The implants are easy to do but not many physicians do them due to unwillingness to try anything new.
I find this a bit odd. Using hormonal pellets for both women (estrogen replacment) and men(testosterone replacement) has been around for nearly sixty years. So while it may be new to some doctors becuase they did not learn of pellet based HRT, it is by no means new to the medical world. The steady state release of testosterone pellets and the reduced aromitization of T into E are well docuemented, and T pellets are pretty cheap when compared to grossly overpriced (due to patents on the release mechanism) Androgel and Testim.
At this time Bartor Pharmacutical has the only FDA approved commercial product for sale here in the US, and the product Testopel is only available in 75 mg pellets. In Europe you can get 200 mg testosterone pellets, and here in the USA you can get 200 mg pellets from a few of the remaining compounding pharmacies.
Dr. Charles Vincent MD did a great deal of the FDA research on the use of Testopel, and he is a respected authority on the use of pellets for TRT. My MD consults with him from time to time on my TRT program.
I agree that most MD's do not know how to set up and administer a TRT program. Many will not test E2 let alone request the sensitive test so that you can measure under 30. Most have no idea of the importance of the T/E ratio, and they believe the armidex only works on women with breast cancer.
Oddly enough I have found several endocrinologists who were equally clueless about how to administer a male TRT program, and to them the use of HCG or HMG to rehab a mans testicles was unheard of and almost medical blasphemy as those are "reproductive medications" and they are "very expensive"
Well this is a bunch of uniformed hogwash as both of these preparations are distilled from the urine of women-pregnant women for the former, and post menapausal women for the latter. Also, if it were the doctors testicles or breasts that were shrinking to a shadow of their former size, thier minds would be much more open to the use of HCG and HMG as well as a custom blend of injectible rLH and rFSH for testicle rehab.
As you are an MD, do you have any inside information on why Andractim has not made it to market? The androstanalone gel was going through clinical trials here in the US a few years ago, but there is not much more being said about it.