It is administered as a once-weekly subcutaneous injection
McMurray JJ, Solomon SD, Inzucchi SE, Kber L, Kosiborod MN, Martinez FA, et al
Understanding Androgens and Female Hair Loss: Even though they're called "male hormones," all women produce androgens like testosterone and DHT (dihydrotestosterone)
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But with a 2mg/mL concentration (5mL of water added), that same 4mg dose requires 2.0mL of liquid, which is an entire insulin syringe worth and creates a large, uncomfortable injection volume