The single biggest obstacle most of us have faced in regard to TRT is finding a doctor who is knowledgeable and willing to treat. Sadly, there is very little time devoted to androgen therapy in men during the course of medical school and residency. My own doctor said she didn't realize how little she knew until she found herself unable to answer questions that most of us here at EM can respond to after a few months on the site. A year later she was up to speed...and is a fine doctor. But take that anecdote and apply it across the medical establishment.