Testosterone can be delivered using many delivery platforms. Injections, pellets, creams, gels, and patches are the most commonly used delivery methods. There are definite benefits and drawbacks to each and we are going to evaluate them for you here. First, let’s talk about using testosterone pellets. The pellets are implanted into the subcutaneous dermal layer, typically in the upper hip area. This approach is very limiting for a few reasons. First, it’s a one size fits all approach. They are dosed by body weight and BMI calculations and leave no room for individualizing a patients levels based on his own natural, optimal level. Another limitation is that the pellets bleed heavily early on after implantation, then fall well below optimal levels. This below optimal state is constant until pellets are implanted again around four to six months from the previous insertion date. This roller coaster is exhausting and can sometimes be harder on the patient that being at a consistently low testosterone level, simply because of the consistency of the state of being. Below is a chart showing three different dosages of testosterone pellets over six months. You can see that if your levels repeated this up and down every six months, it would be quite a ride.