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
Injected into the muscle · Once a week
TestosteroneInjectableCompounded
Compounded testosterone cypionate 200 mg/mL in grapeseed oil: weekly or biweekly injection. Grapeseed oil is natural, lower viscosity alternative; compounded for customization.
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.
(grape-seed OIL)
Testosterone cypionate in grapeseed oil is a compounded injectable formulation using natural grapeseed oil as the carrier. Grapeseed oil is thinner than MCT and ethyl oleate, making injections smoother. Typical dose: 100–200 mg weekly or biweekly. Compounded formulations allow customization of strength.
Compounded
natural carrier oil; customizable strength; weekly injection
Grapeseed oil is a natural carrier preferred by some for lower viscosity and comfort. Compounded testosterone cypionate is off-label but widely used. Potency and purity depend on the compounding pharmacy.
Men who react to cottonseed oil or find the standard vial hard to inject.
The same cypionate in grapeseed oil, which is thinner and flows through a smaller needle.
A thinner oil allows injecting under the skin instead of into the muscle. Ask which your physician wants.
steady testosterone supports mood and sexual function
testosterone builds lean mass over 4–12 weeks
hematocrit, PSA, BP, lipids tracked regularly
self-injection at home once or twice weekly
Day 1
US-licensed physician reviews testosterone goals, medical history, and baseline labs (testosterone, hematocrit, PSA, lipids, BP).
1Week 1
Teach injection technique. Start testosterone injection (weekly or biweekly). Most men learn to self-inject at home in minutes.
2Week 4
Blood work checks testosterone level. If low, dose is increased. If target is reached, dose is maintained.
3Month 2–3
Follow-up labs (testosterone, hematocrit, PSA, lipids, BP). Symptoms (energy, mood, libido, strength) reviewed.
4Beyond
Testosterone monitored every 3–6 months; hematocrit and PSA every 6–12 months; BP every 3–6 months. Dose adjusted to keep testosterone in target range.
5Individual 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.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a week
Grapeseed oil is a natural carrier with lower viscosity than synthetic oils, providing smoother injection and steady testosterone release.
Compounded testosterone cypionate in grapeseed oil is not FDA-approved but is prepared by licensed pharmacies to pharmaceutical standards.
Learn moreInjectable testosterone (cypionate, enanthate) carries the same safety profile as all testosterone therapy: elevated hematocrit (polycythemia), blood pressure elevation, PSA increase, reduced fertility during therapy, and clotting concerns. Polycythemia (high red cell count) is monitored with hematocrit tests every 6–12 months; if hematocrit rises above 54%, testosterone is held or reduced. PSA is checked at baseline and annually. Blood pressure is monitored every 3–6 months. Tell your physician about high blood pressure, blood clotting disorders, prostate cancer concerns, or fertility plans. Common injection-site reactions are mild (redness, soreness) and resolve in days. Stop and seek care for chest pain, shortness of breath, leg swelling, severe injection-site reactions, or signs of stroke.

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.

Testosterone cypionate (grapeseed oil) 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.
Injected into the muscle, once a week. The starting prescription is 0.5 mL (100 mg) each time. Your physician sets your own dose and it is printed on your label.
1 vial at the starting strength, shipped to your door from a licensed US pharmacy.
Yes. The law requires a live video visit with the physician before it can be prescribed.
All three carriers (grapeseed, MCT, ethyl oleate) are safe and commonly used. Grapeseed is natural and thinner; MCT is synthetic but widely studied; ethyl oleate is also thin and comfortable. Choose based on your comfort and your physician's recommendation.
Your physician or nurse teaches you the technique in the first visit. Most men learn subcutaneous (under the skin) injection in seconds and feel comfortable within days. Intramuscular injection (into muscle) is also an option. Injections are done at home, typically once or twice per week.
Hematocrit (red blood cell count) can rise on testosterone. If it exceeds 54%, your physician may reduce your testosterone dose, have you donate blood, or pause therapy until it normalizes. Monitor hematocrit every 6–12 months.
Exogenous testosterone suppresses your body's natural testosterone production (testicular shutdown) and reduces sperm production. This is reversible: within 3–12 months of stopping testosterone, fertility usually returns. To preserve fertility during therapy, your physician may prescribe clomiphene or hCG alongside testosterone.
Many men notice improved energy, mood, and libido within 2–4 weeks. Muscle and strength gains take 4–12 weeks. Erectile function often improves within 2–8 weeks.
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
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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
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7-Keto DHEA, a metabolite of DHEA that does not convert to testosterone or estrogen. Supports energy and metabolism without hormonal side effects.
Capsule
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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
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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.
Endocrine Society Clinical Practice Guidelines for testosterone therapy: dosing, monitoring, and complications.
J Clin Endocrinol Metab, 2018TRAVERSE trial: testosterone replacement and cardiovascular outcomes in hypogonadal men.
N Engl J Med, 2021Testosterone Cypionate (Grapeseed Oil)from $99/mo