a selective estrogen recepto modulator (SERM). It functions in the same way as clomifene. It is actually and isolated component of clomifene that has a more targeted approach. This can result in potentially less side effects than clomifene and may be a better option for increasing testosterone (in the the absence of TRT) than clomifene. It is effective in reducing testicular atrophy in TRT. If used as an alternative to TRT the increase in testosterone levels is not as significant.
HGC
Human Chorionic Gonadotropin (hCG) can be used in TRT to help maintain or restore testicular function and fertility in men undergoing TRT. TRT can suppress the body’s natural production of testosterone and reduce sperm production, leading to testicular shrinkage and infertility.
hCG mimics the action of Luteinizing Hormone (LH), which stimulates the testes to produce testosterone and sperm. By including hCG in a TRT regimen, it is possible to maintain testicular size and function, potentially preserving fertility. This approach is especially beneficial for men who wish to maintain their fertility while on TRT.
Aromatase Inhibitors
ANASTRAZOLE
In testosterone replacement therapy aromatase inhibitors are sometimes used to manage elevated estrogen levels. Aromatase is an enzyme that converts testosterone into estrogen, and its inhibitors can help prevent this conversion, thereby maintaining a more favorable balance between testosterone and estrogen levels.
There are multiple aromatase inhibitors however typically anastroloze is used. It is effective in reducing estrogen levels, which can help mitigate side effects such as gynecomastia (enlargement of breast tissue in men).
The use of aromatase inhibitors in TRT should be carefully managed as excessively low estrogen levels can lead to negative side effects such as joint pain, mood changes, and decreased bone density. The decision to use an aromatase inhibitor, and the specific choice of inhibitor, should be based on individual patient needs and monitored with regular blood tests to ensure hormone levels remain within a healthy range
