It did not take much effort on my part to get on TRT with my primary care physician. Less than 200 ng/dl free testosterone and another test to make sure it wasn't a bigger issue. Once I started within a couple month I was amazed at how much better I felt than I ever had. Even my 20s. Like vitamin D people need more than you would think and guidelines are too conservative. I could have probably had fewer issue if they would have just juiced me up with this in highschool. Rather than just let me be chronically exhausted.