The most common way to deliver TRT, and why
If you’ve already decided testosterone therapy is right for you, injections are the delivery method most patients end up on: predictable, dose-adjustable, and easy to manage once you know what you’re doing.
How testosterone injections work
Bespoke uses testosterone cypionate, a long-acting form suspended in oil, injected into muscle where it absorbs gradually over several days. Because it releases slowly, it holds your levels in a steadier range between doses than a fast-acting form would.
How often injections are given
Most patients inject weekly or every other week, though the exact schedule depends on your dose, your labs, and how your body responds. Dr. Indianos sets your starting frequency and adjusts it based on follow-up bloodwork, not a fixed protocol applied to everyone the same way.
What to expect
Mild injection-site soreness or redness is common and usually resolves within a day or two. Levels rise gradually after each dose and taper before the next, which is why consistent timing matters more than the exact day. Labs are drawn on a schedule matched to your membership tier so adjustments happen based on data. Depending on your protocol, Dr. Indianos will discuss whether doses are administered in office or, after training, at home. Either way, your dose and schedule are set and reviewed by her directly.
Injections vs. gels and creams
Topical gels carry a real downside: transference. Anything that touches your skin in the hours after application, including your partner or kids, can absorb some of the hormone. That, plus less predictable absorption, is a major reason Bespoke typically favors injections or pellets over topical formulations.
Injections vs. pellets
Pellets trade weekly dosing for a single in-office insertion every three to six months, at the cost of less ability to fine-tune your dose mid-cycle. Injections give you and Dr. Indianos more room to react to labs in real time. Full comparison: Testosterone Pellet Therapy.
Getting started
Every new patient begins with an in-office evaluation and baseline labs before any injection protocol. See Men’s Wellness or the full Testosterone Replacement Therapy overview.
Book Your Evaluation with Dr. Indianos
Frequently Asked Questions
How often are testosterone injections given?
Most patients inject weekly or every two weeks. Dr. Indianos sets the schedule based on your dose and adjusts by your follow-up labs.
Are injections done in office or at home?
That depends on your protocol. Some patients receive doses in office; others, after training, manage them at home. In all cases Dr. Indianos sets and reviews your dose.
Testosterone injections vs. pellets vs. gel?
Injections offer the most flexibility to adjust dose by labs. Pellets trade flexibility for convenience. Gels avoid needles but carry transference risk and less predictable absorption.
This page is for informational purposes only and does not constitute medical advice. All treatment decisions are made individually between you and Dr. Indianos after a physician evaluation. Results vary by patient. No specific outcome is guaranteed.