Medications & treatment
Dose changes, supplies, injections, HCG, and add-on prescriptions.
- How do I request a dose change?Message us or email contact@alphamd.net and tell us why. A licensed provider reviews your recent labs and symptoms. Doses up to 200 mg/week are included in the standard $129/month plan.
- What supplies come with my order?Every order includes syringes or injection kits for each injection your medication covers, plus alcohol prep pads.
- How do I get more syringes?Message us and we’ll send more. Extra supplies are free, including if you inject daily.
- Do you send a sharps container?No. Pick up an FDA-cleared sharps container from a pharmacy or online.
- How do I give a subcutaneous injection?Draw your dose with the insulin syringe (10 units = 0.1 mL), pinch a fold of skin on your belly or thigh, inject slowly, and put the needle straight into a sharps container.
- How do I give an intramuscular injection?Draw your dose with the 21G needle, swap to the 25G needle, inject into your thigh or glute at a 90° angle, and put the needle straight into a sharps container.
- How do I use testosterone cream?Use the number of clicks your provider prescribed, where they directed. Wash your hands afterward and keep the area covered until it’s dry.
- How much does HCG cost?HCG is $300 per order, charged once when you approve it. It isn’t a monthly fee.
- How long does an HCG order last?At the most common dose of 500 IU a week, one 10,000 IU order lasts about 19–20 weeks.
- Does HCG reorder automatically?No. Each HCG order is a separate charge you approve in your portal. Message us when you’re running low.
- How do I add HCG to my treatment?Message us. A licensed provider has to add HCG to your protocol, and you’ll get an updated protocol to review and approve.
- Do you offer Anavar or nandrolone?No. AlphaMD no longer offers Anavar (oxandrolone) or nandrolone.
- What should I do if I think my estrogen is high?Message us about what you’re noticing. A licensed provider will review it and may prescribe anastrozole, order labs, or adjust your dose.
- Does anastrozole cost extra?No. Anastrozole is free.
- How do I get Cialis or Viagra?Members with an active TRT plan can order tadalafil (Cialis) or sildenafil (Viagra) from the shop in their portal. A licensed provider reviews and approves it.
- How much do Cialis and Viagra cost?There are two separate payments: $30 to AlphaMD for each prescription, and the pharmacy’s price for the tablets.
- Can I inject more often?Yes. You can split your weekly dose into more frequent injections, even daily. Message us with how often and why, and a licensed provider will review it. There’s no extra cost.
- What oil is my testosterone in?Injectable testosterone is dissolved in a carrier oil, which is listed on your vial label.
- Can I switch to a different oil?Yes. You can switch to testosterone in MCT oil for an extra $50/month. You don’t need a documented allergy.
- My vial says discard after 28 days. Do I have to?No. The 28-day date is a standard labeling rule for multi-dose vials, not an expiration date. You can use your vial until it’s finished if you store it as directed and it looks normal.
- How do I stop TRT?Please don’t stop suddenly on your own. Message us, and a licensed provider will set up a plan to lower your dose safely.
- How do I come off TRT to try for a family?Message us. A licensed provider will set up a plan that adds HCG while your TRT dose comes down, then moves you to enclomiphene until conception.
- What should I do if I'm having side effects?Send us a message describing what you're noticing. If it's an emergency, call 911.