TESTOSTERONE ENANTHATE
Long-acting testosterone ester used in TRT and performance enhancement, administered via intramuscular or subcutaneous injection.
Clinical trials demonstrate that testosterone enanthate effectively restores serum testosterone in hypogonadal men and attenuates lean mass loss during severe energy deficit. A 26-week subcutaneous auto-injector study confirmed a stable pharmacokinetic profile with trough levels maintained in 82-83% of patients. Comparative studies show subcutaneous TE produces lower estradiol and hematocrit elevations than intramuscular testosterone cypionate. In gender-affirming therapy, TE achieved desired masculinizing effects comparable to testosterone undecanoate over one year. Behavioral studies at 200 mg/week during energy deficit did not reliably alter aggression, mood, or cognition. Evidence for supraphysiological performance-enhancing use is largely observational and confounded by selection bias.