Jack Testosterone
Replacement Program:
Your TRT® Prescription
Your TRT® Prescription
Welcome to the program! 👋🏻
Welcome to the program! 👋🏻
We’re glad you’re here.
We want to thank you for choosing Jack Health. This webpage overviews the most important information about your TRT® prescription:
Are you on another medication in addition or instead of testosterone? check out this page here:
Continue scrolling or click on the above links to navigate to the specific section.
We’re glad you’re here.
We want to thank you for choosing Jack Health. This webpage overviews the most important information about your TRT® prescription:
Are you on another medication in addition or instead of testosterone? check out this page here:
Continue scrolling or click on the above links to navigate to the specific section.
Product Information
Product Information
Here’s a quick breakdown of your new prescription:
What is TRT?
Testosterone is a hormone found in the body that helps promote male characteristics and maintain normal development.
Testosterone Replacement Therapy (TRT) is a medical treatment for low testosterone.
Approximately 25% of men aged 40-62 years experience low testosterone.
Testosterone comes in several forms, including oral capsules, topical patch and cream, and injection. They all work to increase levels of testosterone in your body.
Testosterone levels in a normal range positively affect your vitality, libidio and energy levels.
How do I know if I have low T?
Common symptoms of low testosterone include decreased libido, fatigue, erectile dysfunction and mood changes.
However, you must also complete bloodwork to determine if your testosterone levels are also low, and that there is not another primary cause for these symptoms.
What causes low T?
There can be several other medical conditions that can decrease your testosterone or are associated with low testosterone such as obesity, sleep apnea, type 2 diabetes, metabolic syndrome, osteoporosis, HIV/AIDs and some medications.
Improving testosterone levels can help improve body composition in these conditions, notably, metabolic syndrome and obesity with a combination of dietary changes and exercise.
Here’s a quick breakdown of your new prescription:
What is TRT?
Testosterone is a hormone found in the body that helps promote male characteristics and maintain normal development.
Testosterone Replacement Therapy (TRT) is a medical treatment for low testosterone.
Approximately 25% of men aged 40-62 years experience low testosterone.
Testosterone comes in several forms, including oral capsules, topical patch and cream, and injection. They all work to increase levels of testosterone in your body.
Testosterone levels in a normal range positively affect your vitality, libidio and energy levels.
How do I know if I have low T?
Common symptoms of low testosterone include decreased libido, fatigue, erectile dysfunction and mood changes.
However, you must also complete bloodwork to determine if your testosterone levels are also low, and that there is not another primary cause for these symptoms.
What causes low T?
There can be several other medical conditions that can decrease your testosterone or are associated with low testosterone such as obesity, sleep apnea, type 2 diabetes, metabolic syndrome, osteoporosis, HIV/AIDs and some medications.
Improving testosterone levels can help improve body composition in these conditions, notably, metabolic syndrome and obesity with a combination of dietary changes and exercise.
How to Use & Keep Using
How to Use & Keep Using
Here’s how to use the medication
Apply gel to clean, dry, intact skin of the shoulders and upper arms and/or abdomen. If you are using a compounded cream, apply one pump to the shoulders or upper arms.
One half (½) of the contents of the packet should be squeezed into the palm of the hand and immediately applied to the application sites. Once the first half of the packet has been applied, the second half of the packet should be applied in the same manner.
Application sites should be allowed to dry for 10 minutes prior to dressing. Hands should be washed with soap and water immediately after testosterone gel has been applied.
Here’s how to use the medication
Apply gel to clean, dry, intact skin of the shoulders and upper arms and/or abdomen. If you are using a compounded cream, apply one pump to the shoulders or upper arms.
One half (½) of the contents of the packet should be squeezed into the palm of the hand and immediately applied to the application sites. Once the first half of the packet has been applied, the second half of the packet should be applied in the same manner.
Application sites should be allowed to dry for 10 minutes prior to dressing. Hands should be washed with soap and water immediately after testosterone gel has been applied.
Testosterone gel should not be applied to the genital area or chest or to damaged skin
Testosterone gel should be applied daily to clean, dry, healthy, intact skin.
For optimal absorption of testosterone, you should wait at least 5-6 hours after application prior to showering or swimming. However showering or swimming after just 1 hour should have a minimal effect on the amount of testosterone gel absorbed if done very infrequently.
Testosterone gel should not be applied to the genital area or chest or to damaged skin
Testosterone gel should be applied daily to clean, dry, healthy, intact skin.
For optimal absorption of testosterone, you should wait at least 5-6 hours after application prior to showering or swimming. However showering or swimming after just 1 hour should have a minimal effect on the amount of testosterone gel absorbed if done very infrequently.
Tips & Precautions
Tips & Precautions
Women and children should not have contact with testosterone gel as it can cause the development of male secondary sexual characteristics. Changes in body hair distribution, significant increase in acne, or other signs of the development of masculine traits in the female partner or in any person (including children) should be assessed. Children and women should avoid contact with unwashed or unclothed application site(s) of men using testosterone gel.
To minimize the potential for transfer to others, patients using testosterone gel should apply the product as directed and strictly adhere to the following:
Transference of testosterone gel to another person can be completely prevented when the application site is covered with a long-sleeved shirt (cotton-polyester blend).
Wash hands with soap and water after application.
Cover the application site(s) with clothing after the gel has dried.
Wash the application site(s) thoroughly with soap and water prior to any situation where skin-to-skin contact of the application site with another person is anticipated.
In the events that unwashed or unclothed skin to which testosterone gel has been applied and/or that the testosterone gel user’s unwashed shirts and/ or other fabrics (such as towels and sheets) come in direct contact with the skin of another person, the general area of contact on the other person should be washed with soap and water.
Healthy lifestyle habits can also help manage certain symptoms. In fact, obesity increases the symptoms associated with andropause. Exercising frequently, maintaining a healthy diet, learning to better manage stress, and quitting smoking can also help treat the symptoms of andropause. Finally, frequent sexual intercourse helps stimulate testosterone production.
Women and children should not have contact with testosterone gel as it can cause the development of male secondary sexual characteristics. Changes in body hair distribution, significant increase in acne, or other signs of the development of masculine traits in the female partner or in any person (including children) should be assessed. Children and women should avoid contact with unwashed or unclothed application site(s) of men using testosterone gel.
To minimize the potential for transfer to others, patients using testosterone gel should apply the product as directed and strictly adhere to the following:
Transference of testosterone gel to another person can be completely prevented when the application site is covered with a long-sleeved shirt (cotton-polyester blend).
Wash hands with soap and water after application.
Cover the application site(s) with clothing after the gel has dried.
Wash the application site(s) thoroughly with soap and water prior to any situation where skin-to-skin contact of the application site with another person is anticipated.
In the events that unwashed or unclothed skin to which testosterone gel has been applied and/or that the testosterone gel user’s unwashed shirts and/ or other fabrics (such as towels and sheets) come in direct contact with the skin of another person, the general area of contact on the other person should be washed with soap and water.
Healthy lifestyle habits can also help manage certain symptoms. In fact, obesity increases the symptoms associated with andropause. Exercising frequently, maintaining a healthy diet, learning to better manage stress, and quitting smoking can also help treat the symptoms of andropause. Finally, frequent sexual intercourse helps stimulate testosterone production.
Storage, Stability, Disposal
Storage, Stability, Disposal
Store the testosterone gel packets at controlled room temperature between 15° – 30°C. Testosterone Gel packets should be discarded in household trash in a manner that prevents accidental application or ingestion by household members, especially nursing/pregnant women and children. Keep the box, and throw all the empty packets out in the box! The medication expiry date is listed on each packet and is also on the side of the box.
Store the testosterone gel packets at controlled room temperature between 15° – 30°C. Testosterone Gel packets should be discarded in household trash in a manner that prevents accidental application or ingestion by household members, especially nursing/pregnant women and children. Keep the box, and throw all the empty packets out in the box! The medication expiry date is listed on each packet and is also on the side of the box.
Side Effects
Side Effects
Remember, this medication is just for you. Side effects can occur, but not everyone gets them.
Common side effects:
Acne
Headache
Skin irritation, redness or rash at the application site
Abnormal lab test results (hematocrit, hemoglobin, PSA)
Urinary symptoms
Change in mood
Loss of hair and baldness
High blood pressure
Weight gain
Low sperm count (Oligospermia)
Uncommon side effects:
Testis disorders
Enlarged prostate (benign prostatic hyperplasia)
Depression
Prolonged or painful erection
Sleep disturbances caused by breathing problems (sleep apnea)
Aggression or aggressive behaviour
Breast enlargement and breast pain (Gynecomastia)
Increased or irregular heart rate
Blood clot in the lungs or the legs
Remember, this medication is just for you. Side effects can occur, but not everyone gets them.
Common side effects:
Acne
Headache
Skin irritation, redness or rash at the application site
Abnormal lab test results (hematocrit, hemoglobin, PSA)
Urinary symptoms
Change in mood
Loss of hair and baldness
High blood pressure
Weight gain
Low sperm count (Oligospermia)
Uncommon side effects:
Testis disorders
Enlarged prostate (benign prostatic hyperplasia)
Depression
Prolonged or painful erection
Sleep disturbances caused by breathing problems (sleep apnea)
Aggression or aggressive behaviour
Breast enlargement and breast pain (Gynecomastia)
Increased or irregular heart rate
Blood clot in the lungs or the legs
Contraindications, warnings and drug interactions
Contraindications, warnings and drug interactions
Testosterone replacement therapy (TRT) is not suitable for everyone. There are some medical conditions and situations where TRT should be avoided or used with caution.Common side effects:
Contraindications:
Prostate cancer or breast cancer: If you have a history of prostate cancer or breast cancer, TRT is not recommended as it can promote growth of these types of cancer cells.
Pregnancy and breastfeeding: TRT is contraindicated in women who are pregnant or breastfeeding as it can cause harm to the fetus or infant.
Warnings:
Liver or kidney disease, heart disease, high cholesterol or blood pressure, and diabetes: If you have any of these conditions, it is important to talk to your doctor before starting TRT as it can worsen these conditions.
Sleep apnea: TRT can worsen sleep apnea, which is a condition where breathing is interrupted during sleep. If you have sleep apnea, it is important to discuss the risks and benefits of TRT with your doctor before starting treatment.
Drug Interactions:
Certain medications can interact with TRT and increase the risk of side effects. It is important to inform your doctor of all medications, including over-the-counter and herbal supplements, that you are taking before starting TRT.
If you have any concerns about whether TRT is right for you, don’t hesitate to use the medical chat and discuss the potential benefits and risks of treatment.
Testosterone replacement therapy (TRT) is not suitable for everyone. There are some medical conditions and situations where TRT should be avoided or used with caution.Common side effects:
Contraindications:
Prostate cancer or breast cancer: If you have a history of prostate cancer or breast cancer, TRT is not recommended as it can promote growth of these types of cancer cells.
Pregnancy and breastfeeding: TRT is contraindicated in women who are pregnant or breastfeeding as it can cause harm to the fetus or infant.
Warnings:
Liver or kidney disease, heart disease, high cholesterol or blood pressure, and diabetes: If you have any of these conditions, it is important to talk to your doctor before starting TRT as it can worsen these conditions.
Sleep apnea: TRT can worsen sleep apnea, which is a condition where breathing is interrupted during sleep. If you have sleep apnea, it is important to discuss the risks and benefits of TRT with your doctor before starting treatment.
Drug Interactions:
Certain medications can interact with TRT and increase the risk of side effects. It is important to inform your doctor of all medications, including over-the-counter and herbal supplements, that you are taking before starting TRT.
If you have any concerns about whether TRT is right for you, don’t hesitate to use the medical chat and discuss the potential benefits and risks of treatment.
Pharmacy FAQs
Pharmacy FAQs
How do I get my prescription?
Once your prescription is ready you can either pick it up at our on site location (Unit 400-2620 Bristol Cir, Oakville, ON L6H 6Z7) or have your medication delivered monthly to your home for free. We ship across Canada to all regions except for: New Brunswick, Northwest Territories, Prince Edward Island, Nunavut, and Yukon. Once your order has been processed, you’ll be provided with a tracking number and can expect your delivery within 3-5 days. You will need to sign for your package, or pick it up with valid ID from Canada Post.
How do I get a refill?
You will be auto-refilled every 1-3 months as long as you remain on the program and keep up with your bloodwork.
How do we connect if there’s any problems?
If you have questions about your prescription or dosage, you can contact our pharmacists at pharmacy@jackhealth.ca
You can also contact our Virtual Care Coordinator, Bianca Wallace, at bianca.jessica@jackhealth.ca
For other medical questions, like side effects, log into your account and head to the Medical Chat tab.
How does follow up work?
During month 1-3:
We start regular check-ins and content to track and support your progress
You will receive several emails from us about how to build healthy habits – written by our medical team.
You will chat with our medical team every 3 months to check your symptoms, and reivew your bloodwork.
Every 3 months thereafter:
Every three months you’ll get new bloodwork done so we can review and make sure you’re progressing well and no issues are coming up.
A nurse practitioner follow up and review will be every 3-5 months
How do I get my prescription?
Once your prescription is ready you can either pick it up at our on site location (Unit 400-2620 Bristol Cir, Oakville, ON L6H 6Z7) or have your medication delivered monthly to your home for free. We ship across Canada to all regions except for: New Brunswick, Northwest Territories, Prince Edward Island, Nunavut, and Yukon. Once your order has been processed, you’ll be provided with a tracking number and can expect your delivery within 3-5 days. You will need to sign for your package, or pick it up with valid ID from Canada Post.
How do I get a refill?
You will be auto-refilled every 1-3 months as long as you remain on the program and keep up with your bloodwork.
How do we connect if there’s any problems?
If you have questions about your prescription or dosage, you can contact our pharmacists at pharmacy@jackhealth.ca
You can also contact our Virtual Care Coordinator, Bianca Wallace, at bianca.jessica@jackhealth.ca
For other medical questions, like side effects, log into your account and head to the Medical Chat tab.
How does follow up work?
During month 1-3:
We start regular check-ins and content to track and support your progress
You will receive several emails from us about how to build healthy habits – written by our medical team.
You will chat with our medical team every 3 months to check your symptoms, and reivew your bloodwork.
Every 3 months thereafter:
Every three months you’ll get new bloodwork done so we can review and make sure you’re progressing well and no issues are coming up.
A nurse practitioner follow up and review will be every 3-5 months
General FAQs
General FAQs
Can I drink alcohol while on this medication?
In general, drinking alcohol excessively can have short and long term effects to hormone balance, including testosterone – the primary male sex hormone. Alcohol can disrupt testosterone productions by interfering with the glands that secrete testosterone. Heavy drinkers (i.e. more than 15 drinks/week) tend to have lower testosterone levels than those who consume a moderate amount of alcohol.
Thus, in general, it is recommended to minimize the consumption of alcohol while on testosterone replacement therapy – in order to increase the efficacy of therapy.
What if I get sick with a flu or flu like symptoms while on treatment?
While rare, it’s possible to experience flu like symptoms while on testosterone replacement therapy. These side effects should be temporary and manageable with rest, adequate fluid intake and over the counter medications like Advil and Tylenol for pain management. Please reach out to our team if you are having prolonged flu like side effects or severe issues while on treatment.
Can I switch medications if it doesn’t work?
There are different formulations of testosterone available as replacement therapy, including patches, injections, gels and capsules. However, all have a side effect profile that may be unfavourable to many patients. As well, these products are frequently back ordered or discontinued by the manufacturer. If you’re experiencing side effects related to the dosage form chosen for you, please speak to our health care providers to discuss your concerns.
In terms of knowing whether or not therapy is working for you, effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer. Please keep these timelines in mind while on therapy and give it time to work! If you have concerns, please use the medical chat to discuss them with our health care providers.
Can I drink alcohol while on this medication?
In general, drinking alcohol excessively can have short and long term effects to hormone balance, including testosterone – the primary male sex hormone. Alcohol can disrupt testosterone productions by interfering with the glands that secrete testosterone. Heavy drinkers (i.e. more than 15 drinks/week) tend to have lower testosterone levels than those who consume a moderate amount of alcohol.
Thus, in general, it is recommended to minimize the consumption of alcohol while on testosterone replacement therapy – in order to increase the efficacy of therapy.
What if I get sick with a flu or flu like symptoms while on treatment?
While rare, it’s possible to experience flu like symptoms while on testosterone replacement therapy. These side effects should be temporary and manageable with rest, adequate fluid intake and over the counter medications like Advil and Tylenol for pain management. Please reach out to our team if you are having prolonged flu like side effects or severe issues while on treatment.
Can I switch medications if it doesn’t work?
There are different formulations of testosterone available as replacement therapy, including patches, injections, gels and capsules. However, all have a side effect profile that may be unfavourable to many patients. As well, these products are frequently back ordered or discontinued by the manufacturer. If you’re experiencing side effects related to the dosage form chosen for you, please speak to our health care providers to discuss your concerns.
In terms of knowing whether or not therapy is working for you, effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer. Please keep these timelines in mind while on therapy and give it time to work! If you have concerns, please use the medical chat to discuss them with our health care providers.
Contact Us
Contact Us
For general questions, you can reach us at: hello@jack.health or by chatting with us on our website.
If you have questions about your prescription or dosage, you can contact our pharmacists at pharmacy@jackhealth.ca or by phone at 905-291-7970.
For other medical questions, like side effects, log into your account and head to the Medical Chat tab.
For general questions, you can reach us at: hello@jack.health or by chatting with us on our website.
If you have questions about your prescription or dosage, you can contact our pharmacists at pharmacy@jackhealth.ca or by phone at 905-291-7970.
For other medical questions, like side effects, log into your account and head to the Medical Chat tab.
Extra Reading
Extra Reading
If you’d like to read the full product instruction booklet from the manufacturer, click here. Testosterone gel monograph: https://pdf.hres.ca/dpd_pm/00039196.PDF
If you’d like to read the full product instruction booklet from the manufacturer, click here. Testosterone gel monograph: https://pdf.hres.ca/dpd_pm/00039196.PDF
If you’d like to read the full product instruction booklet from the manufacturer, click here. Testosterone gel monograph: https://pdf.hres.ca/dpd_pm/00039196.PDF
Tried and trusted by thousands
Andrew K.
Great experience. Easy to order, the chat room style consultation with the Dr was very convenient. A day or two later they send your order via a priority speed courier. Package arrives in 2 days. Loving the daily use low dose product that I ordered!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
James B.
Always fast and easy transaction with quick delivery. Can’t beat the price- esp when the sales are on. Thanks for a great product! I’ll continue using your services.
Darcy
Excellent customer service along with a variety of helpful products and QUICK shipping. Highly recommend for any of your needs!!
Troy L.
I have used this company a lot and everything was ordered and sent in great time and recieved fast service.
Kim J.
The entire process was easy. Simple consultation, free fast shipping, Second order (refill) even easier than the first as no consultation required, just input order on line and 3-4 days later it’s done. Very pleased, and so was my wife.
Roger Z.
I easily order from jack health and Boom! It's in my mailbox in a few days! I would recommend to anyone!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
Tried and trusted by thousands
Andrew K.
Great experience. Easy to order, the chat room style consultation with the Dr was very convenient. A day or two later they send your order via a priority speed courier. Package arrives in 2 days. Loving the daily use low dose product that I ordered!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
James B.
Always fast and easy transaction with quick delivery. Can’t beat the price- esp when the sales are on. Thanks for a great product! I’ll continue using your services.
Darcy
Excellent customer service along with a variety of helpful products and QUICK shipping. Highly recommend for any of your needs!!
Troy L.
I have used this company a lot and everything was ordered and sent in great time and recieved fast service.
Kim J.
The entire process was easy. Simple consultation, free fast shipping, Second order (refill) even easier than the first as no consultation required, just input order on line and 3-4 days later it’s done. Very pleased, and so was my wife.
Roger Z.
I easily order from jack health and Boom! It's in my mailbox in a few days! I would recommend to anyone!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
Tried and trusted by thousands
Andrew K.
Great experience. Easy to order, the chat room style consultation with the Dr was very convenient. A day or two later they send your order via a priority speed courier. Package arrives in 2 days. Loving the daily use low dose product that I ordered!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
James B.
Always fast and easy transaction with quick delivery. Can’t beat the price- esp when the sales are on. Thanks for a great product! I’ll continue using your services.
Darcy
Excellent customer service along with a variety of helpful products and QUICK shipping. Highly recommend for any of your needs!!
Troy L.
I have used this company a lot and everything was ordered and sent in great time and recieved fast service.
Kim J.
The entire process was easy. Simple consultation, free fast shipping, Second order (refill) even easier than the first as no consultation required, just input order on line and 3-4 days later it’s done. Very pleased, and so was my wife.
Roger Z.
I easily order from jack health and Boom! It's in my mailbox in a few days! I would recommend to anyone!
Ryley M.
Jack Health has been absolutely incredible to deal with. I was able to switch my TRT provider to Jack Health easily. Customer service was amazing and the doc that I am dealing with is down to earth and knows what he is talking about.
