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.

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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!




The Cost Of TRT In The UK


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)



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.


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.

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:

Book List

This page lists all the books that have helped me understand testosterone replacement therapy.  I still refer to them on almost a daily basis.

If you’d like to learn more about this complicated, but fascinating aspect of your health and hormones, then I highly recommend the books below.

A lot of the information contained in these books has been used for articles on this site – however, the books are still an extremely valuable resource, especially for those looking for a source of information that contains everything in one place.

For the record, some of the links below are affiliate links, which means I get a small commission from Amazon for each book you buy. That money gets invested back into this website. So by helping yourself, you’re helping me, and in turn helping yourself, and others, even further.

So thank you, from myself, and everyone else. Enjoy!

The Definitive Testosterone Replacement Therapy MANual – Jay Campbell

This was the first book I ever bought and is still my favorite. The reason it reads so well, is because the author is not a doctor, and thus explains things clearly in a way that laymen like myself and others can understand easily. If you’re only planning on buying one book on TRT, this is the best choice (in my opinion).

Get it on Amazon UK

Testosterone: A Man’s Guide – Nelson Vergel (BsChe, MBA)

This book was quite a mixed bag, covering the basics about TRT and health, as well as getting into more complex topics and treatments. I would consider this a more “intermediate” level book and I believe it will be especially helpful to those looking for information on how TRT can help with fatigue and wasting syndrome, as experienced by those dealing with HIV.

Get it on Amazon UK

Natural Versus Testosterone Therapy – Lee Myer

I thoroughly enjoyed this book because it was easy-to-read and had tons of practical advice and information. The author has taken complicated studies and their findings and translated them into concise and simple bits of information that provide a solid insight into natural testosterone versus testosterone therapy.

Get it on Amazon UK

Grow Young With HGH – Dr. Ronald Klatz

I bought this book for some insight into Human Growth Hormone, which it does an excellent job of doing. In fact, you’re left with the impression that HGH might be the Elixir Of Youth for men. This was the only book I could find on the subject and is quite old, but still extremely insightful to this day.

Get it on Amazon UK


The Testosterone Syndrome – Eugene Shippen, M.D. and William Fryer

The Testosterone Syndrome concentrates on the male menopause, which offers a strong focus on how testosterone changes in aging men. This made for an interesting angle to testosterone replacement therapy and I recommend this book for both men already in the later years of their life, as well as the younger chaps looking to be aware of and prevent the effects of “manopause”.

Get it on Amazon UK


Testosterone Replacement Therapy – A Recipe for Success – Dr. John Crisler

Dr. John Crisler is well know and respected in the TRT arena and has been a pioneer in the field for many years. This book provides some helpful insight into the basics of TRT and the different protocols for treatment, but also focuses closely on hypogonadism which appears to be his specialty.

Get it on Amazon UK


Tags:  books on testosterone replacement therapy, best books on testosterone, testosterone books, TRT books, low testosterone books