Your Weekly Doctor's Note
Morning everyone!

Welcome to another edition of the Doctor's Note, where we talk about what's on our minds when it comes to your health. This week, we are going to be talking about a new way to administer testosterone therapy. Possibly a cheaper and more effective way. 

Testosterone therapy is controversial. But you know my stance on it. I've spent years studying it. I've been around and talked with thought leaders on the subject. I couldn't be more confident in saying that testosterone therapy is safe. 

It does not cause prostate cancer, and it does not cause heart disease. In fact, it protects you against them. I'm confident that it's protective and beneficial for almost everything about your health mentally and physically. When your testosterone levels go low, it's a signal that your body is not working like it should be. 

There are 4 main ways to administer testosterone
  • Creams - This is my least favorite. It's expensive, messy, and you can transfer it to your family. Plus it just doesn't work that well. 
  • Intramuscular injections - This is a once a week injection. A lot of my patients do this. It works really well. 
  • Pellets - This is still probably my favorite. It's a quick procedure and lasts about 4-6 months, and is a steady dose of testosterone. 
  • Subcutaneous twice a week self injecting - This way is a little more economical, and you don't have to go into the office every week. So there's a convenience factor here. Its virtually painless, and it enables you to use a lower dose twice a week to avoid the highs and the lows. 
One thing I'm starting to do for my patients is offer that subcutaneous self injecting option ( Sub Q testosterone injections). 

This is a twice a week testosterone shot that you give yourself subcutaneously (underneath your skin, usually in the abdomen). It's a lower dose in a blend, and a tiny needle. 

The thing about getting a testosterone injection once a week is that it can wear out after day 5 or so. The peak is about day 2-3, and by the time you get your next injection at day 7 it can lose its effectiveness. The lower dose given twice a week offers a more even dose with less conversion to estrogen. 

I've created a blend that I love for this. It's 80% testosterone cypionate and 20% testosterone enanthate. This is a smooth blend and can be longer acting and gives you the best of both worlds. 

One of the biggest complaints I get about coming in to get shots every week is just the inconvenience of it. You have to come in every week. This is a great option for those patients who want great results, but might not want to come in every week or have the time to. It's also great for those that don't like intramuscular shots. 

I also like it as a change up for patients who have gotten intramuscular shots for years, because it doesn't build up scar tissue. (Note that if you have built up scar tissue from intramuscular shots, you can use a foam roller to work out that scar tissue)

That's it for this week! Thanks so much for reading. If you have any questions about subcutaneous self injecting, please don't hesitate to reply to this email or give one of the offices a call. The numbers are below. 

To hear the podcast episode on subcutaneous self injecting testosterone shots, you can find that here. 

Upcoming Specials

Don't forget that on October 30th and 31st (depending on the office) we will be having specials on Botox as a way of saying Happy Halloween. We won't be doing prepays for this, so in order to take advantage of the low price you'll have to come in to get your BOOtox. 

If you're interested, please don't hesitate to give one of the offices a call. We'd love to set you up with a BOOtox appointment, or talk with you more about our new self injecting protocol. 

Thank you guys so much! 

And as always, see you next week!

Our Contact Information:

Kingsport: 423-245-2078

Knoxville: 865-249-7672

Johnson City: 423-328-3386

Inspired by: 
Team Performance Medicine
Medical Director
Tom Rogers, MD
Editor: 
Benjamin E. Rogers

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