The primary drawback of creams and gels is that their testosterone concentration is too low, and it is also difficult to control the delivery of the dosage. Absorption through the skin is inefficient due to food consumption, sweat glands, and other factors. Often, this inconsistent absorption rate produces a variance in DHT levels and potentially harmful side effects like puffy nipples, water retention, and mood swings. Another drawback of creams or gels, its the cost. They are more expensive than the injectable form of Testosterone. There’s also the genuine risk of accidentally transferring the cream to children, women, and pets. Most patients find it a problem to apply creams or gels throughout the day always. Patients must avoid swimming, bathing, showering, and excess sweating for hours after application because they will lose most of the administered dose. Some men choose this method of Testosterone optimization simply because it is the path of least resistance, both from minor pain from injections and because many doctors dispense this form of Testosterone liberally, but it doesn’t make it useful. Given that Testosterone optimization must be administered for life, patients commitment is a primary focus of the treating physician.

Ultimately, it all boils down to the choice of the patient, but if you want optimal long-term results, the injectable form is the best route of delivery and most cost-effective. However, if you persist in the non-injectable form, here is what you need to know.