Follow‑Up Schedule 1–2 weeks after initiation for side‑effects; every 3–6 months thereafter.
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4. Summary & Practical Take‑Aways
Question Key Point
Which drug? Testosterone enanthate or cypionate – same dose, 250 mg IM bi‑weekly is typical.
How to start? Baseline labs + history → 250 mg IM every 2 weeks for 4–6 weeks; monitor testosterone levels and symptoms.
When to stop? Stop after 8–12 weeks if no benefit or side‑effects, or sooner with adverse events (e.g., worsening anemia, thrombosis).
How to decide? Symptom relief > lab changes; consider patient preference, cost, monitoring feasibility.
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Bottom line
Use a standard bi‑weekly IM injection of 250 mg testosterone enanthate/decanoate for 4–6 weeks as an initial trial.
If the patient feels better and testosterone levels are adequate, continue until 8–12 weeks; otherwise discontinue early if no benefit or side‑effects occur.
Monitor CBC, hematocrit, ferritin, and clinical signs throughout.
Feel free to let me know if you’d like a more detailed dosing schedule, monitoring plan, or patient education materials!
