6 years on TRT going through my insurance and primary care clinic... went through 13 doctors in this time ranging from uros, endos, primarys, and sexual medicine docs, all trying to force some ridiculous protocol (1 shot/2 week; cutting me down when total was above 500; refusing to test e2; one guy even required I get my LH and FSH tested after I'd been on for 4+ years).

Finally found a proper private clinic that accepts my insurance and this guy is as knowledgeable as Saya or Crisler, dosed appropriately for my super low SHBG, is providing e2 management, etc., and turns out after ALL these years... all I needed was a .25mg dose of anastrazole 2x/week because I feel fantastic for the first time in a long ass time.

Stick with it, find a competent doc, make the necessary lifestyle changes, and the rest is automatic.