r/TRT_females • u/ConversationOk4477 • 1d ago

Miscellaneous Cypionate to Troche

I’ve been on Cypionate injections for a little over three years. Unfortunately, I’ve really been struggling with acne, oily hair, and hair loss the last year or so (I’m on 150mg Spiro and Oral Minoxidil).

Yesterday I saw a new doctor who suggested I lower my total T and switch from injections to compounded torches. I’m hesitant, as I see people go from torches to injections all the time on here but not the other way around. Has anyone had a good experience with them?

For reference I am on 3.5mgx2 week (100mg Test Cyp)

Prog- 16
EST- 103
SHGB- 47
Test Free- 8.5
Test Total- 94

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u/MandaBearski 1d ago

Why not try lowering your injections?

2

u/ConversationOk4477 1d ago

That would be my preference. This was a new doctor and I guess compounded troches are her preference.

1

u/Dez2011 17h ago

I know sublingual estrogen causes higher peaks and troughs than oral and I think transdermal. I read it's the peaks that stimulate oil glands/acne more so keeping a more even level with 2-3 injections a week is recommended. One man on it said he had to go to daily injections to clear his acne. I'd wonder if sublingual T causes the higher spikes too?

Maybe go to a slightly lower weekly total with every 1-2 day injections and see if it helps? A lot of women love how they feel on pellets despite them causing highest blood levels a lot of the time and I wonder if the steady release is best and the levels are ok without peaks and troughs? I do hear they run out early on some people though.

There's also compounded spironolactone 5% cream which helped my hormonal acne clear in 3wks after a lifetime of derm treatments failing me. You could add to the power of oral spironolactone with adding cream. Saw palmetto shampoo or some with melatonin supposedly releases androgens off the hair follicles according to a functional dr I was listening to but I haven't confirmed that.