Before injecting the testosterone, wash your hands thoroughly for at least 20 seconds with soap and water. You should also use an alcohol wipe to sanitize the top of the testosterone bottle.

Make sure to use a new drawing needle, new injection needle, and new alcohol wipes each time.

Check the expiration date on the bottle of Testosterone cypionate. Do not use medication with particles, medication that is discolored or has expired.

Open the syringe and needle packages carefully. Be careful not to touch the open end of the syringe or needle against anything, including your hands.

If not already attached, attach the 21G needle to your syringe. Your syringe may arrive without an attached needle, or with a different sized (27G) needle. Ensure you are starting with an 21G needle attached to your syringe.

Pull the 21G needle cover straight off the needle. Do not let the needle touch any surfaces. Then, pull back the plunger and draw air into the syringe. The amount of air drawn into the syringe should be the same amount (mL or cc) as the dose prescribed by Dr. Hendricks. [Example: 0.2mL of air if prescribed 0.2mL to be injected].

Keep the vial on your flat working surface and insert the needle down through the rubber stopper (to prevent vial coring, be sure to follow the steps outlined here). Do not put the needle through the rubber stopper more than once. Push the plunger of the syringe down and inject the air from the syringe into the vial. Keeping the needle in the vial, turn the vial upside down. Make sure the liquid is covering the tip of the needle.

Keeping the vial upside down, slowly pull back on the plunger to fill the syringe with the medication to the number (mL or cc) that matches the dose your doctor prescribed. Keeping the needle in the vial, check for air bubbles in the syringe. If there are air bubbles, gently tap the syringe with your fingers until the air bubbles rise to the top of the syringe. Then slowly push the plunger up to force the air bubbles out of the syringe.

Keeping the tip of the needle in the liquid, once again pull the plunger back to the number on the syringe that matches your dose. Check again for air bubbles. If there are still air bubbles, repeat the steps above to remove them. The air in the syringe will not hurt you, but air bubbles that are too large can reduce your dose of medicine.

Check again to make sure that you have the correct dose in the syringe. It is important that you use the exact dose prescribed by Dr. Hendricks. Remove the syringe from the vial but do not lay it down or let the needle touch anything. Recap the drawing needle.

Remove the 21G drawing needle and replace it with the 27G injection needle. You should leave the needle cover on until you are ready to give the injection.

Once again, do not allow the syringe or the needle to touch anything in order to avoid contamination.

In the example below, the dosage in the syringe is 0.3mL. Be sure to draw the dosage amount prescribed by Dr. Hendricks.

The areas shaded in green below are the areas you can inject subcutaneously. We recommend the abdomen area in green around the belly button. Wipe the injection site skin with an alcohol swab; then let it air dry.

Slightly hold the skin around (don’t pinch too hard) so that the skin is away from the muscle beneath – ensuring a subcutaneous injection.

Using one quick and firm motion, insert the needle into the belly fat at a 45 degree angle (see example below). There is no need to ‘aspirate’ with a subcutaneous injection. You can slowly push down on the plunger to complete the injection.

When you finish injecting the full dose of the medication subcutaneously, remove the needle slowly and at the same angle that you inserted the needle. There may be a small amount of oil and/or blood that comes from the hole. This is nothing to be alarmed about.

Gently wipe the area of the injection with an alcohol wipe.

Throw away the needle and syringe into a Sharps container. If you do not have a Sharps container, you can use a hard-plastic container with a screw top. Just make sure the needles won’t poke through the material of whatever container you use.

Dispose of all medical waste appropriately. The sharps box should be disposed of in line with FDA guidelines.

Inject medicine that is at room temperature.

Let the skin dry after using alcohol wipes before injecting.

Break through the skin quickly with the needle – don’t slowly press it in.

Don’t change the direction of the needle as it goes in or comes out.

Do not reuse disposable needles – this increases infection risk and blunts the needle causing trauma and pain.

Before injecting the testosterone, wash your hands thoroughly for at least 20 seconds with soap and water. You should also use an alcohol wipe to sanitize the top of the testosterone bottle.

Make sure to use a new drawing needle, new injection needle, and new alcohol wipes each time

Open the syringe package carefully, taking care not to touch the open end of the syringe against anything, including your hands.

If not already attached, attach the 21G needle to your syringe. Your syringe may arrive without an attached needle, or with a different sized (25G) needle. Ensure you are starting with an 21G needle attached to your syringe.

Pull the 21G needle cover straight off the needle. Do not let the needle touch any surfaces. Then, pull back the plunger and draw air into the syringe. The amount of air drawn into the syringe should be the same amount (mL or cc) as the dose that your doctor prescribed. [Example: 0.2mL of air if prescribed 0.2mL to be injected].

Keep the vial on your flat working surface and insert the needle down through the center of the rubber stopper (to prevent vial coring, be sure to follow the steps outlined here). Do not put the needle through the rubber stopper more than once. Push the plunger of the syringe down and push the air from the syringe into the vial.

Keeping the needle in the vial, turn the vial upside down. Position the needle so the liquid is covering the tip of the needle. Keeping the vial upside down, slowly pull back on the plunger to fill the syringe with the medication to the number (mL or cc) that matches the dose prescribed by Dr. Hendricks.

Keeping the needle in the vial, check for air bubbles in the syringe. If there are air bubbles, gently tap the syringe with your fingers until the air bubbles rise to the top of the syringe. Then slowly push the plunger up to force the air bubbles out of the syringe without removing the needle from the bottle.

After air bubbles are gone, pull the plunger back to the number (mL or cc) marking on the syringe that matches your dose. Remove the 21G drawing needle and recap it, then replace it with the IM injection needle (25G).

Check to make sure that you have the correct dose in the syringe. It is very important that you use the exact dose prescribed by Dr. Hendricks. Do not lay they syringe down or let the needle touch anything.

In the example below, the dosage in the syringe is 0.3mL. Be sure to draw the dosage amount prescribed by Dr. Hendricks.

The areas shaded in green below are the areas you can inject intramuscularly. We recommend injecting into the buttocks, as it is normally the most comfortable area to inject into, with very little discomfort during and after injecting.

Remember to clean the injection site skin with an alcohol swab; let it air dry.

Gently hold the skin around the injection site so that the skin is slightly taut.

Insert the IM injecting needle into the muscle at a 90 degree angle (see example below) with one quick and firm motion. After inserting the needle into the muscle take your hand off the skin.

Gently pull back on the plunger of the syringe to check that blood doesn’t come back into the syringe (this is called ‘aspirating’). If you see blood in the needle/syringe, do not inject the medicine and remove the needle immediately. You must discard the medicine and try again with fresh equipment and medicine if blood does come up the needle into the syringe when you aspirate.

If you do not see any blood in the needle, you can complete the injection by pushing the medication slowly into the muscle. You may feel some mild pressure as the medicine enters your muscle.

When you finish injecting the full dose of the medication into the muscle, remove the needle slowly and at the same right angle that you inserted the needle. Sometimes you might see a small drop of blood at the injection site, this is normal and nothing to be alarmed about.

Gently press an alcohol swab on the testosterone injection site. Hold pressure on site until there is no bleeding. You can place a band aid on the injection site if needed.

Throw away the needle and syringe into a Sharps container. If you do not have a Sharps container, you can use a hard-plastic container with a screw top. Just make sure the needles won’t poke through the material of whatever container you use.

Dispose of all medical waste appropriately. The sharps box should be disposed of in line with FDA guidelines.

Inject medicine that is at room temperature.

Remove all air bubbles from the syringe before injection.

Let the skin dry after using alcohol wipes before injecting.

Keep the muscles in the Testosterone injection area relaxed.

Break through the skin quickly with the needle.

Don’t change the direction of the needle as it goes in or comes out.

Do not reuse disposable needles.

Demo Video: Intramuscular Injection