I'd harden a bit and say most endos truly suck at TRT/HRT. For what ever reason, Urologists tend to be much better, and even most internests, GP, etc are better at it. Knowledge of hormones is supposed to be their damn speciality, and to date, not met an endo who didn't outright suck at it. No one can know everything, and I understand when say a cardiologist is not up on the latest data and best practices for TRT, but I have no empathy for endos who are cluess about HRT/TRT at all. That's supposed to be their specialty. And if people think they're piss poor at TRT/HRT, they tend to be even worse at managing thyroid issues, again supposed to be their specialty. So as a rule, I tell people to avoid endos for TRT/HRT if they can, and seek out a Urologist etc. Endos with a clue are rarer than RDs who know anything about nutrition, but that's another topic....