How To Do A Quad Injection For TRT – Full Guide And Demonstration

A full guide on how to do a pain-free quad injection safely, for testosterone replacement therapy or other condition . I cover the equipment needed, needle sizes, exact injection site/area on the quad and more.

Trying something new for the first time can be terrifying, especially when it involves your health, or worse, potentially blood! Quad injections were no different for me.

However, I soon learnt that they were extremely safe and simple to do, and that I had overreacted (as usual). In fact, they were easier to perform than glute injections.

Quad injections are the second most commonly used form of intramuscular injection for testosterone replacement therapy. The most common is glute injections.

Sometimes you may wish to give your glute muscles a break, which is where quad injections come in handy.

Quad injections are also easier to perform. Your quadricep muscles on your leg are right in front of you and are easier to access, compared to your glutes (bum), which involves twisting awkwardly to reach.

In today’s video, I give a full breakdown and demonstration of how to do a quad injection safely and painlessly.

I cover and demonstrate the following areas:

  • The medical supplies needed for an intramuscular quad injection
  • The quad injection site
  • Preparing the testosterone, syringe and needle for the injection
  • Injecting the testosterone and cleaning up

I hope this guide helps make your first quad injection as easy and pain-free as possible and alleviates and concerns you might have had.

If you have any questions or comments, please feel free to comment on the video, or alternatively, you are also welcome to send me a message/question via my Contact Page or Facebook page.

Don’t forget to Join My Newletter for special promotions and the latest updates.

Click here to watch the video on YouTube



Is Nebido Available In The USA?

Moving to the US? Thinking about switching from Nebido to something else, like Aveed or Testosterone Cypionate/Enanthate? Let’s take a look at your options.

Nebido is a common form of testosterone prescribed for TRT called testosterone undecanoate. It is one of the most widely used forms of testosterone for testosterone replacement therapy in the UK, some countries in Europe, and even countries like South Africa and Australia.

It is used for intramuscular injections and is a much longer lasting form of testosterone than most others. The recommended dosage is typically 1000mg every 10-14 weeks.

Nebido itself is not available in the US, as a viewer has recently discovered.

So what are your options?

Aveed Nebido USA

Option 1 – Aveed

A few years ago, around 2014, Nebido was licensed in the USA by the FDA under the name “Aveed”. Aveed is pretty much the same as Nebido, being a long lasting form of testosterone called testosterone undecanoate.

Nebido is typically sold as a 1000mg/4ml ampoule, whereas Aveed is currently sold as a 750mg/3ml ampoule. In essence, they are exactly the same when it comes to testosterone per ml.

In order to find out if Aveed is available in your area, speak to your local doctor.

You can also check the Aveed website to help you locate a medical professional certified to prescribe Aveed in your area.

More information about Aveed can be found on their website:

Testosterone Cypionate and Enanthate

Option 2 – Other Testosterone

Another option available for those seeking an alternative to Nebido, or Aveed, is TRT with a different form of testosterone.

The most commonly prescribed esters are testosterone cypionate and testosterone enanthate, however there are others too.

Cypionate and enanthate are shorter acting forms of testosterone, and are typically prescribed at a dosage of one injection of 80-200mg every 1-2 weeks.

Dosage is naturally dependent on each person’s situation and the doctor’s prescription.

The advantage to picking these shorter acting testosterones is that you usually get a more optimal dose of testosterone with each injection. Also, you decrease the odds of going through a “crash” in between injections.

The disadvantage, when compared to Nebido/Aveed, is that you need more frequent injections. This is not the end of the world in my opinion, and the pros far outweigh the cons, from my experience.

Nebido Website

Making The Switch From Nebido

If you’re like me, then you may be hesitant to move away from Nebido – especially if it works well for you. This is natural. Why change something that works, right?

There’s nothing wrong with that.

However, you may also be forced to change if you are unable to find Aveed in your area.

Don’t let switching bother you though. In my opinion, this may actually be for the best.

As detailed in the section above, by switching over to a shorter-acting testosterone like cypionate or enanthate, you may actually get more bang for your buck.

Your injections may likely decrease in cost, while giving you a more optimized dose. You may also avoid the “crashes” caused by the dips in between injections, which is more commonly experienced on Nebido/Aveed.

This naturally depends on the doctor you work with.

USA Testosterone


If you’re moving to America, speak to your local doctor about Aveed, or try locate a Aveed-certified professional in your area.

If that doesn’t work, then consider talking to your doctor and asking to switch to testosterone cypionate or enanthate. If they are unable to assist you, ask for a referral to someone that can.

If none of these options are available, then talk to your medical professional about other alternatives.

There is no need to go without treatment – there are options available!




Labcorp Lowers Normal Testosterone Reference Range For Men

Labcorp, one of the world’s leading blood testing laboratories, has just announced that they are lowering the normal reference range for testosterone in men. What does this mean and how does it affect you?

I just discovered some really discouraging/worrying news. Labcorp (and likely most other labs) are lowering the normal reference range for testosterone in healthy men. This drop is about  from 348 – 1197ng/dl to 264 – 916ng/dl. This a a drop of almost 100 points at the lower end of the range.

What does this mean? In layman’s terms, this means that what is now considered “normal” for testosterone levels is lower than what it used to be.

This has greater implications for men who have testosterone levels at the lower end of the spectrum, as they may no longer qualify for testosterone replacement therapy.

For example, if your total testosterone blood test results came back at 300ng/dl before, you would likely qualify for a testosterone replacement therapy prescription, as 300ng/dl is lower than the 348ng/dl cutoff point.

However, with the new ranges, 300ng/dl does NOT fall below 264ng/dl, which according to the lab, now means that you are NOT deficient and should likely NOT qualify for TRT treatment.

Another way of looking at this is that before, you had to first have the testosterone levels of a 60-65 year old man to qualify for TRT. Which is low/bad enough already.

Now, your levels have to be as low as that of a 65-75 year old man to qualify for TRT, which is even worse. Just imagine a 25 year old male expected to live with the testosterone levels of a seventy year old man. ~That’s not living – that’s suffering.

The low end of the range was already questionable before at 348ng/dl, as many people still suffer with the symptom of low testosterone at that level. By lowering the range, we can be almost certain that men will now be refused testosterone replacement therapy and have to suffer with the symptoms of being androgyn-deficient / hypergonadal.

This is not good news for men.

For a full explanation, check out my video Labcorp Lowers Normal Testosterone Range For Men on YouTube.

Labcorp Announcement About Testosterone Reference Range Changes:

UK Guidelines For The Treatment Of Low Testosterone

In the UK, especially with the NHS, it can be extremely difficult to get treatment for low testosterone. Many GPs flat out refuse treatment.

Doctors in the UK can be shockingly clueless about many medical conditions in my experience. Sometimes you just have to do your own homework.

For example, I suffer from a skin condition called Rosacea. I stay up to date with all the latest developments in the treatment of this condition. On arrival in the UK, I heard about a new treatment that had been on the market for about a year. Feedback was positive and it sounded like the treatment would be much better than what I was currently using.

So I went to my GP, and asked him if he could prescribe it for me, so that I could see if it improved my condition.

He hadn’t even heard of it!

He then proceeded to look it up online, glanced over the medical literature, and turned to me and said “Hmmm, sounds good. Let’s give it a try.”

That story highlights the necessity for you to take control and ownership of your own health – because nobody else will, and even if they do, it might not be the best advice or solution.

Getting Treatment For Low Testosterone In The UK

In the UK, especially with the NHS, it can be extremely difficult to get treatment for low testosterone. Many GPs flat out refuse treatment, even when clear symptoms and signs are evident.

As testosterone replacement therapy has been around for quite some time now, many doctors still remain behind with the times and can be very ignorant on the subject.

Even if you have a valid case of low testosterone, many GPs will refuse treatment due to inexperience in this field.

To prevent getting stonewalled by your doctor, it always helps to be prepared. Learning as much as you can about a condition beforehand is essential.

This is your body, your health and your well-being. Therefore the responsibility lies with you, not the GP, to do everything you can to take care of it.

Get The UK Guidelines For Low Testosterone

For low testosterone, the levels you need to be at to qualify for testosterone replacement therapy are already very low (< 12 nmol/l or 350 ng/dl).

Even still, doctors may be hesitant or refuse treatment when your levels are at or below that level, for example 8-12 nmol/l.

Many of you, including myself, have learnt this from experience, as you’ve all probably seen now on my YouTube channel where we talk about this.

You need to come fully prepared. Luckily, there is a set of UK Guidelines which includes a section on low testosterone and treatment. See the image below.

To quote a viewer and friend from my YouTube Channel: “It’s amazing how quickly doctors change their mind when they are sent a copy of the UK guidelines!”

You can download the UK Guidelines on Low Testosterone here, or you can get them straight from the British Society For Sexual Medicine’s website. Simply click the link that says: “Management of sexual problems in men: the role of Androgens”.

This is not a guarantee that you will get treatment, but it certainly bolsters your case if you’re GP is being difficult.

Good luck! If this helped your case, please let us know by sending me a message or leaving a comment on my YouTube Channel.

Stay Strong!

10 Signs You May Have Low Testosterone

How do you tell if you may have low testosterone? Let’s take a look at the most common and accepted approach used by men and professionals today.

A Saint Louis University questionnaire was developed to help men screen for androgen deficiency (an androgen is a male sex hormone, like testosterone).

This questionnaire is known as the ADAM questionnaire (Androgen Deficiency in Aging Male).

It consists of 10 yes/no questions you can ask yourself. Here are the questions:

How many of these did you answer YES to?

1) Do you have decrease in libido/sex drive?
2) Do you lack energy?
3) Have you experienced a decrease in strength and/or endurance?
4) Have you lost height or do you feel shorter?
5) Have you noticed a decrease in your enjoyment of life?
6) Are you sad/grumpy?
7) Are your erections less strong?
8) Have you noticed a recent deterioration in your ability to play sports?
9) Are you falling asleep after dinner?
10) Has your work performance deteriorated recently?

These symptoms may be caused by many other conditions not related to Low T. Use these questions as a starting point and if you identify with many of these statements, go talk to your doctor about having a blood test to see if you have low testosterone or suffer from male hypogonadism (a condition where the body doesn’t produce/synthesize enough testosterone).

There is also an updated version of the ADAM questionnaire which can be used, called the qADAM questionnaire , or quantitative ADAM questionnaire. The qADAM questionnaire is almost identical to the standard ADAM test, but uses a grading system for the questions, instead of a simple Yes/No answer.
For example: 1 (terrible), 2 (poor), 3(average), 4 (good), 5 (excellent)

The qADAM Questionnaire Article Page

More information about these tests and the research can be found here:

If you think that you may how low testosterone, please consult your physician to discuss further.  We also have a helpful community with videos on YouTube.

If you think this article might help someone you know, please share it with them using the share widget below.