Overview: A medication dosage form dating back to the 1800s, troches have regained tremendous popularity for the absorption of medications, especially hormones and ED medications. They are effective because the lining of the mouth is thin and rich in blood supply.
How to take: Troches are small lozenges that dissolve between the cheek and gum over a period of about 10-20 minutes. As it dissolves, the medication is gradually absorbed into the blood stream so that it can be absorbed more efficiently and in some cases faster than if the same medication was taken orally.
Storage: To prevent melting, troches should be stored at 70 degrees or lower. We suggest storing them in the refrigerator in warmer climates.
Customization: We can flavor your troches depending on the medication. If a flavor is not indicated the pharmacy usually defaults to watermelon or mint. If you have specific flavors in mind please let us know and we will see if it is possible. Troches can also be compounded using a combination of medications, allowing for custom dosages and formulas.
Medications that are commonly prescribed as a sublingual troche include:
Sermorelin Acetate for Injection (GHRH)
Sermorelin Acetate is compounded in the following strength: 15mg (15,000 micrograms).
Step1: Mix the Bacteriostatic water provided into the vial of Sermorelin using a large “mixing syringe” with attached needle. This is done by using the mixing syringe to draw the appropriate amount of bacteriostatic water and dispensing it into the vial of Sermorelin. Usually the mixing syringe is between 3ML and 10ML in size (not to be confused with the much smaller syringes used to inject).
For 15mg vial of Sermorelin: Using the mixing syringe, dilute (mix) 7.5ml of bacteriostatic water.
Step 2: Next, Swirl the vial with a gentle rotary motion until contents are dissolved- DO NOT SHAKE
Step 3: Now you are ready to administer your Sermorelin. Please note that 10 units on the syringe = 200mcg of Sermorelin when measured on the syringe used to inject, usually an “insulin” syringe. This is indicated in the diagram below. So if your prescribe dose is 1000mcg this means you draw to the 50 unit mark on the syringe.
You may use this mixture for up to 90 days, but remember to keep it refrigerated after mixing. If you accidentally leave your sermorelin out of the fridge don’t worry, sermorelin can be left at room temperature for 72 hours after being mixed.
Be sure to properly dispose of all syringes and needles after use.
This diagram shows a ½ cc Insulin syringe which contains up to 50 units. Please note there are different sizes of syringes, including 1cc (100unit) syringes. The amount you are instructed to draw to will remain consistent no matter the syringe size.
[Sermorelin Acetate for Injection]
15mg (15,000mcg per vial): Individual pharmacies may offer different strengths.
* Always be sure to check the label to confirm that you have received the correct strength
The diluent is Bacteriostatic Water for Injection, USP containing 0.9% Benzyl Alcohol added as an antimicrobial preservative. Do not use any other diluent unless approved by the prescribing physician. Refrigerate after reconstitution.
BEFORE USING THIS MEDICINE:
COMMON USES FOR THIS MEDICINE:
For replacement of endogenous growth hormone in adults with growth hormone deficiency who meet either of the following two criteria:
Adult Onset: Patients who have growth hormone deficiency either alone, or associated with multiple hormone deficiencies (hypopituitarism), as a result of pituitary disease, hypothalamic disease, surgery, radiation therapy, or trauma.
Childhood Onset: Patients who were growth hormone deficient during childhood who have growth hormone deficiency confirmed as an adult before replacement therapy is started.
HOW TO USE THIS MEDICINE:
Use this medicine exactly as directed on the label, unless instructed differently by your doctor
* DO NOT inject if solution is cloudy or contains particles. Contact your doctor or pharmacy
WHAT TO DO IF YOU MISS A DOSE:
Take when remembered unless time for next dose. No double doses.
HOW TO STORE THIS MEDICINE:
Refrigerate in original container away from children. Do not freeze. Discard unneeded medicine.
The following adverse reaction, in decreasing order of frequency, have been reported following sermorelin administration:
Approximately one in four patients given repeated doses of one or more of the three forms of GRH (1-29, 1-40, and 1-44) has developed antibodies to GRH. The clinical significance of these antibodies is unknown. One patient who developed antibodies to GRH (1-44) also experienced an allergic reaction described as severe redness, swelling, and urticaria at the injection sites. No long-lasting effects from this reaction were reported. No symptomatic allergic reactions to GRH (1-29) have been reported.
All testosterone types are suspended in USP oil
How To Fill the syringe:
You will inject into one of 3 places: Deltoid (shoulder), Glute (butt-cheek), or top of your thigh. Find whichever works best for you, or alternate between them.
Type of needle to use for injecting testosterone intramuscular (IM):
*the type of oil will be stated on the bottle’s label
Vitamin B12 is a popular injectable vitamin requested by many patients. Some men and women feel better when taking B12. Even though testosterone is suspended in oil and vitamin B12 is suspended in water, you can combine them into the same syringe to minimize the need for additional injections. Draw your testosterone dose into the syringe first, then draw the B12. If you are taking your testosterone once per week, you can add 0.5ml to 1ml of b12 to your injection. If you are splitting your testosterone injection into twice per week, try adding 0.25ml of b12. B12 can increase red blood cells which Defy Medical will monitor every six months. If you already have elevated hematocrit we recommend speaking with the doctor prior to starting b12 injections.
Click here to learn more about the best type of injectable vitamin b12. Order a 10 week supply of B12 for $25 at Defy Medical.
Intracavernous Injection Therapies (ICP) have changed the lives of many men who previously suffered from severe erectile dysfunction. Many of these men had little or no response to commonly prescribed PDE5 medications like Viagra and Cialis. ICP medications can be used to produce a very strong erection which can last the entire duration of sexual activity.
If you have been prescribed Tri-Mix or any other ICP medication, it is important that you print and read each link below. These medications are very powerful and if not used correctly they can lead to prolonged erection (severe priapism) resulting in permanent damage to the penis. If you follow your doctors instructions and understand the information below than Tri-Mix and ICP medications are very safe to use.
All Defy Medical patients who are prescribed Tri-Mix and similar ICP medications will be given unlimited medical support and assistance with the administration of your medication. Our medical director and team want to ensure safety for every patient under our care. Please do not hesitate to contact the clinic for assistance with your medication.