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Timothy W. Mackey, D.O. · FL License OS9185 · NPI 1730235797
Physician-led care. Google rating and BBB rating shown as of October 2026.
Testosterone cream and gel are prescription treatments for low testosterone, applied to the skin once a day. At NovaGenix in Jupiter, Florida, Dr. Timothy W. Mackey reviews your symptoms and lab work before deciding whether topical testosterone is right for you. Patients come from Jupiter, Palm Beach Gardens, West Palm Beach and across Palm Beach County, and telehealth is available when appropriate.
Key points
Both deliver testosterone through the skin. FDA-approved gels, such as AndroGel and generic testosterone gel, come in fixed strengths with pump or packet dosing. Compounded testosterone cream is prepared by a licensed U.S. compounding pharmacy to the strength your prescriber specifies, which lets Dr. Mackey adjust your dose based on your lab results. Compounded preparations are not FDA-approved. Which one Dr. Mackey prescribes depends on you. Read more in compounded vs. brand-name testosterone.
| Compare | Cream or gel | Injections (cypionate) | Oral (Kyzatrex) |
|---|---|---|---|
| Routine | Once daily on the skin | Weekly or as prescribed | Twice daily with meals |
| Needles | None | Yes | None |
| Skin-transfer precautions | Yes | None | None |
None of these is best for every man. Dr. Mackey considers your routine, lab results and budget. See oral testosterone, TRT cost and pricing and cream vs. injections.
Dr. Mackey may consider testosterone cream or gel for a man with symptoms of low testosterone, low testosterone on laboratory testing, and a preference to avoid injections. Whether it's right for you is a clinical decision Dr. Mackey makes case by case, based on your symptoms, lab results and health history. Testosterone therapy can suppress sperm production. If fertility matters to you, ask about enclomiphene or hCG.
Pricing for testosterone cream therapy at NovaGenix can vary depending on your dose and any ancillary medications that may be needed. Your program includes consults, lab reviews, medication, shipping, follow-up and monitoring. Costs are reviewed with you by Dr. Mackey and Andy, our clinic manager, before you begin. The male hormone panel is $125 and is billed separately, or recent labs from your own physician can be used. NovaGenix is a direct self-pay practice and does not bill health insurance. NovaGenix will work with a patient to create a superbill if requested.
Apply it to clean, dry skin where Dr. Mackey directs, and wash your hands afterward. Testosterone can transfer to women and children through skin contact. Cover the area with clothing once it dries, and avoid skin-to-skin contact with the application site until it has been washed. For application sites, see our guide to where to apply testosterone cream and gel.
Testosterone can raise hematocrit (red blood cell levels) and affect PSA, which is why bloodwork is part of treatment. Report chest pain, shortness of breath, leg swelling or pain, or other new symptoms promptly.
NovaGenix has one office, at 609 North Hepburn Ave, Suite 106, Jupiter, FL 33458. Patients come from Jupiter, Palm Beach Gardens, West Palm Beach, Lake Worth, Stuart and Hobe Sound, and from further away through online TRT when appropriate.
Care at NovaGenix is directed by Timothy W. Mackey, D.O., Medical Director, Florida osteopathic physician license OS9185, NPI 1730235797. NovaGenix has operated in Jupiter since 2016 and holds a Florida Health Care Clinic Establishment Permit, No. 6018496.
Yes. Testosterone cream and gel are prescription medications and controlled substances. Over-the-counter "testosterone creams" don't contain prescription testosterone.
NovaGenix in Jupiter prescribes testosterone cream after a lab review with Dr. Mackey, in the office or by telehealth when appropriate. Call or text 561-277-8260.
No. AndroGel is an FDA-approved gel with fixed strengths. Compounded cream is prepared to a prescribed strength by a licensed compounding pharmacy and is not FDA-approved. Dr. Mackey explains which fits you.
Neither is best for everyone. Cream avoids needles but needs daily application and transfer precautions. Injections are less frequent. Dr. Mackey reviews which option fits your routine and lab results.
Pricing can vary depending on your dose and any ancillary medications that may be needed. Your program includes consults, lab reviews, medication, shipping, follow-up and monitoring, and costs are reviewed with you before you begin. The male hormone panel is $125 and is billed separately, or recent labs from your own physician can be used.
This page is about testosterone therapy for men. Women can learn about testosterone therapy for women at NovaGenix.
Call or text NovaGenix at 561-277-8260, or complete the new-patient form.
This page is for educational purposes and does not replace individualized medical advice. Submitting a form does not create a physician-patient relationship or guarantee treatment. If you are experiencing a medical emergency, call 911.
Written by the NovaGenix Editorial Team · Medically reviewed by Timothy W. Mackey, D.O., Medical Director · Last medically reviewed: November 6, 2026
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Medical Director · NovaGenix Health & Wellness
Dr. Mackey leads physician-directed hormone care at NovaGenix in Jupiter, Florida. He reviews your symptoms, health history and lab results to help you understand your options and build an individualized care plan.
Get to know Dr. Mackey →Learn what you want to know about hormone therapy by scheduling a free consultation.
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609 N Hepburn Ave Ste 106, Jupiter, FL 33458
Monday - Friday: 9:00 am - 5:00 pm | Saturday-Sunday: Closed
