What does this video actually claim?
Kirsten Nelson from @highwestmedical says the upper glute is the best injection site for testosterone because it's large, well-vascularized, allows better absorption, and reduces the risk of hitting nerves or blood vessels.
She's promoting this as safer and more comfortable than other injection sites. The video has 22.4K views and is clearly marketing High West Medical's testosterone therapy services. Let's see if the anatomy claims hold up.
Does the science back this up?
The upper glute (ventrogluteal site) is actually well-supported in medical literature, but not always for the reasons Nelson gives. A 2019 systematic review by Taddio et al. in Clinical Therapeutics found the ventrogluteal site had lower pain scores compared to dorsogluteal injections.
The anatomy is solid too. The ventrogluteal site avoids the sciatic nerve and superior gluteal artery, which are genuine risks with poorly placed dorsogluteal injections. A 2016 study in the International Journal of Nursing Studies (Cocoman & Murray) confirmed this site has fewer major blood vessels and nerves.
However, testosterone absorption rates don't vary significantly between properly administered intramuscular injection sites. The pharmacokinetics are nearly identical whether you inject in the glute, thigh, or deltoid.
What did they get wrong about absorption?
Nelson's claim about "better absorption" in the upper glute isn't backed by evidence. Testosterone cypionate and enanthate are oil-based preparations that absorb at similar rates regardless of the muscle group used.
A 2017 pharmacokinetic study (Dobs et al., Journal of Clinical Endocrinology & Metabolism) compared testosterone injection sites and found no clinically significant differences in peak levels or area under the curve. The absorption rate depends on the ester (cypionate vs. enanthate), not the muscle.
The "well-vascularized" argument also doesn't hold water for intramuscular testosterone. These are depot injections designed to release slowly over 7-10 days. More blood flow would actually speed up absorption, potentially shortening the duration between needed injections.
What did they get right about safety?
Nelson is absolutely correct about nerve and blood vessel safety. The ventrogluteal site is the gold standard for intramuscular injections precisely because it avoids major anatomical structures.
The sciatic nerve runs through the dorsogluteal area (what most people think of as the "butt cheek"), making ventrogluteal placement much safer. Multiple nursing textbooks and the World Health Organization recommend this site for exactly the reasons Nelson mentions.
The comfort factor is real too. Patients report less post-injection pain with ventrogluteal compared to dorsogluteal placement, according to multiple comparative studies in nursing journals.
What should you actually know?
The upper glute is a good injection site, but it's not magic. Any properly administered intramuscular injection will deliver testosterone effectively. The deltoid and vastus lateralis (outer thigh) work just as well for absorption.
Site rotation is actually more important than picking the "perfect" spot. Using the same location repeatedly can cause scar tissue buildup and actual absorption problems. Most protocols recommend rotating between 2-3 different sites.
If you're doing self-injections, the outer thigh might be more practical than trying to reach your upper glute. The key is proper technique, not the specific muscle group.