It is not terribly difficult. All you must do is present yourself to the physician and request blood work be done to determine if you are Hypo-gonadal. Mention that libido is low, energy is low, and you feel weak in the gym, etc.
If your blood work shows you in the low to low-normal range, you now qualify for TRT. The doctor can then discuss treatment options.
IM injections are usually avoided by physicians, so if that is what you want express to him/her that you are comfortable and experienced with IM shots, and that you want oil based injections because they provided the most reliable method of delivering T.
If the physician insists on Gels, you can state that you have a pregnant wife or child in the home. T-Gel can be transfered to wife or child and cause adverse effects. You can also get out of the gells by saying you had tried this therapy before and most gels caused a rash or bad itch.
The only other real options besides Gels and IM are Testopel implants (no fun!), Buccal (its an oral patch, not really used anymore), Patch (rash prone, weak release, and overall crap), Andriol (European Oral Drug) or Android (oral)/Halotestin(oral t-related androgen). HCG therapy is also sometimes used as long term TRT, which is not always a bad option.
200mg of Cypionate a week is not uncommon, but you will have a hard time getting the doctor to go further. Remember this is "replacement" not enhancement. Although whats wrong with a little enhancement??
