When measuring testosterone levels, it is critical to determine the levels of both free and total testosterone to understand the cause of any observed symptoms of deficiency (Khosla et al 2008).
Because of difficulties with equipment standardization and inter-laboratory variability, it is recommended that physicians consistently use the same local laboratories and gain familiarity with the accuracy, precision and definition of normal values for the assays offered in their communities (Morales et al 2010).
As for the flip side of testosterone cypionate, there is not much of a difference when it is compared to all other kinds of testosterone steroids . Some of these effects are simple and can be managed but others are long term effects that come with long term use in large doses. Most of these are permanent. Acne and hair loss can be managed by the cessation of the usage of testosterone cypionate but gynecomastia cannot. The presence of estrogen in the body after aromatization will lead to the development of breasts in men, which is not a pleasant sign. A lot of this female hormone is not good for women too, since it can lead to the development of male sexual characteristics which can lead to infertility due to the cessation of menstruation.
This is a common problem with pellets. If you go looking for forums on the matter, you will see that it is rather typical for patients to have a similar response somewhere around the 4th and 5th implantation. This stems from poor oversight/management, and design flaws in the pellets themselves. Keep in mind that all pellets are made the same way. This may seem beneficial at first glance, however, what this really means is that “6 months” worth of medication dissolves in a way that sends your levels far too high in the first month, and then plummeting far too fast and low in the next 2-3.