
A four-active sublingual troche supporting natural testosterone production, adrenal hormone balance, and reliable erectile function in one daily dose.
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Individual results may vary. Benefits described are based on clinical and pharmacological evidence and do not constitute a guarantee of treatment outcomes. All treatment requires evaluation and approval by a licensed provider.




All eligibility is reviewed by a licensed medical professional
A compounded sublingual troche combining gonadorelin, pregnenolone, DHEA, and tadalafil to support hormonal axis stimulation, steroidogenic precursor availability, and erectile function in one daily dose. Doses are listed on your order form.
Men experiencing age-related decline in testosterone, adrenal androgen output, and erectile function who want comprehensive hormonal and sexual health support without multiple separate prescriptions. Provider evaluation is required before starting.
Yes. Gonadorelin and tadalafil are prescription-only medications. This compounded troche requires a valid prescription from a licensed provider.
Gonadorelin: mild flushing or headache. Pregnenolone and DHEA: acne, oily skin, or mild hormonal effects including elevated estradiol in susceptible individuals. Tadalafil: headache, flushing, nasal congestion, and back pain. Tadalafil is absolutely contraindicated with nitrates in any form.
Anyone taking nitrates in any form must not use this product due to the tadalafil component. Not for patients with hormone-sensitive malignancies, severe cardiovascular disease, or primary hypogonadism. Not for use in women.
Tadalafil interacts significantly with nitrates (absolute contraindication), alpha-blockers, and strong CYP3A4 inhibitors. DHEA may affect estradiol and androgen levels in patients on hormonal therapies. Disclose all medications to your provider.
Cardiovascular conditions, hepatic impairment, and hormone-sensitive conditions require provider evaluation before starting. Hormone levels including testosterone, DHEA-S, and estradiol should be monitored during treatment.
Licensed Provider
Licensed Pharmacy
HIPAA Compliant
LegitScript Certified

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The information and clinical services described on this website are for educational and informational purposes only and are not intended to diagnose, treat, cure, or prevent any disease. All treatments require evaluation and approval by a licensed healthcare provider through a telemedicine consultation. Treatment approval is not guaranteed. Individual results may vary, and treatments may carry risks and side effects. Certain compounded medications, wellness treatments, or off-label uses may not be evaluated by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality unless explicitly stated. Testosterone Shots provides telehealth consultations, clinical review, care coordination, lab-related services, membership services, and ongoing treatment management. Testosterone Shots is not a pharmacy and does not manufacture, compound, dispense, sell, handle, warehouse, ship, or collect payment for prescription medication. Testosterone Shots collects payment only for consultations, clinical review, care coordination, lab-related services, membership services, and other non-pharmacy services. If treatment is approved, your prescription may be sent to a licensed pharmacy partner. The pharmacy contacts you directly to complete medication payment and shipping. Services are provided by licensed physicians, nurse practitioners, and/or other licensed healthcare providers in states where they are authorized to practice. This service is not intended for medical emergencies. If you are experiencing an emergency, call 911 or seek immediate medical care. We take reasonable measures to protect personal health information in accordance with applicable privacy laws, including HIPAA. By using this website or its services, you agree to our Terms of Service, Privacy Policy, Notice of Privacy Practices, Telehealth Consent, and Important Safety Information. You must be 18 years of age or older to use this service.