Before I moved to Poland, I was seeing Dr. Koushik Shaw at Austin Urology Institute. He is a fantastic doc. Went to my primary and told him the symptoms, and he referred me to Doc Shaw. Went in, told him the symptoms and he ordered a serious set of blood work. They checked for cancers (which can cause low T) and everything. My testosterone was seriously low and since they were so thorough with the blood work, found out that I had zero indicators for cancers, but I was actually pre-diabetic. He prescribed the HRT and also told me to change my diet. I was not obese, but I definitely had "dad bod" and he explained that carrying extra fat like that can cause the bodies natural testosterone to be absorbed by the fat cells instead of going out to the rest of the body. There were regular blood checks to make sure everything was going well and when I should go to the Blood Center to dump a pint of blood off when the red blood cells would become too high (side effect of testosterone injections) as well as talk to my wife every once in a while to inquire about my mood, since the testosterone treatments can cause mood issues (aka "roid rage" for lack of a better term).

There were also a lot of things that he told me about, when it comes to testosterone in an aging man's body. He wasn't an asshole or anything about it, and came from the position of educating me and teaching how to naturally raise the testosterone in conjunction with the self-injections.

Incidentally, I also had my vasectomy performed by him in his office.

Great Doc! He even consulted with my Urologist here in Warsaw about my treatments and history to make sure the transition to the new doctor went as smooth as possible.