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Author Topic: Testosterone gel products and doses - Testogel, Tostran, Testim  (Read 70147 times)

Dotty

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #105 on: December 08, 2019, 08:18:34 AM »

Hi Minniecc

Yes that sounds ok. I use it Mon Wed and Fri and sometimes Saturday too x
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Hoffgrad

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #106 on: December 09, 2019, 05:11:32 PM »

Hi there

I use this site very infrequently but am aware that you are a regular poster.  I did a search on Tostran gel and came up with your very comprehensive information, comparing the three T gels. 

A year or so ago, I tried T gel and was given Testim (tiny tubes), just to try.   To be honest it didn't make much difference and so we concluded that I didn't need it.   Fast forward to July this year, when I had an oophorectomy.  Again, it was very much a 'wait and see'.   I have telephone consultations with the Oxford Radcliffe menopause clinic.  A fantastic doctor there suggested (due to a crash in energy a month ago), that I could try T gel again. She suggested Tostran 2% .  I'm aware that various gels go through phases of unavailability and the Boots pharmacist said the only one she could get for me was Testogel.  She said it was more concentrated but if I used a smaller amount......     

The doctor at JRH said Testogel is absolutely not recommended for women as it is such a high concentration that it's impossible to get the dose right.  She said not to use it and to wait until the others were available.  Today I have just picked up Tostran gel.  (What a palarva.. .haha). 

I just wondered if you were aware that this was a higher strength.  I'm not a medical professional and I  know you are not either, but my specialist doctor does not recommend this.   

I'm rushing this off, as tight for time right now.  Just wondered what your thoughts were.   

H x
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Hurdity

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #107 on: December 09, 2019, 05:51:48 PM »

This is incorrect re the concentration unless a new product has been produced  (but can't see anything)? However what she is saying in essence is the same thing (but it's not due to the concentration).

The highest concentration gel is Tostran at 2 %
Then comes the Testogel pump pack at 1.62 %
Lastly the sachets or tubes of Testogel or Testim at 1 % (Testim was unavailable but looks like it is now produced by a different company - it is losted on the databse of medicines anyway).

The CONCENTRATION (of active ingredient testosterone) in the gel is different from the TOTAL AMOUNT of testosterone in a given measure of the gel.

If you look at the first post in this thread you will see the amount dispensed per pumped dose or tube. The Testogel pump pack delivers a large AMOUNT of gel per pump so the total T in that pump is much greater - if you used it all that is!

The Tostran pump pack only delivers a very small amount of gel per pumped dose (ie press on the pump) so even though the concentration is higher the amount for a single dispensed dose is lower.

If you squeeze your own dose from the 1% sachets or tubes then you just use a pea-sized blob and because it is only 1 % there is less likelihood of varying the dose with the lower concentration than with 2 % gel.

I think this is where the confusion lies.

Before the Testogel pump pack was produced the Cheslea and Westminster recommneded the 1 % gels in the first instance with Totsran being secondary - the reason being as we only use a tiny amount as women (this will depend to some extent on the individual) it is more difficult to give a consistent amount if you didn't want to use a whole pumped dose - which I wouldnt for example (because I make a Testogel sachet last longer than 10 days so the equivalent with Tostran would be less than a pump).

Precision in these things, as always, is key!

Hope this helps and clarifies and good luck with it?!

Hurdity x
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Dotty

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #108 on: December 09, 2019, 05:57:06 PM »

Hi Hoffgrad

You are right that the Testogel pump pack is more concentrated but the Testogel sachets are less concentrated and easy to use. X
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Ladybt28

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #109 on: December 09, 2019, 06:51:49 PM »

2 or 3 pumps of Tostran per day.. ??? ??? ::) blimey that sounds a bit scary!  but when I got mine, my prescription was wrong cos it said 1 pump every day for 5 days!!!! but I knew that wasn't right.
I use half a pump twice a week and can manage to only half depress the pump = pea size blob!  Have been doing this since February (although I started on half pumps 3 times a week,(wanted to start slow and easy to see what happened), then 2 full pumps twice a week to get levels up as the half pumps didn't give any side effects and then once it had settled after 3 months dropped to half a pump twice a week which seems to keep everything level.

I have never had any of the others because they were discontinued by the time I started.
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Hurdity

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #110 on: December 10, 2019, 08:12:31 AM »

2 or 3 pumps of Tostran per day.. ??? ??? ::) blimey that sounds a bit scary!  but when I got mine, my prescription was wrong cos it said 1 pump every day for 5 days!!!! but I knew that wasn't right.
I use half a pump twice a week and can manage to only half depress the pump = pea size blob!  Have been doing this since February (although I started on half pumps 3 times a week,(wanted to start slow and easy to see what happened), then 2 full pumps twice a week to get levels up as the half pumps didn't give any side effects and then once it had settled after 3 months dropped to half a pump twice a week which seems to keep everything level.

I have never had any of the others because they were discontinued by the time I started.

Hi Ladybt - sorry I am confused about your comment re 2-3 pumps per day. I haven't looked back over all the pages of the thread but did someone say they had been prescribed this? If so  :o indeed! Very scary!

That's interesting re your dose Ladybt and very helpful to others that you can manage to pump out half a dose and the fact that such a low dose is sufficient and makes a difference.

Hurdity x
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Ladybt28

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #111 on: December 10, 2019, 03:02:27 PM »

I myself was only flicking through and that's what my eyes saw Hurdity  but hey ho, I wasn't having a very good day yesterday...in fact I asked my husband twice if he had asked me something (and he hadn't...so I was hearing voices!! ::) ::) I think my brain was being very "LOUD"!  I was probably seeing things too!! :stupid: :stupid:
oops sorry but haven't time to check...  anyway the continued low dose is ok because I used higher doses in the first instance for quite a while to get the levels up.  Seems easy enough for me to maintain and the Tostran pump is fairly responsive so you can get half a pump easy enough...well I find it so. x
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cityrat

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #112 on: December 26, 2019, 04:58:52 AM »

Hi,
I wanted to reply to Sammiejane's hair concerns and also the testosterone discussion as both are relevant to my experience as well.

Re the hair shedding (and dermatologist is fine for dealing with that too unless it's something very specific or mysterious): In my experience with telogen effluvium, it is indeed caused by a change in estrogen, but in my case and in general, a drop in estrogen.

As an example, during perimenopause, I was put on microgestin, a low dose bc pill. When i got off that, about three months on, my hair started shedding massively. All over, on my brush and when i'd grab a bunch of it, not in a specific place. Seriously terrified as I have thin, fine hair as it is. This is similar to what happens after pregnancy, yes. The drop in estrogen caused a shedding cycle, though it didnt' start immediately. This generally does stop and grows back in, and it did stop and reverse itself.

Unfortunately, I started another lower dose pill, lo loestrin, then after about a year stopped that. I have since begun taking Duavee (Duavive in UK) which is an HRT much lower than either bc pill, and sure enough, in about three months time, shedding again. This is a shedding cycle, from what i understand– a reaction to a drop in estrogen, and in general will right itself, just have patience. The estrogen itself, or taking more estrogen, generally does not cause this type of hair loss. (everyone has different reactions to things, and there could always be some other reaction to it of course). But it seems likely the telogen efffluvium is a finite cycle of shedding caused by going from one level of estrogen in your system to a lower level.

As far as the testosterone: I'm in the US so things are  little different, but it's still quite frustrating that a hormone preparation that has not been shown to cause any actual harm in prescribed amounts is readily available to men but seriously guarded from women for no other reason than cowardice by drug companies. That said, it is fairly commonly added to the HRT mix here as well. I requested it from my gyno as I needed help with disappeared libido and overall, general low energy and general feeling bad issues, no hot flashes. (52 and not quite in total meno but almost).

I had been taking bc pills in peri and they kill the libido for me, and now taking duavee (low-ish dose oral estrogen and a SERM). I have always had trouble with bc pills even when young, for the same reason, and they would make me feel generally emotionally awful. I have read that oral estrogen cancels out free testosterone that our bodies use, and I'm making a guess that that is totally what happens to me. and also that my T overall is lowered by menopause.

Anyway, the stuff works wonders for me!! I began using oral testosterone prescribed my my gyno and made by a compounding pharmacy. Wanted to avoid the oral formulation and am now using a testosterone cream, also compounded. It definitely brought back a good bit of my libido but also, even more pronounced, my "sense of self" that was seriously missing since peri. It's actually kind of like a miracle. I use one or two clicks a day. The cream is 4 mg/gm, and each click is 1/4 gram of the cream itself, which means I am using 1-2 mg of t. per day. I use it on  upper thighs, upper arms, lower abdomen or vaginally (alll recommended by doc and pharmacy).

Regarding hair loss from T, which is also what the OP was worried about: This is a different kind of hair loss that TE. one of the (mild, uncommon and reversible, apparently) side effects of T supplementation is male pattern balding which means a receding hairline (or top of the head). If you had any of that, it would be separate from the other hair loss and unrelated to estrogen (unless more estrogen would balance out the t and cancel this side effect, not sure).

I think i might be experiencing very mild side effects to the T: more hair on my arms, legs and face and a teeeeny bit of receding at my forehead. That said, the hair on face etc is very fine, and the thing is, i always had it when i was younger, along with very fine blond leg hair and arm hair. With the beginning of peri, my hair (ie leg hair) just basically went away, which was convenient but a teeny bit disturbing. So the possible mild side effect of T is pretty much what I had before? No voice deepening or anything scary though.

I do plan on upping my estrogen next, supplementing the Duavee with a low dose patch, and then trying the patch by itself (along with progesterone of course) to see how i do on something other than oral estrogen, which, though I love the idea of being protected from cancer, don't love the idea of oral estrogen. But I'm pretty sure I'm keeping the T, it's the brightest spot in this hormone mess so far.

hope there's something helpful in all that. ; )
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TraceyTracey

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #113 on: January 29, 2020, 08:57:14 PM »

I got my first batch of Tostran today  :) very happy.  One container of 60ml it should last me a long time.. ?


Re the application on the forearms... does this area become hairier.  I don't have any hair here.   Where is the best area for application that does not encourage hair growth?

Thanks all
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TraceyTracey

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #114 on: January 29, 2020, 08:58:21 PM »

And 'what's the best time of day to apply... AM or PM?

Thank you x
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Ladybt28

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #115 on: January 30, 2020, 12:06:38 AM »

I don't put my tostran on the same place every time, I move the site around and no TraceyTracey I haven't got any hairy bits growing  :) , nor do I have a very deep voice  :)... don't worry, you shouldn't be using enough to grow hair.  I have heard of ladies getting sprouting the odd one sometimes but no you wont get hairy patches as such.  I haven't grown any hair on any of the sites I use. Sometimes I put it on one arm, then on the inside of my knee, then down by the back of my ankle, sometimes just above my hip bone...I just move it about.

I put it on in the morning on the days I use it which is 1 pump 3 times a week or when I remember if I have got destracted in the morning.  It doesn't seem to make any difference (well to me anyway..) what time of day you put it on.

My container has lasted a year!  yes it lasts a very, very long time x
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Hurdity

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #116 on: January 30, 2020, 09:45:15 AM »

"Regarding hair loss from T, which is also what the OP was worried about: " - cityrat - as the OP, you will see I said nothing at all about hair loss from T as far as I can make out! This thread was started to give clarity about the different doses of gel and the products available because there was some confusion and especially re pump packs and sachets etc and how much should be prescribed. As often happens threads meander away from the actual topic which is fine and we always try to help!! So this one wasn't about hair loss although it has been raised. No probs though - just sayin' - as I was the OP.... :)

I did start another long running thread in private lives called Tesosterone Here We Go - and it would be really helpful to add your experiences to that one so that when women want to find out they can have a look? https://www.menopausematters.co.uk/forum/index.php/topic,27959.0.html

Ladybt - unfortunately I do have hairy patches  ::). I'm going to update the T thread in private lives now!! Tracey Tracey - I will post my answer on that thread? Hope that's OK LadyBT and Tracey Trcaey?

Hurdity x
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Sammiejane

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #117 on: January 30, 2020, 10:27:23 AM »

hi city rat

thank you for taking the time to reply

i completely understand where u coming from re hairloss

some back ground for me i took birth control throughout my 20s and up till i was 32 only stopped to have children however i've never noticed any change in my hair after giving birth i noticed a slight increase in hair shedding not massive and have mega thick hair so not noticible at all. after birth of my 3rd child i went on the copper coil as i didn't want hormonal pill again, noticed no change in hair from stopping pill or after birth of son even 3 years later no change maybe as i had my own hormones.  at 35 i had all removed hysterectomy and ovaries removed i had no symtoms of menopause other then 2 flushes a night following operation (lucky) forward 4 years at 39 i started getting vaginal symtoms nothing else maybe a bit emotional too but nothing major also no hairloss following hysterectomy (low levels all hormones) other then slight thinning of frontal hairline but not noticeable and my hair grew quick and thick and whether this was because i had slightly more T then other hormones not sure as levels following op were never tested . at 39 i decided to try hrt for vaginal symtoms as thought as i had dampness i had prolapse and things felt heavy down there but not really dryness ! more watery discharge so prolapse was ruled out and couldn't discover incontinenece after several test so i started elleste solo mx40 patch and was referred to menopause specialist i was doing ok on patch up to about 5 weeks in then started getting chest pain and i'd walk to work and be out breath feeling like i couldn't breathe and lasted a good 30 mins after arriving at work i went to the gp who listening to my heart and lungs as i was scared but all ok and advised me to stop the hrt patch which i did around week 6 symtoms went away about 2 weeks later i had my appointment at meno clinic who advised me as i smoke and didn't suit that patch to go on estrogel along with vagifem as thought my symtoms below could be VA so i started this regime ( no hairloss throughout this ) about 5 weeks into this regime i started shedding hair not excessively but shedding and i noticed when i brushed because before i wasn't i looked at side effects on leaflets with medication and thought it's vagifem as the estrogel leaflet didn't mention hairloss so i swapped the vagifem to ovestin which is what i?m using now x hair shedding continued it started about november 2018 and continued through till march and then slowed a little not much but still shedding and forward to dec 2019 hair is noticeably thinner all over and hairline has receded behind ears i've lost a lot nape of neck and the little girls at the back of my neck have completely fell out after seeing dermatology several times 3 months apart they advised me hairloss had got worse so recommended i stop the gel and continue with ovestin cream as this is only obsorbed locally and not much is detectable in blood stream so would have no effect on hair .
this is what i have done and is coming up 8 weeks and hairloss has slowed down i've gone from brushing out 15 hairs to only 2-4 now and when washing 120 ish hairs down to under 50 .

now i don't know whether the estrogel itself has caused my hair to shed i don't think low estrogen in my cause has caused it as my levels of other hormones were also low what i think is the increase in estrogen unopposed has caused an imbalance between E and P and T ratio
so i?m going to try gel again combining with P and see as i can't add T till i have good level of estrogen but i've noticed over the 8 weeks it get better and that is because my estrogen level is more back in line with P and T
if the gel and utrogestan dosent work then i will change to a patch

sorry long winded but yes everyone's experience is different and it's not always low estrogen i think in natural menopause this could be the cause as you have other hormones but surgical menopause is totally different and i know a few friend of mine who are on estrogen only and have hair thinning because of surgical meno because taking estrogen on its own causes imbalance in hormones x
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Sammiejane

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #118 on: January 30, 2020, 10:30:27 AM »

hoffgrad

i too like you are under the menopause clinic in oxford at JR

DR Barber is my consultant

i've had early surgical menopause at 35 started hrt at 39 everything gone and to was put on the gel !

can i ask if you have had hysterectomy or early meno your age what stage you are at any side effects of hrt you are on i?m looking to change .

i was also perscribed trostan to use a blob 3 times a week haven't used it yet as i've currently stopped my hrt due to hairloss
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JoClaireH

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Re: Testosterone gel products and doses - Testogel, Tostran, Testim
« Reply #119 on: May 11, 2020, 02:52:08 PM »

This is incorrect re the concentration unless a new product has been produced  (but can't see anything)? However what she is saying in essence is the same thing (but it's not due to the concentration).

The highest concentration gel is Tostran at 2 %
Then comes the Testogel pump pack at 1.62 %
Lastly the sachets or tubes of Testogel or Testim at 1 % (Testim was unavailable but looks like it is now produced by a different company - it is losted on the databse of medicines anyway).

The CONCENTRATION (of active ingredient testosterone) in the gel is different from the TOTAL AMOUNT of testosterone in a given measure of the gel.

If you look at the first post in this thread you will see the amount dispensed per pumped dose or tube. The Testogel pump pack delivers a large AMOUNT of gel per pump so the total T in that pump is much greater - if you used it all that is!

The Tostran pump pack only delivers a very small amount of gel per pumped dose (ie press on the pump) so even though the concentration is higher the amount for a single dispensed dose is lower.

If you squeeze your own dose from the 1% sachets or tubes then you just use a pea-sized blob and because it is only 1 % there is less likelihood of varying the dose with the lower concentration than with 2 % gel.

I think this is where the confusion lies.

Before the Testogel pump pack was produced the Cheslea and Westminster recommneded the 1 % gels in the first instance with Totsran being secondary - the reason being as we only use a tiny amount as women (this will depend to some extent on the individual) it is more difficult to give a consistent amount if you didn't want to use a whole pumped dose - which I wouldnt for example (because I make a Testogel sachet last longer than 10 days so the equivalent with Tostran would be less than a pump).

Precision in these things, as always, is key!

Hope this helps and clarifies and good luck with it?!

Hurdity x

Hello Hurdity,

I have just collected my prescription of Testogel 16.2mg/g pump pack gel. The email from the consultant who prescribed it for me says 1 pump on alternate days but reading this thread makes me think that's rather a lot? I have put one full pump on just now but I'm wondering if using that amount every other day sounds like it's a bit too much?

Kind regards
Jo
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