Testosterone Replacement Therapy
Testosterone Replacement Therapy is available at New Jersey Sports Medicine if you suffer from low testosterone. Initial evaluation by Dr. Silberman at New Jersey Sports Medicine includes an intake history, a physical examination, complete panel of blood work with two separate readings of testosterone levels, and counseling.
Dr. Silberman has diagnosed patients who thought they had low testosterone with other ailments such as hemochromatosis (iron overload), diabetes, and elevated estrogen, in addition to prolactinomas (microadenomas of the pituitary gland).
Testosterone can be prescribed and delivered from gel or injection. Testosterone cypionate injected in weekly is the preferred method as it delivers a more stable dosing.
The usual testosterone replacement regimen is Testosterone Cypionate 200mg/ml, 1/2 ml to 1ml injected intramuscularly or subcutaneously weekly, usually in divided doses to limit the peaks and valleys of dosing. Anastrozole (Arimidex) 1mg pill orally per week or Aromasin may be required to treat elevated estrogen or estradiol levels, which can occur with testosterone replacement therapy. And for some patients, HCG or chorionic gonadotropin 1000 units per week, in 2 or 3 divided doses, injected subcutaneously in to your stomach fat.
For most patients suffering from low testosterone, testosterone replacement therapy is covered by your insurance, provided you have two documented morning lab tests with low readings of
testosterone. The patient then can obtain testosterone cypionate through your prescription plan and self administer testosterone at home with periodic office visits and blood level monitoring every three months. Some patients will require periodic therapeutic phlebotomy which can be performed at New Jersey Sports Medicine and monitoring for elevation of hemoglobin and hematocrit, which can occur with testosterone replacement therapy.