---
title: "Sustanon Shortage: Alternatives Guide | The Gender Hormone Clinic"
description: "What to do if Sustanon isn't available at your pharmacy: substitutes, schedules, and how to bridge safely."
url: https://thegenderhormoneclinic.com/patient-resources/medication-guides/sustanon-shortage-alternative/
---

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SHORTAGE GUIDANCE · MEDICATION GUIDE

# Sustanon Shortage: Alternatives therapy, a clear guide.

Sustanon supply has fluctuated in the UK, particularly during global manufacturing constraints. If your pharmacy can't fulfil your prescription, please contact us before you run out. We have several options to keep your testosterone levels stable, and a 1-2 week delay beyond your usual injection date is rarely a clinical problem.

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First step

Don't self-substitute; contact us with your remaining supply

Substitutes

Testosterone Enanthate, Nebido (different schedule), Testogel bridge

Trough target

8-12 nmol/L testosterone

Delay tolerance

1-2 weeks past due date is usually fine

Turnaround

Same-day or next working day

Cost on plan

Replacement script free on £55/month plan

On this page[Overview](#ma-overview)[FAQ](#ma-faq)

OVERVIEW

## What sustanon shortage: alternatives does, in plain English.

Email or call the clinic with your remaining supply and your most recent injection date (a photo of the box helps). The duty nurse can void any expired Signature Rx and re-issue a clinically equivalent prescription same-day. If you've already missed your usual injection date, tell us how long ago. Short delays (up to ~1 week, sometimes 2) are usually clinically harmless.

Closest substitute: Testosterone Enanthate, a single-ester injection with a similar 2-3 week dosing rhythm to Sustanon. Most patients move across without noticing a difference. Nebido is also an option but uses a fundamentally different schedule (loading doses, then every 10-14 weeks), so switching across requires a planned transition, not a like-for-like swap. We don't do it as a quick shortage fix unless it makes sense for your wider care plan.

If injectable supply is genuinely unavailable, a Testogel bridge is the most common short-term cover: daily topical testosterone for 8-10 weeks while supply normalises, with a blood test 8 weeks after the switch to confirm levels. This works for almost anyone except patients with very low BMI or specific absorption issues.

Boots, Tesco, and Asda tend to have the most reliable supply during ester-injection shortages. If you can't source locally and your supply is critical, the duty nurse can authorise a bridging Testogel prescription while we work on the longer-term solution.

FREQUENTLY ASKED

## Questions, answered.

This guide isn't a substitute for clinical advice. We'll talk you through everything at your appointment.

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## Ready to take the first step?

Send us an enquiry and we'll be in touch within two working days.

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