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Ask your questions to our Clinical Nurse Specialist Sue, who has lots of experience...
I guess the only real measure is what your testosterone reading comes back as?
I'll try and remember to update mine next time around
are you taking 5 pumps per day?
I had a low reading last month (very low) the first low reading since starting TRT (4nmol/L
I have my suspicions of a faulty result.
My GP contacted the Endocrinologist and it has been advised that on next blood test, I apply Testogel at 7am and have bloods taken at 2pm to allow full absorption of the gel and check result.
This is total opposite of what Besins Healthcare advises as they advise you should have blood test first thing in morning BEFORE Application.
Yes, started 2 days a go - no idea on the result yet
I guess they're doing a peak rather than a trough test, unusual as you say. Chances are it was a bad est
Just to add my tuppence worth- I had been on 2 sachets per day as well. Have now started the plastic pumps and my GP advised me to take 5 pumps per day- but my oncologist advised only 4 pumps and that I shouldn’t take anymore. I am still on a waiting list to see an endo- it will be two years until I see them from the date I applied last October!!! Anyway, my brother manages a pharmacy and he has been a great help. He said it’s no prob for me to take 5 pumps, but that the product has been rushed through to market very quickly and as most oncologists or GPs maybe don’t know an awful lots of detail about it they stick with the recommended 2 pumps per sachet and don’t authorise anything more. Anyway, my level on 2 sachets was 27, so I have reduced to 4 pumps/day. One issue I have, and wanted to see if any of you have advice, because these bottles are white it’s impossible to know how quickly you are using the stuff up. My brother said that one of his patients weighed the full weight of the bottle when he received it and then weighed it every few days to roughly work that out- I haven’t been foresighted enough to do that. Anyway, if you are using 4 or 5 pumps a day would you know how long roughly it would take to use up one bottle?
this is from the manufacturer (Besins)
"Testogel 16.2 mg/g is a colourless gel presented in a multi-dose container with metering pump with 88 g gel and delivers a minimum of 60 doses. One gram of gel contains 16.2 mg testosterone. One pump actuation delivers 1.25 g of gel containing 20.25 mg of testosterone."
We are unable to provide specific information on how long the pump will last for specific individuals and therefore if you have any further concerns I would suggest you discuss these with your doctor or pharmacist.
I hope you find this information is useful. Please do not hesitate to contact me if you require any further information.
some further info I received from them;
I am writing in response to your recent request for information on our product Testogel. You asked what time of day should testosterone levels be tested. You also asked for information regarding application of Testogel to the chest. I hope you find the following information useful.
The Summary of Product Characteristics (SPC) is a more detailed document than the Patient Information Leaflet (PIL), and is primarily written for healthcare professionals.
The SPC for Testogel1 states in section 4.2 ‘Posology and method of administration’:
"Steady state plasma testosterone concentrations are reached approximately on the 2nd day of treatment by Testogel. In order to adjust the testosterone dose, serum testosterone concentrations must be measured in the morning before application from the 3rd day on after starting treatment (one week seems reasonable)"
If you're changing from sachets of Testogel to a pump bottle - to match the testosterone dose of two sachets per day you need to apply six squirts from the pump bottle. I've asked my gp to prescribe three months supply of the bottle and I'll renew when I get to the end of the second to last one. My gp and pharmacy have been about as much use as a chocolate fireguard. Thankfully I had the foresight to stockpile a couple of boxes of gel over the last several months or I'd have been scuppered.
please provide figures to justify 6 squirts as to me, that works out at 121.5mg of testosterone which is more like 2 & 1/2 sachets
5 squirts = 101.25mg
I have been put on 4 squirts, but next week I am getting both peak and trough blood tests as I sat and spoke to my doctor.
I will be applying 4 squirts at 07:30 on 24th April then getting a blood test at 2pm that day which should show peak
!I will then be getting a further blood test at 08:15 prior to application on 25th April and this will show trough
will report results when given.
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