Testosterone Cypionate
Extensively StudiedTestosterone cypionate (Depo-Testosterone) is the US-dominant long-ester injectable testosterone — pharmacologically indistinguishable… | AAS · Oil injectable
Aliases (5)
▸ Vial inspection & sterile draw AAS oil
AAS oil arrives pre-suspended in carrier oil — no BAC water needed. Inspect for clarity, color, and crashed compound (cold storage can crystallize). Warm vial in palm or under hot tap before draw.
- 1 Wipe vial stopper with isopropyl alcohol.
- 2 Warm vial 30-60s in palm if oil is cold/cloudy.
- 3 Draw with 18g needle into 22-25g pin barrel for IM, or 27-29g for sub-Q.
- 4 Tap out air bubbles, expel a small drop, then inject at chosen site.
▸ Cycle structure & PCT AAS
Ramp dose over week 1, hold steady through cycle weeks. Track baseline labs (TT/FT/E2/SHBG/HCT/lipids/LFTs) at week 0; recheck at week 4 and end-of-cycle.
On the last dose, the ester clears over its half-life window (cypionate = est. 8 days). PCT begins after the active compound has cleared.
Standard PCT is enclomiphene 12.5-25 mg/day or clomid 50/50/25/25 over 4 weeks (or nolvadex 20/20/10/10). HCG bridge optional during cycle to preserve testicular volume + faster restart. Bloodwork at PCT week 4 + 8 to confirm HPG axis recovery (LH, FSH, TT back to baseline).
▸ Overview TL;DR
Testosterone cypionate (Depo-Testosterone) is the US-dominant long-ester injectable testosterone — pharmacologically indistinguishable from enanthate at the receptor (same molecule, slightly longer ester → slightly smoother release). Gold-standard TRT for documented hypogonadism, AAS workhorse base ester everywhere else. SKIP-AT-20 for Dylan: HPG axis at lifetime peak, no eugonadal benefit established, real fertility/lipid/Hct risks. Revisit at 35-40+ only if natural T crosses symptomatic threshold; even then, enclomiphene-first for fertility preservation.
▸ Mechanism of action
- Molecule: Bioidentical testosterone, esterified at the 17β-hydroxyl with cyclopentanepropionate (cypionic acid). Identical anabolic/androgenic activity to enanthate, propionate, undecanoate — the ester is just a release-rate modifier.
- Half-life: ~8 days (vs enanthate ~7 days, sustanon mixed ~10 days, propionate ~1 day, undecanoate ~21 days). The extra day buys very slightly smoother levels per dose interval, which is why US TRT clinics overwhelmingly default to cypionate.
- Steady state: ~5 half-lives → 5-6 weeks at fixed weekly dose. Practical implication: blood draws to titrate are meaningless before week 6.
- Release kinetics: IM oil depot (cottonseed or grapeseed oil typically); ester cleaved by plasma esterases liberating free testosterone over days. SubQ administration (Xyosted-style or off-label) produces flatter PK with less peak-trough swing — increasingly preferred in modern TRT.
- Receptor activity:
- AR (androgen receptor): Full agonist; drives muscle protein synthesis, RBC production via EPO, libido, secondary sex characteristics, behavioral effects.
- 5α-reductase → DHT: Skin (acne, MPB), prostate, scalp, CNS effects amplified.
- Aromatase (CYP19) → estradiol: ~0.3% conversion baseline, dose-dependent; supraphysiologic T → high E2 → gyno, water retention, mood lability. AI co-administration in BB protocols; rarely needed at TRT doses.
- GR cross-talk: Modest anti-glucocorticoid effect at supraphysiologic levels.
- HPG suppression: Negative feedback at hypothalamus (GnRH↓) and pituitary (LH↓, FSH↓) → testicular atrophy + spermatogenesis collapse. Recovery time after long cycles: 3-18 months, sometimes never (especially with longer cycles, higher doses, age >35, or pre-existing low FSH baseline).
▸ Pharmacokinetics Approximate
Approximate decay curve drawn from the half-life mention(s) in the source notes. Real PK data not yet ingested per compound.
▸Research protocols2 protocols
| Goal | Dose | Frequency | Solo | Cycle |
|---|---|---|---|---|
| TRT (clinical replacement, hypogonadism only): | 100-200 mg IM/SubQ once weekly OR 50-100 mg twice weekly (split dosing flatter — increasingly preferred) | once weekly | — | — |
| Performance / supraphysiologic (NOT recommended for Dylan): | 300-600 mg/wk × 10-16 weeks + AI + PCT (SERM) | 2x/week | — | 10-16 week |
Auto-extracted from dosing notes. For full context including caveats and Dylan-specific protocols, see the Dosing protocols section.
▸Quality indicators5 checks
▸ What to expect From notes
- 1Onset(TRT 100-200 mg/wk): Subtle. Energy, morning erections, sleep, mood improve over 2-6 weeks. Body comp shift…
- 2Onset(supraphysiologic 400-600 mg/wk): Noticeable libido + drive surge within 1-2 weeks, training aggression, fa…
- 3PeakPlateau by week 4-6. Sustained anabolic effect for cycle duration.
- 4Taper/ post-cycle: Without PCT, crash 2-3 weeks post-last-injection (one ester half-life clearance). Profound fa…
▸ Side effects + safety
- Common (>10% users at suppressive dose):
- Testicular atrophy (universal at suppressive doses without hCG)
- Decreased spermatogenesis / oligospermia / azoospermia
- Acne, oily skin
- Water retention / edema (E2-mediated)
- Increased hematocrit / hemoglobin (less aggressive than enanthate at equal dose, anecdotally)
- Injection site soreness (PIP — less PIP than propionate, equivalent to enanthate)
- Less common (1-10%):
- Gynecomastia (E2-driven, especially without AI in supra dosing)
- Mood lability / irritability / aggression — variable, dose-dependent
- Sleep apnea worsening
- Accelerated androgenic alopecia (in genetically susceptible — SRD5A2 dependent)
- Lipid panel deterioration (HDL ↓, LDL/ApoB ↑) — typically less severe than oral 17αAA but real
- Cottonseed oil allergy (rare; some compounders use grapeseed or MCT alternatives)
- Rare-serious (<1% but worth knowing):
- Polycythemia → thromboembolic risk (DVT, PE, stroke). Phlebotomy or blood donation if Hct >54%.
- Cardiomyopathy / LVH at chronic supraphysiologic exposure (years).
- Permanent fertility loss — reported even after PCT in some cases. Risk highest with longer cycles, higher doses, age >35, low baseline FSH.
- Prostate hypertrophy / unmasking subclinical prostate cancer.
- Sterile abscess at injection site (poor technique / contaminated UGL gear).
- Hepatic effects: minimal with injectables (vs oral 17αAA like methyltestosterone).
- Specific watch periods:
- First 8-12 weeks: monitor hematocrit, E2, libido response, mood.
- 3 months: full lipid + comprehensive panel.
- Annually: PSA + DRE if >40 or family history.
▸Interactions8 compounds
- Anastrozole / aromatase inhibitor:SynergisticManages E2 at supraphysiologic doses. Rarely needed at TRT doses; over-suppression of E2 produces joint pain, low libido, lipid issues — modern TRT trends aw…
- hCG (250-500 IU 2x/wk):SynergisticMaintains testicular volume + intratesticular T for fertility preservation in younger TRT patients; can be combined with cyp lifelong.
- Enclomiphene:SynergisticIronically used DURING cyp in some "stacked" TRT protocols to preserve LH/FSH signal — relatively novel approach.
- Finasteride (caveat):SynergisticFor hair preservation — blocks 5α-reductase; controversial trade-off (post-finasteride syndrome risk; possibly attenuates anabolic effect in muscle).
- Methyltestosterone or other oral 17αAA:AvoidHepatotoxic; redundant + dangerous. See methyltestosterone.md — strictly dominated.
- Trenbolone / Deca / other AAS in young men:AvoidEach adds specific harms (Tren = neuro/CV/sleep nightmare; Deca = prolactin, "deca dick", much longer suppression).
- High-dose stimulants (modafinil + caffeine + ECA stacks):AvoidCompounds CV strain (HR + BP + Hct).
- Alcohol (heavy):AvoidCompounds lipid + BP + hepatic load.
▸References4 sources
Depo-Testosterone (testosterone cypionate) — FDA label
current FDA prescribing information; PK, dosing, contraindications, drug interactions.
WADA Prohibited List 2026
2026S1 exogenous androgen classification (banned in and out of competition).
Testosterone cypionate — DrugBank DB13943
pharmacology, mechanism, indications, interactions.
Testosterone cypionate — PubChem CID 5995
chemical structure, CAS 58-20-8.