HCG 6,000iu vial (lyophilized)
Bacteriostatic Water or Sodium Chloride 0.9% + Mixing Syringe provided
Human Chorionic Gonadotropin (HCG) is a gonad-stimulating polypeptide hormone, which mimics LH (Luteinizing Hormone) from the pituitary gland to stimulate Leydig cells of the testes to produce testosterone and sperm. However, it shuts down LH production just like testosterone therapy. HCG is produced by the human placenta, a sterile product derived from the urine of pregnant females. When used in conjunction with testosterone replacement therapy (TRT), it can potentiate increases in estradiol, hematocrit, edema and/or acne. Latest data shows that some men on TRT with hCG were able to remain fertile.
This medication will arrive in freeze-dried or 'lyophilized' form, along with bacteriostatic water and a mixing syringe to assist with reconstitution prior to injection. Administered via subcutaneous injection once the vial is mixed with diluent (Bacteriostatic water or Sodium Chloride 0.9% and mixing syringe will be provided, needles/syringes for injection are ordered separately).
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Each bottle of HCG will arrive lyophilized (in powder form) and will need to be reconstituted (mixed) with a separate solution (diluent). The diluent is Bacteriostatic Water for Injection, USP containing 0.9% Benzyl Alcohol added as an antimicrobial preservative. Refrigerate after reconstitution.
Step 1: Remove the caps from the HCG 6,000 unit vial of powder and bacteriostatic water vial. Wipe the tops with the alcohol swabs and let dry.
Note: if using a 3ml/cc mixing syringe steps 2 - 6 will need to be completed 2 times (in 3mL increments) to transfer all the fluid into the powder.
Step 2: Using the mixing syringe tighten the needle to the hub then pull hack the plunger to bring in 6 mL/cc of air. Step 3: Push the plunger in to add 6 mL of air to the vial and then draw out 6 mL of bacteriostatic water by slowly pulling the plunger back out.
Step 4: Remove the needle from the bacteriostatic water vial and insert it into the HCG 6,000 unit vial of powder.
Step 5: Push the plunger to release the 6 mL of bacteriostatic water into the HCG 6,000 unit vial of powder.
Step 6: Draw out the same volume of air that you've injected (6 mL) from the HCG 6,000 unit medication vial before pulling the needle out. This will keep the pressure equal within the vial. Gently swirl (do not shake) the HCG 6,000 unit vial around until the solution is clear.
Step 7: Discard the remaining bacteriostatic water and refrigerate the HCG 6,000 unit vial.
Subcutaneous shots can be given straight in at a 90-degree angle, or at a 45-degree angle. You can give the shot at a 90-degree angle if 2 inches of skin can be grasped between your thumb and first (index) finger. If only 1 inch of skin can be grasped, give the shot at a 45-degree angle
Where can I give a subcutaneous shot?
There are many sites on the body that are safe to give Subcutaneous shots.
How do I inject medication into subcutaneous tissue?
How to transfer contents from vial to syringe
First, remove the plastic cap from the medication vial and use an alcohol wipe to cleanse the rubber stopper. With a fresh, unused syringe, pull back on the plunger to the amount you are injecting, bringing air into the syringe. Now, remove the plastic cap from the needle. Insert the needle into the vial and slowly push (inject) the air from the syringe into the vial. This will displace the liquid in the vial when you withdraw the medication. Turn the vial and syringe upside down and carefully draw the fluid back into the syringe to the line designating the desired amount of medication. If you see any air bubbles, lightly tap or flick the syringe to draw the bubbles to the top (the end with the needle) and expel the air. Note that a small amount of medication may release as well. This is normal. You are now ready to inject.
Where can I give an intramuscular shot?
The skin and the muscles under the skin cover nerves, blood vessels and bones. It is important to give a shot where you will not hurt any of these body parts. There are 6 possible areas, 3 on each side of the body, where an Intramuscular (IM) shot can be given. It is important to choose the correct area. If caregivers showed you what areas are safe, follow their directions. Constantly change the area where you give shots. If you give a shot in the same place every day or even every week, scar tissue can build up. The scar tissue can negatively affect how the medication will work. Following this information will help you choose the safest areas to give an intramuscular injection.
How do I choose the best muscle for the shot?
If your caregivers have told you which muscle to use, follow their directions. Many change with age. For example, the rear-end area is never used for infants or children under 3-years old because it is not developed well enough. The deltoid may work well for a person with developed muscles in the upper body. The deltoid cannot be used if that area is very thin or underused. The muscle must be easy to reach.
How do I inject nutrients into a muscle?
You can purchase a Sharps Container, a hard-plastic container made for used syringes and needles, at your local pharmacy. If you did not purchase this container with your medication, you can use a hard-plastic container with a screw-on top such as a clothing softener or hard plastic detergent bottle. Be sure you can put both the syringe and the needle into the container easily. Whatever container you choose, be sure needles cannot break through the sides, bottom or top. Call your primary care physician or your local pharmacy to find out what your state or local requirements are for disposing of used syringes and needles.
Once mixed, keep HCG in the refrigerator. Prior to being mixed, HCG can be kept at room temperature although it is good habit to store unmixed HCG in the refrigerator. If HCG is left out of the fridge after being mixed it will not damage the medication. Try not to keep it unrefrigerated for more than 72 hours after being mixed. You may continue to use this refrigerated mixture for up to 60 days
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