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You mentioned an endocrinologist who prescribed the AI. If you feel confident in his abilities you could turn to him for the testosterone. Alternatively, Defy Medical (link from this site) is well qualified to manage your care (I have no affiliation with Defy). You may experience some erectile/libido issues short-term (or you may not). But the use of Anastrozole now may help you overcome this - and avoid surgery down the road.