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 under the skin · Twice a week
Men's healthTestosterone therapy
Testosterone Cypionate (MCT Oil)
200 mg/mL testosterone cypionate in grapeseed-free MCT oil for injections. Typical dose 100 mg once weekly or 50 mg twice weekly, subcutaneous or intramuscular, prepared by your physician.
- One injection per week maintains stable testosterone levels
- Grapeseed-free MCT oil is gentler for oil sensitivity
- Subcutaneous or intramuscular, your physician decides
- Monthly$199/mo
- Every 3 months$447 billed up front$149/mo
- Every 6 monthsBest value$594 billed up front$99/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
- Injected under the skin
- How often
- Twice a week
- Each shipment
- 1 vial
- Strength
- 200 mg/mL
What is testosterone cypionate?
(TES-tos-ter-own sy-PRY-oh-nate)
Testosterone cypionate is testosterone bound to a fatty acid (the cypionate ester) that slows its release when injected into muscle or fat tissue. This creates steady testosterone levels over about seven days, which is why one injection per week is standard. Your vial is prepared by a licensed compounding pharmacy in grapeseed-free MCT oil, chosen because grapeseed oil can trigger sensitivity in some people. You inject it yourself, weekly or per your physician's schedule, and your levels peak after a few days and decline as the week passes, a rhythm close to your body's own.
What's in it
- Testosterone CypionateReplaces low testosterone
Weekly
one injection a week keeps levels in range; splitting it into two smaller doses smooths the peaks and troughs
Testosterone therapy is an ongoing process; most men stay on it indefinitely. Your physician reviews your dose and labs (testosterone, hematocrit, PSA, lipids) at least every 6–12 months.
Is it right for you?
Who it's for
Men who want to inject under the skin, twice a week, with a small needle.
What sets it apart
Cypionate in MCT oil, with no grapeseed or cottonseed oil.
Worth knowing before you start
Twice a week keeps levels steadier than once. Keep the same two days.
Results you can feel
Energy and focus
often the first change men report
Mood and confidence
as testosterone levels stabilize
Strength and recovery
lean muscle support and workout recovery improve
Sexual desire and function
often improve noticeably
How testosterone therapy works
Day 1
A US-licensed physician reviews your symptoms, testosterone level, health history, risk factors and labs (testosterone, hematocrit, PSA, estradiol, lipids), and sets your dose and formulation. Your treatment ships discreetly to your door.
1Weeks 1–4
You begin your chosen formulation (injection, cream, or troche). Energy, mood, and libido often begin to shift. Your physician checks in by messaging.
2Month 2
Lab work (usually testosterone level and hematocrit) is drawn. Your physician reviews your symptoms and adjusts the dose if needed. Most men reach stable levels by month 2–3.
3Month 3
Full check-in. Your physician reviews all labs, how you feel, side effects and whether your dose is right. If acne or mood changes appear, they are usually managed by dose adjustment.
4Ongoing
Testosterone therapy continues as long as it benefits you. Labs (testosterone, hematocrit, PSA, lipids) are checked at least every 6–12 months. Your physician adjusts the dose with you over time.
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
- Injected under the skin
- Dose
- 0.25 mL (50 mg)
- How often
- Twice a week
- Each shipment
- 1 vial
- Pharmacy label
- Inject 0.25 mL (50 mg) subcutaneously twice weekly.
A sample week
- M
- T
- W
- T
- F
- S
- S
Twice a week
The science of testosterone replacement therapy
Testosterone cypionate, given weekly or biweekly, maintains stable physiologic testosterone levels and is the most-studied formulation of testosterone replacement therapy, with decades of clinical use and established safety in men without contraindications.
Current Endocrine Society guidelines recommend testosterone therapy for symptomatic hypogonadism, with dose adjustment based on testosterone levels and response. Ester-based injectables like cypionate offer steady levels without daily dosing.
Learn moreImportant safety information and common side effects
Testosterone is a prescription hormone for symptomatic hypogonadism in men without contraindications. Common, usually temporary side effects include acne, oily skin, hair loss (or growth on the body and face), changes in mood or libido, injection-site redness or soreness, and testicular shrinkage (reversible with gonadorelin or hCG). Testosterone increases hematocrit (red blood cell concentration), which can thicken the blood and raise clot risk; your physician monitors this with lab tests and may adjust dose or suggest blood donation if hematocrit rises too high. It can worsen sleep apnea, raise blood pressure slightly, and affect cholesterol levels. Testosterone is not prescribed with a history of prostate or breast cancer, untreated or severe sleep apnea, recent heart attack or stroke, uncontrolled high blood pressure, or abnormally high hematocrit. Testosterone therapy suppresses sperm production (reversible with gonadorelin or hCG if you want to preserve fertility). If you have a partner who could be pregnant, avoid transfer of topical testosterone by washing hands thoroughly and covering the application site. Seek care immediately for chest pain, shortness of breath, unusual leg swelling, severe headache or vision changes. Tell your physician about every medication and supplement you take.
Every plan includes
- Personalized, physician-guided plan
- Monthly, 3-month and 6-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.
Testosterone cypionate 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 use Testosterone Cypionate - Men?
Injected under the skin, twice a week. The starting prescription is 0.25 mL (50 mg) each time. Your physician sets your own dose and it is printed on your label.
How much arrives in each shipment?
1 vial 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.
How do I inject testosterone cypionate?
Your physician or nurse teaches you in person. Most men inject it subcutaneously (under the skin of the abdomen) or intramuscularly (into the thigh or buttock). A thin insulin-style needle makes subcutaneous injection simple and virtually painless; intramuscular is slightly deeper and thicker. You inject once weekly or per your physician's schedule, always the same day of the week.
Do I need to take gonadorelin or hCG with testosterone?
Not necessarily. Gonadorelin or hCG are used if you want to preserve sperm production and testicular size while on testosterone therapy. Without them, the testes will shrink slightly and sperm production will stop—effects that reverse if you stop testosterone. Your physician discusses your priorities.
What labs do I need on testosterone therapy?
At baseline and regularly (every 6–12 months): testosterone level, hematocrit (to check for polycythemia), PSA (to screen for prostate concerns), estradiol (some testosterone converts to estrogen), and lipids (cholesterol and triglycerides). Your physician explains what the results mean and adjusts your dose based on them.
Can I stop testosterone therapy anytime?
Yes. Testosterone therapy is not a lifetime commitment; you can pause or stop. If you stop suddenly, testosterone levels will fall over days to weeks (depending on formulation) and you may feel the original hypogonadism symptoms return. Your physician helps you taper if you choose, and many men simply stop and restart later if they need to.
Hormones, balanced.
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
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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.
Sources
- 1
Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline.
J Clin Endocrinol Metab, 2018 - 2
Cardiovascular Safety of Testosterone-Replacement Therapy (TRAVERSE).
N Engl J Med, 2023 - 3
Pharmacology of testosterone replacement therapy preparations.
Transl Androl Urol, 2016 - 4
New testosterone buccal system (Striant) delivers physiological testosterone levels: pharmacokinetics study in hypogonadal men.
J Clin Endocrinol Metab, 2004
Testosterone Cypionate (MCT Oil)from $99/mo