You’ve been on Testosterone Replacement Therapy for 6 months. You’ve decided you can handle the injections yourself. You have a vacation coming up and don’t want a super huge dose for the two weeks you will not be able to make it in, when injecting yourself would be so easy. When you ask the clinic about moving you to home injections, they scoff at your request and turn it down. They confidently throw out a couple of their best reasons for shutting you down.
Home injections are convenient, easy and cheaper than visiting a clinic. Unless you’re phobic of needles home injections will eventually make the most sense. Home injections are the enemy of most testosterone clinics. Letting you DIY injections means a loss of regular income to the clinic so the men’s clinics aren’t going down without a fight.
Why clinics don’t want you to home inject and why these reasons are all B.S.
Reason #1: “Without someone to constantly monitor your injections and mood, making adjustments will be very difficult when they are needed”
This was the first reason I was ever given. At the time, it made sense since I had only been on TRT for a month and we were still working to get my dosage right.
After six months of treatment, I think I have a pretty good grasp on how I feel and have already shown myself capable of making logical assessments regarding my body and mind. Let’s not forget that I was the one who first noticed something was not right and approached the doctor.
I am the one who monitored my moods and my body’s reactions during treatment and reported them to the doctor. I also have a partner to help, my wife, with whom I discuss my mood, my treatment, and get feedback about my overall well-being as she perceives it. It isn’t difficult to detect changes between the two of us, or items that may need to be discussed with the doctor. In fact, every time an adjustment was made, it was the result of my initiating a discussion about my wife’s, or my own, observations and/or concerns.
Even if it is just you going alone, you know your body and mind better than anyone. Take a few months and each session learn what the doctor is looking for. Pay attention to their notes, what they are asking and research why or ask them what the goal is in asking those questions. This is your opportunity to get 1 on 1 training from the doctor.
Reason #2: “People who home inject are inconsistent, and do not come back for required labs/check-ups”
During my 17 weeks of TRT therapy, I have returned for my weekly injections and 6-week interval labs like clockwork. I have shown the ability to be consistent. If after 6 months you’ve been to every appointment, I think this is an irrelevant concern and you’ve proven your dedication.
Additionally, who controls the prescription? The doctor! If you don’t show up, the doctor can always halt the refill and they know that. This line of reasoning that the patient can’t be trusted is complete nonsense because the doctor is always in control. You want your prescription, then come do labs and a wellness check, simple as that. It isn’t like I can just pop into another physicians office and walk out with TRT. There is a decent amount of screening and labs that go into getting this prescription.
You know what else? Once you are on TRT and normal again, you will really like how you feel, you won’t want to feel worse again. For me, that is all the motivation I need to continue to treat consistently even at home. There is absolutely no incentive for you or me to not be consistent, and all the incentive to stick to the plan.
Reason #3: “Home injections are risky. Specifically you may send a fat globule to your lungs and die”
Okay, this one has a little truth to it. There is this thing, where if you inject in just the right place you could inject a little fat into your blood and maybe die. Here is the thing about this though, the risk is the same no matter who does the injection. This risk is true of any injection actually, and yet we basically never here about it. Why? Because the risk is so low.
If this little fat globule wasn’t enough to scare you then reason 4 usually comes right after.
Reason #4: “You could accidentally inject into your vein and die”
Again, there is some truth to this. The likelihood of you dying even if you inject into your vein is minuscule and as you read below there are foolproof ways to avoid it.
Even if you inject in a vein what would most likely happen is that you would feel a little off, maybe bad even. Most people have said it hasn’t been serious enough to call 911, while others say it was the worst few minutes of their life and it almost feels like you need to call 911 but they got through it.
What to watch for if you accidentally inject a vein is, shortness of breath, coughing, and a bad taste of alcohol in your lungs and throat but it only lasts for a minute or two. Usually, if it happens just stay calm and you may want to seek medical assistance through 911.
Better yet, avoid it all together because avoiding veins is ridiculously easy. First of all, the needles you use to inject with are long, long enough to clear veins and hit the muscle. Second, when you start home injections you will be trained by the doctor’s staff on how to do injections. The trainer is going to tell you that once the needle is all the way in, pull back gently until a bubble appears. If that bubble is red or pink, stop and start over because that is blood and you’ve hit a vein. Better safe than sorry. If that bubble is clear, then proceed, you have not hit a vein and no risk of injecting into the vein exists.
In conclusion, there are some legitimate concerns when self-injecting. None of these concerns should stop you from home administration because they are all avoidable with a little training, prep, and awareness. Good luck.