question from a user
How do you determine a patients starting dose? Is there a protocol you follow? Is BMI a factor? Also, what are your thoughts on IM vs SQ? Which do y’all recommend to new patients?
AlphaMD's Answer
There is no set protocol as far as a starting dose other than we need a dose to overcome the patient's symptoms. Without being too specific, most of our patients get symptom relief between 140-160mg/wk. BMI is actually not a factor. Having more fat does not increase your androgen receptors, so body weight is not a consideration with TRT as it can be with other medications.
The differences between IM and SQ are minimal. The debate over IM vs SQ is more of a personal preference than anything. We typically let our patients decide which makes the most sense for them. Most of our patients seem to prefer SQ.
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