J Sex Marital Ther ; Principles and Practice. London, United Kingdom. Two pellets should be inserted for every 25 mg of parenteral testosterone needed weekly. Using the male-range upper limit of normal for alkaline phosphatase and creatinine may also be appropriate for transgender women due to retained bone and muscle mass or myocyte counts, respectively. Figg; Cindy H. It is reasonable check both total and bioavailable testosterone levels, and consider reduction of androgen blockade to allow an increase in testosterone, depending on patient goals.
The extent of these changes and the time interval for maximum change varies across patients and may take up to 18 to 24 months to occur.
Abarelix Cetrorelix Degarelix Ganirelix Non-peptide: GnRH agonists can be very expensive, and are not always a good option for patients. Wierckx et al. A trend analysis in 15 volunteers".