Testosterone (Men)

Within a few weeks to months, you may notice:

• More energy and better mood
• Improved focus and motivation
• Increased sex drive and responsiveness
• Early strength and performance gains when exercising

Results vary—sexual and erectile improvements may take 3–6 months.

With continued use, testosterone therapy may:

• Build lean muscle and reduce fat
• Protect the heart and blood vessels
• Stabilize mood and confidence
• Support brain function and memory
• Improve blood sugar and cholesterol
• Reduce risk of chronic conditions like diabetes and Alzheimer’s

Your doctor may order blood tests to monitor your progress. Key points:

• Lab testing is usually done at baseline, 1–3 months in, and then every 3-6 months.
• Avoid drawing blood from areas where cream was applied
• Common labs: Total & Free Testosterone, Estradiol, PSA, SHBG, Hematocrit, DHT, FSH/LH
• Avoid ejaculation for 48 hours before a PSA test

Most men tolerate testosterone well. Side effects, when they occur, are often dose-related and manageable:

Common:

• Oily skin or acne
• Hair thinning (if prone to baldness)
• Mood changes or irritability
• Mild swelling or fluid retention
• Breast tenderness
• Reduced sperm count and testicle size (may use HCG to help)

Less Common or Serious:

• High red blood cell count (may need to donate blood and hydrate more)
• Increased blood pressure
• Worsening of untreated sleep apnea
• Rare liver strain or prostate changes
• Signs of too much estrogen (e.g. breast growth or emotional swings)

• Chest pain or trouble breathing
• Vision changes or severe headaches
• Swelling in legs or unusual bleeding

⚠️ Testosterone Black Box Warning

1. Secondary Exposure Risk (Topical Products)

• Children and women can be harmed if they come into contact with skin where testosterone gel or cream has been applied.
• Can cause early puberty in children and signs of virilization (e.g., hair growth, acne) in women.
• Users must wash hands after application and cover the application site.

2. Blood Pressure Increase (Injectable Forms)

• Certain testosterone products (e.g., testosterone undecanoate like Aveed) carry a risk of serious blood pressure increases, which may raise the risk of heart attack, stroke, or death.
• Monitor blood pressure regularly during treatment.

• If you have sleep apnea, talk with your doctor. Sometimes, sleep apnea has gotten worse in people using testosterone.
• If you’re trying to have children, talk to your doctor—testosterone lowers sperm count

Use as indicated by your doctor.

For more instruction on how to use your medication, select the device you recevied:

• Syringe
• Megapump
• Topiclick