Process for Telehealth:

1) Complete New Patient In-take Form

2) Schedule your Initial Telehealth Consultation

3) Get your lab work on your own time – To find a Labcorp near you follow this link: https://www.labcorp.com/labs-and-appointments-advanced-search.

4) Follow up to review labs – Phone Consultation or In-Office Appointment with Nurse Practitioner

5) Rx Delivery – medicine is delivered to patient’s door from a licensed US pharmacy

What is a Sub-Q injection?

A subcutaneous injection is a method of administering medication. Subcutaneous means under the skin. In this type of injection, a short needle is used to inject a drug into the tissue layer between the skin and the muscle. Medication given this way is usually absorbed more slowly than if injected into a vein, sometimes over a period of 24 hours.

Preparing the Injection

Your doctor and/or clinic nurse will instruct you on preparing your dose of medication.

Giving Yourself the Injection

1. Select your injection site. This must be an area that has a layer of fat between the skin and the muscle. This is called subcutaneous. The following parts of your body have subcutaneous layers:

     a. Outer surface of the upper arm

     b. Top of thighs

     c. Buttocks

     d. Abdomen, except the navel or waistline

     e. If you are very thin do not use the abdomen as an injection site.

     f. Do not use the same site for injections each time.

     g. Rotate your injection sites in a regular pattern. You should be at least 1 ½ inches away from the last injection site. Jot down on your calendar where you gave you last shot. This will help prevent giving the shot in the same place too soon.

2. Select a site and cleanse the area (about 2 inches) with a fresh alcohol pad, or cotton ball soaked in alcohol. Wait for the site to dry.

3. Remove the needle cap. Pinch a 2-inch fold of skin between your thumb and index finger.

4. Hold the syringe the way you would a pencil or dart. Insert the needle at a 45-to-90-degree angle to the pinched-up skin. The needle should be completely covered by skin. If you do this quickly, you will feel very little discomfort.

5. Hold the syringe with one hand. With the other, pull back the plunger to check for blood. If you see blood in the solution in the syringe, do not inject. Withdraw the needle and start again at a new site.  If you do not see blood, slowly push the plunger to inject the medication. Press the plunger all the way down.

6. Remove the needle from the skin and gently hold an alcohol pad on the injection site. Do not rub.  If there is bleeding, apply a bandage.

7. Immediately put the syringe and needle into the disposal container.

All TRT patients must be at least 18 years of age and submit a copy of their Driver’s License.