Good information in this thread. I'm 38 yrs. old and have been on HRT off and on now for a couple of years. The only thing the medical community will prescribe for your testosterone deficiency is Depo-Testosterone (cypionate).
Since all the other forms of Anabolics have not been shown to increase your testosterone levels that is why the defacto standard of Test. is prescribed for Hypogonadism. (low natural testosterone count).
My experience is that most of the Docs are clueless about Anabolics in general and especially as it relates to muscle building. The guys on this forum know more about this stuff than most of the medical community.
I ended up seeing some "old school" Urologist who initially put me on 400mg test every 4 weeks but that didn't last long cause I bitched about the rollercoaster ride peak and trough effects of that treatment. ie..felt good for the first couple weeks then would feel like shit for the next 14 days while I waited to get my next shot "fix". After much persuasion and showing him various medical studies, I ended up getting him to agree on 300mg. every 2 weeks. That worked out well and I was able to "grow" on that dosage over a years time. If I wanted to run a cycle I would just add to that baseline level and do my cycle. Fairly good results overall but reached a point of diminishing returns on that dosage as my body got used to that amount of test. and it was like my body was saturated and not responding anymore. I essentially hit a plateau. I did my own PCT cause the docs were reluctant to prescribe any anti-estrogens. Old school fuckers have no clue that I wanted it to build muscle and improve my physique while trying to minimize the negative side effects.
As it turns out, the old lady told me she wanted another kid and my fertility was completely fucked. Almost zero sperm count due to the yearlong cypionate. I came off altogether and boy was that terrible. Depression,lack of energy/aggresiveness, lost some size and strength, the usual sides. Didn't have a good source lined up so it was a while trying to get some clomid to address the fertility issue.
Currently the old lady is 6 months pregnant so shit worked out and I'm getting ramped up for another cycle this fall and joined this community to get "Educated".
Someone asked a question earlier in this post about transdermal gels and their effectiveness. I can speak from personal experience on this one cause I ended up seeing a "new" Urologist and he wanted me to try a testosterone gel for HRT. In a nut shell it sucks for muscle building cause the strength levels are far too weak to support what we are all after here. It does do what it is designed to do however..put your testosterone in the range of 600 to 800 ng/dl. Not strong enough to do the job. This latest product is called Testim. I'm sure it is similar to androgel. It has a steady release into the bloodstream over a 24 hr. period and puts me at about 650 on the scale. I'll just keep doing that and go back to my injections of 300mg test and run it with something else and try to get a good cycle out of it.
After many long months of fighting with insurance companies and numerous Docs, I finally got the system figured out. The whole insurance thing is a scam and you gotta learn how to beat them at their own game. It pays to study all the fine print in the insurance documents regarding your benefits and all that shit cause in the long run these clowns are paying for my Cypionate. Sorry for the long post, just wanted to give my 2 cents to the HRT issue. Now I just got to purchase that E-book from this site on successful steroid mail ordering.