The first thing to understand about testosterone replacement is that oral testosterone (pills taken by mouth) doesn’t really work because it is broken down so quickly by the liver. The solution to this problem involves patches, gels, shots, and even nasal sprays. Here are your options, with some new players in the game.
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Last year we heard the warnings about testosterone therapy in men after studies found an increase in cardiovascular risk. Well, a new study has shown that the delivery method of testosterone matters: injections, gel, or patch. Use of testosterone injections is associated with the greater risk of heart attack compared to gels.
There is a new option for treating testosterone deficiency in adult men. I know, there are already gels, patches, injections and adhesive patches you stick on your gums (Striant) but apparently, we need one more and . . . wait for it . . . it’s a nasal gel. Natesto is the first nasal testosterone gel approved in the United States for the treatment of male hypogonadism and testosterone deficiency. Natesto is a metered-dose pump applicator that places the gel into the nostrils. See More
The news flash many folks saw recently was that testosterone replacement caused a 35% increase risk of heart attack. Given results of this and another recent study, the FDA has stepped in to investigate. If you are a man on testosterone replacement do you need to worry?