I started out with cream/gel-- for the first 6 months and really didn't like it. I felt like it was always 'there' and worried about rubbing off onto my wife. Plus, I was still having issues with bleeding (menopause big time), no change in voice, and just felt like crap. Then I switched over to IM (.5cc/weekly), went in butt cheeks, upper arms and did this for 1.5 years. My last check up with doc he wanted to start me on SubQ (.25cc/biweekly) and honestly I LOVE it. I don't feel a thing, my anxiety of needle pain went away, and and I feel like I get more benefit from it-- but it's probably all in my head than anything.
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