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: http://aveedusa.com

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

Conclusion

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!

 

DISCLAIMER: I AM NOT A MEDICAL DOCTOR. THE INFORMATION IN THIS INFORMATION IS FOR EDUCATIONAL AND INFORMATIONAL PURPOSES ONLY – PLEASE ALWAYS CONSULT YOUR DOCTOR BEFORE TAKING ANY MEDICAL ACTION REGARDING YOUR HEALTH.

 

The Cost Of TRT In The UK

Introduction

Let’s cut to the chase! You’re here because you live in the UK and want to know much TRT costs.

You’ve done your homework on testosterone replacement therapy. Now you want to find out how much treatment is going to set you back, if anything.

You’ve come to the right place!

In this article I’ll detail the cost of all the basic TRT treatment options I am aware of.

Understanding the options and costs available to you may help you make a better decision, and hopefully change your life for the better.

NOTE: This article only covers basic TRT, which, as the name suggests, makes use of testosterone. While other more advanced approaches may be used (such as aromatase inhibitors, HCG, etc), they fall out of scope of this article.

 

The Short, Dirty Answer

Determining the cost of TRT depends on your specific situation and a multitude of other factors.

If you’re not interested in all the finer details, and would just like a crude estimate, here you go. This is based on the most basic TRT prescription.

Free on the NHS, if you qualify.

Privately, it costs £60-£90+ per month for the TRT, plus +/-£150 per blood test (including analysis) and consultation with the doctor.

The average prescription is for 100-125mg per week.

For a more detailed breakdown, continue below.

trt nhs uk

Determining The Cost Of Your TRT

Your treatment will follow one of two paths – Free TRT, or Paid TRT.

Free TRT may in most cases be provided by the NHS, if your testosterone levels are low enough to fall within the “recommended” range for treatment.

If your testosterone levels fall within the “questionable” range for treatment, you may or may not get free treatment by the NHS, depending on your individual situation. In most cases, you will likely not get treatment and need to go private.

This diagram illustrates the recommended (red) range and the questionable (orange and yellow) range for treatment

You can read more about TRT and the NHS in the UK here.

For the remainder of this article, let’s assume that you have not been given free TRT by the NHS and have to fork out the moolah yourself.

Types Of TRT Offered

Most testosterone prescriptions issued are for injectable testosterone. Other forms such as testosterone gel and testosterone pellets (not common in the UK) may also be used. Where available, I have listed the prices for all options.

NOTE: I have also included how long the supply would last at the average doses. This clearly depends on each person’s prescription and dose and will vary from individual to individual.

 

TRT Costs With a Private Doctor

A private doctor is usually the same as your local GP, except that they run their own practice and you have to pay for your consultations and prescriptions.

Average Consultation Price: £30+

Sustanon-250: £3-£10
(250mg/1ml amp, approx 2 weeks supply)

Nebido: £90-£120
(1000mg/4ml, approx 8 weeks supply)

Testosterone Gel e.g. Tostran 2%: £35-£40 (20mg/60g canister, approx 2 months supply)

This is the cheapest option, if you are unable to get it for free with the NHS.

It can still be challenging to get a prescription at this stage, so consider yourself fortunate if you do.

 

TRT Costs With A Medical Facilitator

Medical Facilitators are positioned somewhere between a Private Doctor and a Men’s Health Clinic.

They provide you with a greater chance of getting treatment if you aren’t accepted by a private doctor, and are more likely to prescribe when your testosterone levels are in the “questionable” range.

These costs are only approximates and vary from provider to provider, as well as patient to patient, based on each patient’s specific situation.

Initial Consultations, Lab Tests and Analysis: £80-£200
(depending on what it is)

Sustanon-250: £60-£90+
(4-6 x 250mg/1ml amp, approx 1 month supply)

Nebido: £100-£150 when available
(1000mg/4ml, approx 8 weeks supply)

Testosterone Enanthate: £120-£160
(4-6 x 200-300mg/1ml amp)

Testosterone Gel e.g. Tostran 2%: £35-£60 (20mg/60g canister, approx 2 months supply, not usually recommended)

 

Treatment At A Men’s Health / Sex Clinic

Initial Consultation and Lab Tests and Analysis: £500-£700+

Nebido: £200+
(1000mg/4ml, approx 8 weeks supply)

I haven’t been able to source the prices for other forms of TRT, such as Sustanon, or the gels. Prices are likely to be about double or more the cost of going through a private doctor.

They may also offer other forms of TRT, such as patches, pellets and oral form.

This is the most expensive route of treatment available.

 

Testosterone On The Black Market

I highly discourage using illegal substances from the black market.

However, I believe everyone should be free to make their own decisions and take responsibility for their own actions. Use at your own risk.

Sustanon-250: £30
(250mgx10/10ml vial, approx 4-5 month supply)

Nebido: n/a

Testosterone Enanthate/Cypionate: £30-£40
(250mgx10/10ml vial, approx 4-5 months supply)

 

DIY TRT Costs

Every now and then, a smart ass will complain about the cost of Men’s Health Clinics or Medical Facilitators. They will usually say something like:

”Why is the treatment so expensive? Can’t I just buy the testosterone and treat myself. It’s much cheaper that way!”

I know, because I was one of those smart asses.

The only way to get testosterone cheaply (other than free on the NHS, or illegally on the black market), is via a Private Doctor, as mentioned earlier.

If you are fortunate enough to find one willing to prescribe TRT in your area, consider yourself very lucky, as it’s quite rare.

Otherwise there are no other cheaper (legal) short cuts. If you are aware of any cheaper DIY alternatives, please let me know.

Conclusion

I will continue to keep these costs updated as they change with time.

If you know of any additional costs or routes of treatment that I’ve missed, please let me know and I’ll update this page.

Hopefully we can continue to guide men in the right direction for the best and most-cost effective treatment for their situation.

What Are The Symptoms Of Low Testosterone?

What are the most common symptoms of low testosterone that you, and other men might experience? Let’s take a look at the most common symptoms.

  • Decrease in general well-being, mood or enjoyment of life
  • Decrease in, or difficulty gaining, strength, muscle mass, endurance
  • Low energy, drive and/or ambition
  • Mood swings and irritability
  • Low libido or sex drive
  • Loss of focus and difficulty concentrating
  • Hesitation and indecisiveness

If you experience many of these symptoms, then you MAY have low testosterone. It doesn’t mean that you definitely do.

The only way to know for sure is to get a blood test.

You may also be interested in doing the ADAM quiz, which is a common and accepted questionnaire compromising 10 questions, used by men and professionals to determine signs of low testosterone.

How To Tell If You Have Low Testosterone

Men usually suspect that they may have low testosterone when they start experiencing certain symptoms, such as lack of energy, a decrease in sex drive, or any of the symptoms listed here.

Some men will look up these symptoms online, while others may talk to their doctor about the symptoms.

Ultimately, whichever route you take, you will land up at the same point – you need a blood test.

This blood test will check the key indicators of low testosterone in your body, such as total testosterone.

Your doctor, endocrinologist, or medical facilitator will then make a decision, based on these indicators and your lab results.

Some doctors may resist giving you a blood test – if this occurs, read Dealing With Doctors That Resist Testosterone Replacement Therapy.

If you need help understanding the information provided in blood test results for low testosterone, see Understanding Your Blood Test Results For Low Testosterone.

How Is Testosterone Produced? Where Does It Come From?

The production of testosterone is a complicated process involving your brain, hormones, glands and testicles.

There are other glands that come into the process, but for the sake of keeping things simple, the bulk of your testosterone is created predominantly in your testicles(gonads) – the same place your sperm is created.

For those looking for a more, in-depth overview of the testosterone production process, see the explanation below. The explanation was taken from Jay Campbell’s book, The Definitive TRT MANual ,which I highly recommend.


Your brain will send a chemical sign to the hypothalamus saying it needs some testosterone made.

The hypothalamus will in turn release a messenger called gonadotropin (GnRH) that is picked up by the pituitary gland. This causes the pituitary gland to release luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These will be recognized by the Leydig cells in the testes to synthesize testosterone.

The testosterone is then released where it will be bound to sex hormone-binding globulin (SHBG) and albumin or will remain in its free form and in turn fnd targeted cells to bind with. There is a negative feedback loop known as the Hypothalamic-PituitaryTesticular-Axis (HPTA) also now known as the hypothalamic–pituitary– gonadal axis (HPGA) that will send messages to the pituitary saying there is enough testosterone in the system.

The pituitary will in turn slow production of LH and eventually FSH. Testosterone will be reduced into a number of other metabolites that serve important functions such as dihydrotestosterone (DHT) or estradiol (E2).