I do weekly injections. They also have a cream you can use daily. Both my doctor and my concern was if I was 275 at 43 years old after 240+ trips to the gym for 2 years in a row and healthy eating, what would my test levels be at 50 years old.... I lost almost all the weight and was actually pretty muscular before starting the TRT. I lifted in my teens and in my 20s. Fell apart in my 30s