Estradiol Cypionate
Long-acting estradiol injection for menopause and perimenopause symptoms and for gender-affirming hormone therapy, given every one to two weeks. Prescribed and dosed by a licensed physician.
Injection
from $139/mo
Dissolved under the tongue · Once a day
Anabolic steroidControlledMedical use only
Oxandrolone Troches
Oxandrolone troches (lozenges): dissolved in mouth, absorbed through mucosa. Controlled substance; same medical-only restrictions and hepatotoxicity risks as oxandrolone capsules.
- Absorbed through oral mucosa, bypasses stomach
- Same anabolic effect as capsules
- Alternative formulation
- Monthly$279/mo
- Every 3 monthsBest value$747 billed up front$249/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
- How
- Dissolved under the tongue
- How often
- Once a day
- Each shipment
- 30 troches
- Strengths
- 2 options · 25–50 mg
What are oxandrolone troches?
(ox-AN-dro-lone TRO-keez)
Oxandrolone troches are small lozenges containing oxandrolone, dissolved slowly in the mouth for absorption through the oral mucosa. They provide the same anabolic effect as capsules but with different absorption kinetics. Like capsules, they are controlled substances (Schedule III) with medical indication only. Typical dose: 10–20 mg daily in divided doses. All the same hepatotoxicity risks apply.
What's in it
- OxandroloneAnabolic: muscle and recovery (controlled)
Controlled substance
Schedule III; same hepatotoxicity as capsules; medical-only use
Oxandrolone troches carry identical risks and restrictions to capsules. Medical indication, videovisit confirmation, baseline liver function tests, and lipid panel are mandatory. Liver and lipid monitoring required every 4 weeks.
Is it right for you?
Who it's for
Adults who are prescribed oxandrolone and have trouble swallowing capsules.
What sets it apart
Dissolves in the cheek, so part of it bypasses the liver on the first pass.
Worth knowing before you start
Do not chew it. The strengths are higher than the capsules: check your label.
Medical recovery only
Medical use only
prescribed for severe muscle wasting from burns, trauma, disease
Hepatotoxicity risk
liver damage can progress to cirrhosis even at low doses
Lipid dysfunction
cholesterol and triglycerides rise significantly
Monthly monitoring non-negotiable
liver, lipids, hematocrit tracked every 4 weeks
Anabolic steroids: medical use ONLY
Day 1
Videovisit with US-licensed physician: MEDICAL INDICATION ONLY. If indication is present (severe burns, trauma, disease-related muscle wasting), baseline labs ordered (AST, ALT, GGT, lipids, hematocrit, PSA).
1Week 1
Baseline labs reviewed. If liver or lipids are abnormal, anabolic steroid use is contraindicated. If normal, prescription issued with monthly monitoring schedule.
2Month 1
First follow-up: liver function tests (AST, ALT, GGT), lipids, hematocrit. If any are elevated or worsening, steroid use is stopped.
3Month 2–3
Continued monthly labs. Muscle recovery monitored clinically. If recovery is sufficient, steroid use is tapered and stopped.
4Beyond
Anabolic steroids are tapered over weeks, not stopped abruptly (withdrawal risk). Post-cycle labs at 4–6 weeks confirm liver recovery.
5
Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Dissolved under the tongue
- Dose
- one troche (25 mg)
- How often
- Once a day
- Each shipment
- 30 troches
- Pharmacy label
- Dissolve one troche (25 mg) under the tongue once daily for 30 days. Do not chew or swallow it whole.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a day
Strengths the pharmacy carries
- 25 mg
- 50 mg - Berry
Anabolic steroids and hepatotoxicity
Oxandrolone absorption through oral mucosa bypasses first-pass liver metabolism initially, but the same hepatotoxic effects apply with chronic use.
Troches provide the same anabolic potency as capsules but may have different kinetics of absorption and metabolic clearance.
Learn moreImportant safety information and common side effects
Anabolic steroids (oxandrolone, stanozolol, nandrolone) are controlled substances (Schedule III) with NO cosmetic approval. They are prescribed ONLY for severe medical muscle wasting (burns, trauma, specific diseases). Off-label or cosmetic use is illegal and carries severe health risks: hepatotoxicity (liver damage), lipid dysfunction (elevated cholesterol/triglycerides), hypertension, mood changes, fertility loss, and increased clotting risk. Liver damage can progress to cirrhosis. Baseline liver function tests and lipid panels are mandatory before any use; monthly monitoring is required. Any physician-patient encounter for anabolic steroids must include videovisit confirmation of medical indication and documented labs. Tell your physician about liver disease, high cholesterol, clotting disorders, or cardiac risk. Stop immediately and seek care for jaundice, dark urine, severe abdominal pain, chest pain, leg swelling, or signs of stroke.
Every plan includes
- Personalized, physician-guided plan
- Monthly and 3-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.
2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.
3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.
Oxandrolone troches educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Frequently asked questions
How do I take Oxandrolone Troches?
Dissolved under the tongue, once a day. The starting prescription is one troche (25 mg) each time. Your physician sets your own dose and it is printed on your label.
What strengths does Oxandrolone Troches come in?
The pharmacy carries 2: 25 mg, 50 mg - Berry. Your physician chooses which one you get.
How much arrives in each shipment?
30 troches at the starting strength, shipped to your door from a licensed US pharmacy.
Is it a controlled substance?
Yes. The law requires a live video visit with the physician before it can be prescribed.
Are oxandrolone troches safer than capsules?
No. Both carry identical anabolic effects and hepatotoxicity risks. The only difference is the route of absorption (oral mucosa vs. stomach). Medical indication, liver monitoring, and all restrictions are the same for both.
Can I use anabolic steroids for cosmetic muscle gain?
No. Anabolic steroids are controlled (Schedule III) with NO FDA approval for cosmetic muscle. Any cosmetic use is illegal and carries legal penalties and severe health risks (liver damage, lipid dysfunction, fertility loss). Medical indication must be documented via videovisit.
Why are monthly labs mandatory?
Anabolic steroids damage the liver and lipid metabolism within weeks. Monthly liver function tests (AST, ALT, GGT) and lipids detect damage early. If liver enzymes rise significantly or lipids worsen, the steroid is stopped immediately to prevent cirrhosis.
How long can I use anabolic steroids?
Duration depends on medical indication. Typically, 4–12 weeks for acute muscle wasting (burns, trauma), with dose tapering and cessation over 2–4 weeks. Long-term use increases liver damage and cirrhosis risk. Always under physician supervision with monthly monitoring.
Anabolic steroids: medical indication required; severe health risks.
Gonadorelin
A copy of the brain's own GnRH signal that keeps the testes producing testosterone and sperm, used alongside testosterone therapy and in fertility care. Prescribed and dosed by a licensed physician.
Injection
from $159/mo
7-Keto DHEA Capsules
7-Keto DHEA, a metabolite of DHEA that does not convert to testosterone or estrogen. Supports energy and metabolism without hormonal side effects.
Capsule
from $79/mo
Anastrozole - Men
A low-dose aromatase inhibitor for men on testosterone therapy whose blood work shows high estradiol, easing breast tenderness and water retention. Slow-release capsule, prescribed and dosed by a licensed physician.
Capsule
from $54/mo
The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Sources
- 1
Anabolic steroid use and hepatotoxicity: a systematic review and clinical assessment.
Clin Gastroenterol Hepatol, 2019 - 2
Lipid and cardiovascular effects of anabolic-androgenic steroids in athletes.
Sports Med, 2018
Oxandrolone Trochesfrom $249/mo