What is Testosterone Cypionate?
Testosterone Cypionate (Test C) is testosterone with a cypionate ester. In practice it is nearly identical to Testosterone Enanthate - the esters differ by just one carbon atom, the half-life is marginally longer. In the US, cypionate is the traditionally more common TRT ester, in Europe it tends to be enanthate.
This information is for research and educational purposes only. No medical advice.
How it works
Identical to test enanthate: androgen receptor activation, increased protein synthesis, nitrogen retention and erythropoiesis. Partial conversion to estradiol via aromatase.
Where it acts
One receptor, several organs
Tap a point or a card. Grey = effect seen in trials.
- Hypothalamus and pituitary
LH suppressed from the first injection, stayed suppressed with ongoing use2
Observed in trials - Blood
Haematocrit above 50 percent more often with injections than with gel or pellets3
Observed in trials - Liver and blood lipids
Cholesterol, LDL and triglycerides changed only temporarily, HDL stayed the same3
Observed in trials - Skeletal muscle
Muscle size and strength increased, study with enanthate (same testosterone once the ester is split off)1
Observed in trials
Targets in the ChEMBL database8
Compound CHEMBL1201101: one recorded mechanism, agonist with direct binding to the human receptor.
- Gene
- AR
- UniProt
- P10275
- ChEMBL
- CHEMBL1871
- Action
- Agonist, direct binding
Cypionate vs enanthate
The practical difference is negligible. Cypionate has a marginally longer half-life, both are injected 1-2x per week. If one works for you, so does the other. The choice is usually a matter of availability and habit.
Comparison
Short and long esters
The same compound at the same receptor with esters of different length, as stated in the TPD lexicon. Tap a card to open its entry.
Dosing
Dosing
Dosing, titration and syringe
Loading the dosing information …
- Getting started and stepping up, drawn as a staircase
- Units on the U-100 syringe for every step
- How long one vial lasts
What the research shows
Testosterone research applies to all esters equally, because once the ester is cleaved the same testosterone acts. The Bhasin study (NEJM, 1996) is the reference for the dose-dependent anabolic effect.
Study results
What the trials measured
Interactive: switch tabs, tap points, show or hide arms. Arms are named relative to each other, no dosing advice.
Rise after one injection2
Peak compared with baseline, 11 men with hypogonadism
Between days 2 and 7 many men were above the normal range, after 13 to 14 days all values were back at baseline. LH was suppressed from the first injection on.
PSA decline of at least half5
Share of men, randomised phase 2 trial with 195 men
Time without progression was 5.7 months in both arms. According to the registry cypionate or enanthate was allowed. Bipolar means switching between very high and very low testosterone. Research data from cancer research.
Research status
Where the research stands
Registered trials with status, participants and results. As of 26 Oct 2026. 7
- Preclinical Pharmacology of testosterone esters
- Phase 1 8 trials, 5 completed, 1 stopped early
- Phase 2 19 trials, 10 completed
- Phase 3 1 trial, 1 completed
- Approval since 1978
Show all 20 phase 2 and 3 trials on a timelineHide timeline
BAT · NCT01750398 · 33 participants, started Jan 2013, primary endpoint reached Jun 2015. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
RESTORE · NCT02090114 · 112 participants, started Aug 2014, primary endpoint reached Nov 2021. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
TRANSFORMER · NCT02286921 · 222 participants, started Jan 2015, primary endpoint reached Oct 2018. Tests several agents.
Registry entry ↗ · Results: Denmeade et al., Journal of Clinical Oncology, 2021
STP · NCT02229617 · 14 participants, started Jul 2015, primary endpoint reached May 2016.
Registry entry ↗ · Results not yet in PubMed
NCT03516812 · 36 participants, started Aug 2018, primary endpoint reached Mar 2021. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
COMBAT-CRPC · NCT03554317 · 45 participants, started Sept 2018, primary endpoint reached Oct 2022. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT03716739 · 136 participants, started Mar 2019, primary endpoint reached May 2025.
Registry entry ↗ · Results not yet in PubMed
NCT04363164 · 150 participants (planned), started Aug 2020, primary endpoint planned Jul 2027. Tests several agents.
PSMA-BAT · NCT04424654 · 20 participants, started Sept 2020, primary endpoint reached May 2022.
Registry entry ↗ · Results not yet in PubMed
ExBAT · NCT04558866 · 51 participants, started Jun 2021, primary endpoint reached Mar 2023. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
BAT-RAD · NCT04704505 · 47 participants (planned), started Apr 2022, primary endpoint planned Feb 2028. Tests several agents.
TRAPP · NCT04895306 · 36 participants, started Nov 2022, primary endpoint reached Mar 2026.
Registry entry ↗ · Results not yet in PubMed
NCT06059118 · 50 participants (planned), started Oct 2023, primary endpoint planned Jan 2027. Tests several agents.
NCT06100705 · 26 participants (planned), started Dec 2023, primary endpoint planned Dec 2027. Tests several agents.
SPECTRA · NCT06039371 · 69 participants (planned), started May 2024, primary endpoint planned Sept 2028. Tests several agents.
NCT06111209 · 30 participants (planned), started Feb 2025, primary endpoint planned Dec 2026.
COSMYC · NCT06922318 · 50 participants (planned), started Aug 2025, primary endpoint planned Aug 2031. Tests several agents.
NCT07476001 · 12 participants (planned), started Mar 2026, primary endpoint planned Sept 2027. Tests several agents.
NCT07142551 · 60 participants (planned), started Mar 2026, primary endpoint planned Jun 2030. Tests several agents.
NCT00965341 · 53 participants, started Sept 2009, primary endpoint reached Sept 2012.
Registry entry ↗ · Results not yet in PubMed
Bar: start to primary endpoint (planned for running trials). Green = completed, blue = progress until 26 Oct 2026. Phase 1: 8 trials on safety and pharmacokinetics, not shown as bars.
Side effects
- Estrogen-related: water retention, gyno risk.
- Possible hematocrit rise.
- HPTA suppression - PCT topic.
- Androgenic: acne, hair loss in predisposed individuals.
Tolerability
Haematocrit above 50 percent by formulation
Out of 100 men per group, how many had their haematocrit rise above 50 percent. Retrospective review, not a randomised trial.
| Event | Injection (cypionate or enanthate) | Pellets under the skin | Gel on the skin |
|---|---|---|---|
| Haematocrit above 50%3 | 67% | 35% | 13% |
Abstract values 66.7, 35.1 and 12.8 percent, rounded in the chart. The men on injections were younger and had higher haemoglobin and haematocrit at baseline. No rise in PSA was seen in any group, HDL stayed unchanged.3
Storage
Store the oil solution at room temperature, protected from light - no fridge needed. Out of reach of children.