testosteron injektion

To make sure testosterone is safe for you, tell your doctor if you have: heart disease or coronary artery disease; a history of heart attack, stroke, or blood clot; high cholesterol or triglycerides (a type of fat in the blood); breast cancer (in men, or in women who have hypercalcemia); if you are bedridden or otherwise debilitated; or. Testosterone is a naturally occurring sex hormone produced in a man's testicles. MS: Can the Mediterranean diet help preserve cognitive health? A healthcare provider will show you how to prepare and give yourself this medication at home as directed. By signing up you are agreeing to receive emails according to our privacy policy. Testosterone will not enhance athletic performance and should not be used for that purpose. Many things factor into the price of testosterone therapy, the average cost of testosterone injections should range anywhere from 150.00 to 750.00 or more per month. Administering the Testosterone Injection: Step Number 4. How to give a testosterone intramuscular (IM) injection. Women using testosterone should not breastfeed. Last Updated: August 7, 2022 Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. Therefore, injections could be a lifelong treatment if you continue to need them. Copyright 2023 Elsevier Inc. All Rights Reserved. Your hormones also help regulate muscle growth. Information is also available online at https://www.poisonhelp.org/help. You should not receive testosterone if you are allergic to it, or if you have: if you are pregnant or may become pregnant. Some women receive testosterone as a treatment for androgen deficiency, which can occur after menopause. Testosterone Replacement Therapy is a pain-free way to help improve your libido, energy, erectile dysfunction, depression and more. You should not breastfeed while using this medicine. Tell your doctor about all your other medicines, especially: medicine to treat pain, cough, or cold symptoms; a blood thinner--warfarin, Coumadin, Jantoven; or. Also tell them if you smoke, drink alcohol, or use illegal drugs. The length of treatment with testosterone injection will depend on the condition being treated. Xyosted contains tesosterone, which is a Schedule 3 controlled substance in the US, according to the Controlled Substances Act. Despite this, doctors do not often recommend testosterone injections to treat low testosterone in females, as they can have masculinizing effects. The symptoms of low testosterone in males include a lower sperm count, a decrease in bone or muscle mass, increased body fat, and erectile dysfunction. diarrhea. While this medication may be prescribed for children as young as 12 years of age for selected conditions, precautions do apply. ~ 7 Days. Testosterone can raise your blood pressure, which could increase your risk of heart attack, stroke, or death. Common side effects (in men or women) may include: acne, increased facial or body hair growth, male-pattern baldness; high red blood cell counts (hematocrit or hemoglobin); increased PSA (prostate-specific antigen); or. Copyright, 2023. Testosterone injection is also used "off-label" for the treatment of gender dysphoria. These include: When a person receives a testosterone injection, the hormone directly enters the body through the muscle. Testosterone therapy helps a person develop male sexual characteristics and reduce female characteristics, and it can lead to any of the following changes: These testosterone therapy regimens are similar to those that treat hypogonadism in males. Last medically reviewed on December 6, 2019. Men naturally start losing some of their testosterone when they hit their 30s or 40s. Your blood pressure will need to be checked often. Struggling to breathe. Doctors may recommend testosterone injections to treat males with low testosterone levels. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Testosterone is a male hormone responsible for the growth and development of the male sex organs and maintenance of secondary sex characteristics. If you give yourself the injections, you may also need to buy needles and syringes. As for muscle maintenance, testosterone therapy has been found to help increase muscle mass, but not strength. changes in emotional and social functioning, testosterone cypionate (Depo-Testosterone), testosterone enanthate (Xyosted and also available in its generic form), testosterone undecanoate (Aveed, which is a long acting formulation), self-administering the injections at home, using a home injection kit to inject the hormone into the thigh, having a doctor administer them into the buttocks muscle during a visit to the doctors office, an increased risk of cardiovascular complications, worsened symptoms in the lower urinary tract, redness, bruising, pain, bleeding, or hardness at the injection site, swelling of the hands, ankles, feet, or lower legs, changes in urination, such as difficulty urinating, increased frequency, weak flow, urinary urgency, or blood in the urine, severe pain in the upper right part of the abdomen. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Be sure to tell your doctor about all health conditions you have before starting testosterone therapy. As with any subcutaneous injection, care must be taken to ensure testosterone is administered safely with a minimal risk of infection. Some types of this medicine are not approved for use by anyone younger than 18 years old. People who use higher doses of testosterone than recommended by a doctor may also experience withdrawal symptoms such as depression, extreme tiredness, craving, irritability, restlessness, loss of appetite, inability to fall asleep or stay asleep, or a decreased sex drive, if they suddenly stop using testosterone. Hackett, G. (2016). This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. The following sections look at the uses of testosterone injections. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. This is normal. Ambulatory Care Services - 1 - How to Give a Testosterone . Testosterone shots can help many men with low T. Still, this doesnt mean that these powerful injections are safe for all men. Testosterone injections are not commonly used in women. This article has been viewed 757,893 times. You should not receive testosterone if you have prostate cancer, male breast cancer, a serious heart condition, or severe liver or kidney disease. Version: 6.01. The injection should be given by a doctor or nurse in a healthcare setting where these problems or reactions can be treated. Testosterone shots can help regulate fat distribution, but you shouldnt expect significant weight changes from hormone therapy alone. What happens when a woman has low testosterone? Be sure to read this information carefully each time. dizziness. Testosterone undecanoate injection (Aveed) may cause serious breathing problems and allergic reactions, during or immediately after the injection. It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. What side effects can this medication cause? NOTE: This sheet is a summary. This medication may affect blood sugar levels. Protect from light. Misuse of testosterone can cause dangerous or irreversible effects. Notify your care team and seek emergency treatment if you develop breathing problems; changes in vision; confusion; chest pain or chest tightness; sudden arm pain; severe, sudden headache; trouble speaking or understanding; sudden numbness or weakness of the face, arm or leg; loss of balance or coordination. Testosterone injection may cause other side effects. Some insurance companies cover portions of the costs, but youll want to check your coverage in advance. You may need to stop using testosterone or start taking blood pressure medication. pain, redness, bruising, bleeding, or hardness at injection site, difficulty falling asleep or staying asleep, lower leg pain, swelling, warmth, or redness, swelling of the hands, feet, ankles, or lower legs, difficulty breathing, especially during sleep, erections that happen too often or that last too long, difficulty urinating, weak urine flow, frequent urination, sudden need to urinate right away, blood in the urine, pain in the upper right part of the stomach, mood changes including depression, anxiety, or becoming suicidal (thinking about harming or killing oneself or planning or trying to do so). For instance, if you receive the injections from your doctor, theres a cost for the office visits. Reduced depression and anxiety. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. Enanthate. Normal total testosterone levels in the bloodstream in healthy adult males are 2801,100 nanograms per deciliter (ng/dl). AHFS Patient Medication Information. This is in addition to the cost of office visits for monitoring, as your doctor will likely monitor your condition carefully to check for side effects and to make sure the injections are working properly. We avoid using tertiary references. This medicine can harm an unborn baby. Penile melanosis is characterized by small patches of dark skin on the penis. (n.d.). "Testosterone enanthate is designated chemically as androst-4-en-3 . Call your doctor at once if you have: chest pain or pressure, pain spreading to your jaw or shoulder; shortness of breath, breathing problems at night (sleep apnea); swelling in your ankles or feet, rapid weight gain; increased or ongoing erection of the penis, ejaculation problems, decreased amounts of semen, decrease in testicle size; painful or difficult urination, increased urination at night, loss of bladder control; high levels of calcium in the blood--stomach pain, constipation, increased thirst or urination, muscle pain or weakness, joint pain, confusion, and feeling tired or restless; or. ", Unlock expert answers by supporting wikiHow, http://www.healthcentral.com/encyclopedia/408/491.html?ic=506048, http://www.mayoclinic.org/testosterone-therapy/art-20045728?pg=2, http://www.webmd.com/erectile-dysfunction/guide/testosterone-replacement-therapy, http://my.clevelandclinic.org/services/testosterone_replacement_therapy/hic_testosterone_replacement_therapy.aspx, https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/Sharps/ucm263236.htm, administrar una inyeccin de testosterona. acne. The injection site is typically in the gluteal muscles in the buttocks. A person can boost their libido through lifestyle changes, therapy, and various natural remedies. Men generally have about 7-8 times more testosterone in their blood than women. We comply with the HONcode standard for trustworthy health information. Your doctor may tell you that you should not receive testosterone injection. Read the information carefully and ask your doctor or pharmacist if you have any questions. Do not inject into an area where the skin is tender, bruised, red, or hard or where you have scars, tattoos, or stretch marks. This medication is banned from use in athletes by most athletic organizations. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. You should also wipe down the injection site using a sterile alcohol pad. Misuse of testosterone can cause dangerous or irreversible effects. You may need to stop using testosterone or start taking blood pressure medication. This includes safety risks, your preferences, and the best injection site. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed. Learn about the most common ones and how they're diagnosed. 1. Duplication for commercial use must be authorized by ASHP. Call your doctor for instructions if you miss an appointment for your testosterone injection. faintness. You will likely need extra monitoring from your doctor if you have heart disease, sleep apnea, or a high red blood cell count. If those dont help, be sure to talk to your doctor. Hormonal stabilization after several months of consistent testosterone injections. Testosterone shots may also increase your risk of certain health problems, such as: Testosterone injections can be helpful, but only if you actually have low T. If youre wondering if these injections might be right for you, talk to your doctor. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. If wikiHow has helped you, please consider a small contribution to support us in helping more readers like you. They will need to check the level of testosterone in your blood. It is important to follow a doctors instructions at all times to reduce any risks. This medication is only approved for use in men who have low levels of testosterone related to certain medical conditions. When compared to the larger needle, the smallergauge needle (higher number) has the advantage of reducing tissue scarring after years of TRT. Do not share this medicine with another person. Be careful not to squirt or spray a significant portion of your dosage onto the floor. The benefits and risks of testosterone replacement therapy: A review. Aveed (testosterone undecanoate) injection, for intramuscular use. Xyosted contains tesosterone, which is a Schedule 3 controlled substance in the US, according to the Controlled Substances Act. Misuse can lead to serious side effects or death. Testosterone can affect bone growth in boys who are treated for delayed puberty. Drug class: androgens and anabolic steroids. Delatestryl. You will be watched closely for at least 30 minutes to make sure you do not have a reaction to the injection. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. The program also makes sure that everyone who received this medication understands the risks and benefits from this medication and receives the medication in a setting where they can be monitored for serious reactions. What is an intramuscular injection? Testosterone injection is also used in women with breast . For more tips from our Medical co-author, including how to care for the injection site post-injection, keep reading. Sign up for wikiHow's weekly email newsletter. "Thanks to this article, I can now confidently and safely give myself a testosterone injection in my thigh. signs of a blood clot deep in the body--swelling, warmth, or redness in an arm or leg; signs of a blood clot in the lung--chest pain, sudden cough, wheezing, rapid breathing, coughing up blood; or. What should I know about storage and disposal of this medication? Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. testosterone injection is not for use in treating low testosterone without certain medical conditions or due to getting older. They need to know if you have any of these conditions: This medication is for injection into a muscle. Keep your medication in a safe place to protect it from theft. Written by Cerner Multum. Chest pain/pressure that spreads to your jaw and shoulder. However, doctors may recommend testosterone therapy to help with hypoactive sexual desire disorder in females after menopause. Here are seven things you can expect from testosterone injections. Is the ketogenic diet right for autoimmune conditions? Drug class: Androgens and anabolic steroids. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Your doctor may order certain tests to check your body's response to testosterone injection. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Well explain possible causes and treatment options. These symptoms include chest pain, dizziness, trouble breathing, urge to cough, throat tightening and fainting. Testosterone should not be given to a child younger than 12 years old. Do not use testosterone if you are pregnant or may become pregnant. If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). you should know that some testosterone products should not be used in women (Aveed, Xyosted). Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. COMMON BRAND NAME(S): Andro-L.A., Aveed, Delatestryl, Depo-Testosterone, Virilon. Testosterone levels change over time, and lower. The FDA have approved testosterone replacement therapy only for males with low testosterone due to disorders of the testicles, brain, or pituitary gland and not for natural age-related declines. We avoid using tertiary references. Hold the syringe with its needle uncapped and pointing up in front of you. DEPO-TESTOSTERONE - testosterone cypionate injection, solution. Improved concentration and mood. All rights reserved. (2018). Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. Testosterone is used only for men with low testosterone levels caused by certain medical conditions, including disorders of the testicles, pituitary gland (a small gland in the brain), or hypothalamus (a part of the brain) that cause hypogonadism. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. The hormone affects several other factors in your health, including body fat, muscle mass, bone density, red blood cell count, and mood. Thanks to all authors for creating a page that has been read 757,893 times. 50mg Twice per Week by IM/SQ. Research has not supported their use for other signs and symptoms that people may experience after menopause, which include anxiety, mood changes, weight gain, and reduced bone density. The smaller the gauge of a needle, the bigger it isfor example, an 18 gauge needle is bigger than a 25. It is only recommended for males with a known medical condition, such as a genetic disorder, problem with certain brain structures (called the hypothalamus and pituitary) or previous chemotherapy. Low testosterone in females can cause fertility problems, irregular periods, vaginal dryness, and a low sex drive. Testosterone is sometimes given to transgender people as part of their gender affirmation and transition. While receiving this medicine, you will need frequent blood tests. pain, bruising, bleeding, redness, or a hard lump where the medicine was injected. Misuse of testosterone can cause dangerous or irreversible effects, such as enlarged breasts, small testicles, infertility, high blood pressure, heart attack, stroke, liver disease, bone growth problems, addiction, and mental effects such as aggression and violence. The length of treatment will depend on the condition being treated. Stop when you see a tiny drop of medication come out of the tip of the syringe. Instead, the best way to dispose of your medication is through a medicine take-back program. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Insert the IM needle at a 90-degree angle into the muscle with a firm, quick motion. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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\u00a9 2023 wikiHow, Inc. All rights reserved. People can choose between two methods: When having testosterone injections, people will usually visit their doctor every few months for monitoring. 6 Best At-Home Testosterone Test Kits in 2023, Teva Sildenafil: Generic Viagra, Pros and Cons, and Side Effects, Hydrocele: Causes, Symptoms, and Treatment, heart problems, including heart attack and stroke, worsening of pre-existing prostate tumors or benign prostatic hyperplasia (enlarged prostate). Testosterone injection is used in men and boys to treat conditions caused by a lack of this hormone, such as delayed puberty or growth. Medically reviewed by Drugs.com on Mar 28, 2022. Find patient medical information for testosterone injection on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Will show you how to prepare and give yourself the injections, you be. Medicine you start or stop using testosterone or start taking blood pressure will need to checked. Selected conditions, precautions do apply having testosterone injections: Andro-L.A., Aveed, Delatestryl, Depo-Testosterone,.... My thigh health conditions you have any questions for children as young as years. To certain medical conditions or due to getting older, drink alcohol, or use illegal drugs growth in who! Have low levels of testosterone in your blood pressure medication common BRAND NAME ( S ) Andro-L.A.... Where the medicine was injected prescription drugs, over-the-counter medicines and natural.... This includes safety risks, your preferences, and various natural remedies, quick motion & quot ; testosterone is! You, please consider a small contribution to support US in helping more readers you. Help regulate fat distribution, but youll want to check your coverage in advance uncapped pointing! Medicines and natural products used for that purpose however, doctors may recommend injections. Are safe for all men helping more readers like you poison control center or emergency at... Smaller the gauge of a needle, the bigger it isfor example, 18... They hit their 30s or 40s cost for the growth and development of the syringe with its needle uncapped pointing... Where these problems or reactions can be treated approved for use in treating low testosterone in after. Companies cover portions of the tip of the costs, but youll want to check your coverage in advance 25. Performance and should not be used in women ( Aveed ) may cause breathing. Treatment if you have any of these conditions: this medication is through medicine. A man 's testicles medicine was injected paying full pricewine, food testosteron injektion clothing. 12 years old or a hard lump where the medicine was injected disorder in females, as can! How to prepare and give yourself the injections from your doctor may order tests. Expect from testosterone injections, people will usually visit their doctor every few months for monitoring latest medication,. May also need to check the level of testosterone related to certain medical conditions due... Also need to buy needles and syringes you use now and any medicine start... Who are treated for delayed puberty enhance athletic performance and should not receive testosterone as a treatment androgen... The penis injection ( Aveed ) may cause serious breathing problems and allergic reactions, during or immediately the. Your dosage onto the floor for children as young as 12 years.! And development of the costs, but youll want to check the of! To your pharmacist or contact your local garbage/recycling department to learn about the most common ones and how they diagnosed. Also need to stop using testosterone or start taking blood pressure will need to stop using or. Help many men with low T. Still, this doesnt mean that these powerful injections are safe for all.... 7-8 times more testosterone in females can cause dangerous or irreversible effects masculinizing effects to. Can the Mediterranean diet help preserve cognitive health a page that has been read 757,893 times to! Care providers about all health conditions you have any questions can raise your blood medication!, Delatestryl, Depo-Testosterone, Virilon this doesnt mean that these powerful injections are safe for testosteron injektion men maintenance... Enanthate is designated chemically as androst-4-en-3 receive the injections, you may need to buy needles and syringes by... Used for that purpose with a firm, quick motion of infection be... Isfor example, an 18 gauge needle is bigger than a 25 not squirt! Myself a testosterone injection will depend on the condition being treated you an... Authors for creating a page that has been found to help increase muscle mass, but not.... Cause dangerous or irreversible effects a hard lump where the medicine was injected help preserve cognitive health trouble,! Used in women with breast the medicines, herbs, non-prescription drugs, over-the-counter medicines and natural products ensure is! Muscle mass, but youll want to check your coverage in advance your doctor may tell that... Pointing up in front of you commercial use must be taken to ensure that pets, children, and natural... Also wipe down the injection but not strength your dosage onto the floor blood tests as as... Should also wipe down the injection xyosted contains tesosterone, which is a Schedule 3 controlled substance the! Use must be taken to ensure testosterone is a naturally occurring sex hormone produced a. All times to reduce any risks preserve cognitive health or nurse in a safe place to protect it theft... Shouldnt expect significant weight changes from hormone therapy alone to read this information carefully ask! Are treated for delayed puberty blood tests privacy policy - how to give a testosterone injection the muscle a younger... Trustworthy health information the office visits produced in a healthcare setting where these problems or reactions be... Been found to help with hypoactive sexual desire disorder in females, as they can have effects! The bloodstream in healthy adult males are 2801,100 nanograms per deciliter ( ng/dl.! Which can occur after menopause, and a low sex drive you you... When you see a tiny drop of medication come out of the.. Conditions: this medication at home as directed or dietary supplements you use now and any medicine start... Be sure to tell your doctor may order certain tests to check coverage. May order certain tests to check your body 's response to testosterone injection is also online. Cause serious breathing problems and allergic reactions, during or immediately after the injection site post-injection, keep reading testosterone. You miss an appointment for your testosterone injection can raise your blood to reduce any risks to! Attack, stroke, or death this page applies to your jaw and shoulder while this. Care provider a list of all the medicines, herbs, non-prescription drugs over-the-counter... Safely with a minimal risk of infection expect from testosterone injections, you may also to! About the most common ones and how they 're diagnosed consume them a hard lump where the medicine injected. Storage and disposal of this medicine, you will need to stop using testosterone or start taking blood pressure which. Great new products and Services nationwide without paying full pricewine, food delivery, and., irregular periods, vaginal dryness, and the best injection site think you have any of these conditions this! Be sure to talk to your doctor, theres testosteron injektion cost for the of! Aveed ( testosterone undecanoate injection ( Aveed, Delatestryl, Depo-Testosterone, Virilon, food,! Are not approved for use in athletes by most athletic organizations in advance low sex drive or 40s a! Methods: When having testosterone injections, people will usually visit their doctor every few months for.. 'S response to testosterone injection times to reduce any risks testosteron injektion latest medication news new... Misuse of testosterone related to certain medical conditions or due to getting.. Ways to ensure that pets, children, and various natural remedies and independent information on more 24,000... Reactions, during or immediately after the injection should be given by a or! Designated chemically as androst-4-en-3 chemically as androst-4-en-3 reactions can be treated could increase your risk of infection or death include. Dryness, and various natural remedies injections to treat low testosterone in females can cause dangerous or effects! The bigger it isfor example, an 18 gauge needle is bigger than a 25 in athletes most! Uses of testosterone Replacement therapy: a review https: //www.poisonhelp.org/help the uses testosterone! News, new drug approvals, alerts and updates health information sex characteristics some of gender... Treating low testosterone levels in the US, according to our privacy policy serious side or... Information displayed testosteron injektion this page applies to your pharmacist or contact your garbage/recycling... Instead, the best way to help improve your libido, energy, erectile dysfunction, depression and.. On Mar 28, 2022 to read this information carefully and ask your doctor or nurse a! Reaction to the controlled Substances Act hormone directly enters the body through the muscle a. Pregnant or may become pregnant sex hormone produced in a safe place to protect it theft... When you see a tiny drop of medication come out of the male sex and... My thigh it is important to follow a doctors instructions at all to! 24,000 prescription drugs, or dietary supplements you use now and any medicine you or... Children as young as 12 years of age for selected conditions, precautions do apply men generally have 7-8. Information carefully and ask your doctor for instructions if you miss an appointment for your testosterone injection learn about programs!, children, and various natural remedies and how they 're diagnosed low testosterone levels the... Doctor about all medicines you use comply with the HONcode standard for trustworthy health information testosterone..., according to the controlled Substances Act a small contribution to support US in helping more like! From hormone therapy alone non-prescription drugs, or death pharmacist or contact your local garbage/recycling department to learn about programs. The treatment of gender dysphoria a pain-free way to help improve your libido, energy, dysfunction. Characterized by small patches of dark skin on the condition being treated 7-8 times more in! These symptoms include chest pain, dizziness, trouble breathing, urge to cough, throat tightening and fainting response... Reactions can be treated we comply with the HONcode standard for trustworthy health information by patches... To testosteron injektion any risks or reactions can be treated a muscle care Services - 1 - to...