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Other forms of testosterone can have a more rapid effect, such as suspension (pure testosterone in an oil base)and topical (in solution). Some testosterone preparations can also include the aromatization of the testosterone molecule to estrogen, reducing the hormone's effect on the body. These preparations often consist of either the triterpenoid testosterone esters from animal sources (such as soy, walnut, and canola) or plant-based esters from the castor oil oil, coconut, or aloe plant. Side Effects of Testosterone Therapy There are no known medical risks of testosterone therapy — for some individuals, this combination of testosterone products can be the best way to maintain their athletic status and increase their testosterone levels. If you're new to testosterone treatment, it's important to discuss treatment options with your doctor. For those who would like a more long-acting method, a short-acting form of testosterone called a injectable, long-acting (2 years or more) testosterone is sometimes used alongside high-dose testosterone enanthate, which is a synthetic version of testosterone. However, both testosterone preparations can leave male-pattern hair growth and low testosterone levels. Exceptions to Testosterone Therapy Testosterone treatment is not for everyone, particularly in men who have suffered a stroke, or are at high risk of developing a stroke. Some men have higher blood pressure, diabetes, and increased risk of heart attack or strokes because of blood clotting abnormalities. Many people who use testosterone cannot tolerate the medication's side effects, including the possibility of bleeding. Those who need testosterone to be discontinued should discuss with their doctor and the local cardiovascular society, which will help decide when it's time to stop therapy. Although it works to reduce body fat, testosterone therapy is not an ideal long-term weight loss approach. Long term studies suggest that testosterone does not favorably affect energy metabolism, which could help prevent weight gain. Also, some testosterone products can increase the risk of heart disease, and even if you lose weight as a result of the treatment, the weight will return after you've restarted testosterone therapy, which usually comes in the form of a lower dose. Similar articles: