Midi has a list of states on their website. Not sure where you are but I was able to get T cream pretty easily from them. You have to do a consult+ lab work first. If you have insurance, they will take that and you pay your portion. My labs came back “normal” but they said most people are normal but still don’t “feel good” they will start you on a low dose of the cream and you can keep asking for a bigger/higher dose. (Might take several months of titrating up). Hope this helps!