What did @taylorreidcoachin actually say?
The creator shared a personal switch from testosterone cream to injections, saying the cream "completely changed my life" but that she moved to injections because the cream "wasn't as consistent over time." She also noted that absorption varies by region, saying it "doesn't always absorb evenly into the skin" depending on where you live. She framed creams as still being "the easiest and most accessible way" for women to get testosterone.
This is a personal experience account, not a clinical recommendation, and she's reasonably clear about that framing. The claims are narrow and mostly anecdotal, which limits how much we can push back, but some of the underlying science is worth scrutinizing.
Does the science back this up?
Partially, yes. The absorption variability claim is real and well-documented, though the geography framing is a little loose. The consistency argument for injections has genuine clinical support, but it comes with tradeoffs the video doesn't mention.
Transdermal testosterone in women does show significant inter-individual and intra-individual variability. A 2019 study by Davis et al. in The Lancet Diabetes and Endocrinology noted that serum testosterone levels after topical application vary considerably between patients due to skin thickness, body site, sweating, and product transfer risk. That's real. The "depending on the area that you live in" framing is murkier. Climate and humidity can affect transdermal absorption rates, but there's no robust clinical literature specifically linking geographic region to cream absorption outcomes in women on TRT. That part is an overstatement.
On injections: testosterone cypionate and enanthate do produce more predictable pharmacokinetic profiles. But they also create peak-and-trough cycling that some women find difficult to manage hormonally. A 2021 review by Glaser and Dimitrakakis in Maturitas noted that pellet therapy actually outperforms both injections and creams for stable serum levels in women, something this video doesn't address at all.
What did they get wrong (or right)?
She got the absorption variability point mostly right. Transdermal testosterone is genuinely inconsistent across individuals, and switching to injections for more predictable levels is a clinically reasonable personal decision. Credit where it's due.
What she got wrong, or at least incomplete: framing injections as simply more consistent without acknowledging the hormonal swings that come with injection cycles. Women are particularly sensitive to testosterone fluctuations, and the peak-and-trough pattern from weekly or biweekly injections can cause symptoms including mood changes, acne flares, and libido instability. The Davis et al. 2019 Lancet review on testosterone for women specifically flagged dosing precision as a key challenge across all delivery methods, not just creams.
The geographic absorption claim also doesn't have strong clinical backing. Skin condition, application site, and body composition are better-documented variables than where you happen to live. Stating it that casually could mislead viewers into thinking their cream isn't working because of their zip code rather than their application technique or dosage calibration.
What should you actually know?
If you're a woman considering testosterone therapy, the delivery method question is genuinely complicated, and there's no universally superior option. Here's what the evidence actually supports.
- Transdermal creams and gels have the most clinical data for women, largely because they've been studied longer. They allow for dose flexibility and are easier to adjust.
- Injections produce more stable serum levels on average, but the peak-and-trough pattern matters. Some women do better; some don't.
- Pellets have shown strong consistency data but involve a minor procedure and are difficult to reverse if you have a bad response.
- No delivery method is one-size-fits-all. The 2019 Global Consensus Position Statement on testosterone therapy for women, published in The Journal of Clinical Endocrinology and Metabolism, concluded that physiologic dosing via any approved or compounded method requires individualized monitoring.
The creator isn't doing anything dangerous here. But this is a personal testimony being shared to an audience of thousands, and personal testimony isn't a substitute for working with a clinician who can check your labs, assess your symptoms, and adjust accordingly. If your cream isn't working, the answer might be your application technique, not your delivery method entirely.