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Creams and troches are a great alternative to weekly injections. We use a compounded testosterone cream that is typically applied to the skin once or twice a day.  Troches are small mint-flavored lozenges that dissolve between the upper cheek and gum allowing the medication to be released directly into the blood stream.  Absorption through oral mucosa prevents the medication from being filtered through the liver.  The medication leaves the system between 8 and 15 hours allowing for rapid dose adjustments.  Doses are most often taken twice daily.

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