I started out on TRT over ten years ago and went through six doctors, each adding their own personal brand of incompetence, ignorance, ego, and apathy. I eventually gave up and went with UGL and never looked back. It's not that I have any special knowledge. It's that none of them were willing to spend the time and energy to find what worked for me individually. Clinics are far more prevalent now, but I just never went back. The clinics are also way beyond conventional MD's in realizing quality of life matters, with some willing to push the envelope prescribing additional compounds. I always felt like I would eventually end up brewing my own. Only one throat to choke after verifying raws... mine.