Testosterone
What is Testosterone?
Testosterone is a sex hormone that plays multiple important roles. In men, it’s the dominant sex hormone and is produced by the testes. It helps regulate libido, bone mass, fat distribution, muscle mass and strength, and the production of red blood cells and sperm. Women also have testosterone, although generally in smaller amounts than men. They produce it in their ovaries and adrenal glands, and it contributes to sex drive, bone density, and muscle strength.
In the United States, testosterone medication is considered a Schedule III controlled substance and is not available without a prescription from a doctor. This is true of both “bioidentical” and “synthetic” testosterone.
Testosterone Medication
Belmar compounds bioidentical testosterone. It is produced from plant-based sources and has the exact same molecular structure as the natural testosterone produced by the human body. The chemical formula for both natural and bioidentical testosterone is C19H28O2 and the structure, shape, and function are the same.
If the testosterone molecule is chemically modified in any way, such as adding a functional group or side chain, the result is a synthetic hormone. For example, testosterone cypionate is the testosterone hormone with an ester group added and a chemical formula of C27H40O3. This kind of chemical alteration can make a medication easier for the body to absorb and/or use in certain dosage forms. Belmar also dispenses injectable testosterone cypionate.
Who May Benefit From Testosterone Replacement?
Testosterone supplementation may be a beneficial treatment for:Although levels can vary widely from patient to patient, low testosterone typically means levels below 300 nanograms per deciliter (ng/dL). A normal range is usually 300 to 1,000 ng/dL. Low testosterone levels can result from natural aging; damage to the testicles; a mumps infection involving the testicles; chronic health conditions such as pituitary tumors or diseases, liver and kidney disease, obesity, type 2 diabetes, HIV/AIDS; or certain inflammatory diseases, such as sarcoidosis, histiocytosis, and tuberculosis.
Testosterone can stimulate the beginning of puberty in boys who are late in developing due to low hormone levels.
A woman with low testosterone may not produce enough to help replenish red blood cells, sustain a healthy sex drive, or maintain bone density. She may also have trouble losing fat and building muscle. The measurement of testosterone levels that is considered low in women ranges from under 20ng/dL to under 8ng/dL. In women, hormonal balance may be as, or even more, important than levels. The goal in hormone replacement is to make sure she has the right balance of estrogens to androgens to support good health.
Studies have shown that testosterone, in combination with a low dose of anastrozole, helps relieve menopausal symptoms in breast cancer survivors for whom estrogen therapy is contraindicated.
Dosage and Form
The following dosage forms and strengths of testosterone and testosterone combinations currently fall within our formulary:
| Medication | Form | Strength |
| Testosterone | Tablet | 0.5mg – 200mg |
| Testosterone | FB Sublingual Tablet | 1mg – 200mg |
| Testosterone | Sindi Cream Base | 0.625mg/gm – 200mg/gm |
| Testosterone | Vaginal Cream | 20mg/gm |
| Testosterone | Liquigel for vaginal use | 2%/gm |
| Testosterone Cypionate (commercial) | Injectable | 100mg/ml – 200mg/ml |
| Estradiol/ Testosterone | Tablet | 1mg/2mg |
| Estradiol/ Testosterone | Sindi Cream Base | 1mg/ 2mg/ gm |
| Estradiol/ Progesterone/ Testosterone | Tablet | 0.5mg/ 100mg/ 2mg -1mg/ 100mg/ 2mg |
| Biest/ Testosterone | Sindi Cream Base | 5mg/ 1mg/gm – 2.5mg/ 2.5mg/gm |
| Biest/ Progesterone/ Testosterone | Tablet | 1.25mg/ 100mg/ 1mg – 5mg/ 200mg/ 2.5mg |
| Biest/ Progesterone/ Testosterone | Sindi Cream Base | 2.5mg/ 100mg/ 0.5mg/ gm – 2.5mg/ 200mg/ 1mg/ gm |
| Testosterone/ Chrysin | Tablet | 200mg/ 50mg |
| L-Arginine/ Tadalafil/ Testosterone | Sind Cream Base | 240mg/ 4mg/ 4mg/ gm |
| L-Arginine/ Pentoxifylline/ Testosterone/ Ergoloid Mesylate | Versa Base | 12%/ 10%/ 0.2%0.1%/ gm |
How Belmar Can Help
If you’re a clinician interested in prescribing compound medications to your patients, contact us for information on how to get started and to access all of our clinical resources. If you are new to compounding, you may find our page on How to Write a Compounding Prescription helpful. You can also visit our Treatment Options page to find a formulary and learn more about all the medication solutions available from Belmar.
Contact Belmar Pharma Solutions
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If you’re a patient, we’re here to help you fill prescriptions or provide you the information you need to work with your doctor to help decide if a compounded prescription might be a good treatment for you.
Prescribers, for a complete formulary or access to our clinical resources fill out the form below and one of our Solutions Engineers will be in touch shortly. If you are new to compounding, you may also find our page on How to Write a Compounding Prescription helpful.
Thank you for reaching out. A member of our team is reviewing your message and will reach out as soon as possible. In the meantime, below are a few links, including our formulary, that we think you might find helpful:
FormularyConditions
Patient Blog
Thank you for reaching out. A member of our team is reviewing your message and will reach out as soon as possible. In the meantime, below are a few links, including our formulary, that we think you might find helpful:
FormularyTreatment Options
Clinician Blog