With all due respect, your advice is a bit flawed. Let me explain. Determining what is a "ideal or optimal" range vs what is the "normal" range are two different things entirely. Normal ranges such as shown in the chart below contain people who are often below optimal ranges. They are based on a simple cross sampling of the population. So, what is a normal value is not the same as what is optimal.
Also, TRT does not necessarily put undue strain on liver and kidneys IF it is properly administered and monitored through blood tests.
That pretty much makes my point but I want to add details about my own experiences with TRT for anyone that might be interested, so here goes:
My Total Testosterone was at 392 ng/dl before treatment which was very low for my age range yet I still had problems getting an MD to put me on TRT. They cited all sort of negative aspects of TRT (which turned out to be mostly unfounded). Finally I found a good MD who understood the difference between "normal" and "optimal, and also understood the efficacy and safety of TRT if it was done properly.
After 3 months of TRT I was at around 800 ng/dl. For nine months, my MD had me try different dosages. Over subsequent dosage trials and blood tests, my Total Testosterone ranged from 600 to 1200. Finally we dialed it in at 975 as optimal. That might sound high, but everybody is different. For me, 975 ng/dl felt optimal, and my blood panels have been fine at this level. Still though, monitoring remains important.
I was nervous as hell about it initially, considering what I had read about the negative health aspects of TRT (which actually turned out to be fairly unfounded if dosages are not ridiculous, and blood test are done regularly...see below). I also admit that the thought of sticking myself with needles kind of freaked me out (yikes!!!).
I think the most important factor that made me proceed with it was that I found a really good doctor that really understood hormone replacement. It's important to realize that most doctors do not understand TRT, and this is especially true of many of the ones who run TRT clinics! Many of them are hucksters!! STAY AWAY FROM THEM! They are only in it for the money. If you turn to YouTube to learn more about TRT, be VERY judicious about the source; there is a lot of dopey content that is not science based at all, especially ones posted by bodybuilders which are usually based on "Bro-science". Find yourself a good MD, and google for trusted academic-based sources of information. I mean, the internet can really be a cess pool LOL!!
Here's my personal takeaway on TRT. First of all, it takes time to work and the results are subtle (but noticeably positive). You won't notice any overnight changes. It takes several months before you will notice any significant differences, and in fact, during the first weeks of therapy you may even feel less energetic, more tired, experience some bloating, and a lot of mildly negative effects that can be pretty discouraging, but these negative aspects are only temporary so you just need to suck it up for a while LOL.
During this first year of treatment I was fairly sedentary; very little exercise really. I did make a conscious effort to start eating more wisely. My body fat percentage dropped and lean mass increased noticeably (more than my diet would be responsible for, so I attribute it to TRT). I am in my third year of TRT now, and I do exercise pretty strenuously (I'm really into road cycling; five days a week, 200km last week which is average for me now, and I workout with free weights 2-3 days a week in the gym). BTW, if you are wanting to drop excess body fat FAST, there is no better exercise than cycling!
Regarding injections vs patches/creams vs pills vs pellets: Pills are a SCAM; forget about it! Patches and creams are very ineffective, messy, and can contaminate members of your family! IMHO, the only effective treatment really is injection, but relax...it's really not as scary as you might think. Contrary to what many people think, you do not have to inject into muscle. TRT works fine by injecting into fat layers of the belly and glutes. I inject into belly or glutes and use a tiny insulin syringe (26-27 gauge short needle). It's referred to as sub-cutaneous (sub-Q) injections and is scientifically proven to be just as effective as deep muscle injections. Equally important, it's painless, very easy and it also eliminates the possibility of bad things associated with muscle injection like hitting a vein or developing an abscess.
Injecting is very easy. You break open a 1 mL one-use vial of testosterone and use an 18 gauge needle to draw the test out of the vial. It is in a thick oil suspension which is why you need to draw using a wider 18 gauge needle. Once drawn, you transfer your dosage amount (in my case 125 mg) inot an insulin syringe with a fine (27 gauge short needle). 27 gauge is just large enough for the oil to flow (takes about 15-20 seconds). The remaining testosterone in the drawing syringe is carefully capped to avoid contamination and saved for next week's injection. Naturally keeping things sterile is important. Washing your hands and use of alcohol wipes does the job just fine. I also use latex examination gloves even though it's probably over-kill.
There are four type of injectable testosterone but really only two that are appropriate for TRT :
Testosterone cypionate and Testosterone enanthate: Both have the same functions and effects for all intents and purposes. The half lives are similar (8 days and 5 days respectively). The main factor determining which one to use is which is available where you live; here in Thailand, it is enanthate. In Thailand, no prescription is required, and it's actually very inexpensive. Preferred (trusted) brand is Bayer but presently it is hard to find in Thailand because Bayer is temporarily not shipping while they re-do their distribution networks. Other trusted brands available in Thai pharmacies are Rotexmedica, and Alpha Pharma.
Testosterone propionate: Half life is only 2 days and it's very expensive, and not really advisable for TRT.
Testosterone undecanoate: The big deal about undecanoate is its' long half life (18-24 days) so you only inject once every 12 weeks or so. The drawback is it is outrageously expensive, hard to find outside of USA and Europe, and also the amount that is your system over time is not as stable as it would be with cypionate or enanthate IMO.
The most important thing about TRT is monitoring your blood panels. I get blood tests every three months, although every six months is OK. It's cheap to get blood tests here in Thailand so every 3 months is no big deal. Of course you want to monitor Total and Free Test levels, but you also need to monitor estradiol (estrogen levels, since they can and will become elevated...not a big deal since you only need to take an aromatase inhibitor (quarter pill of anastrozole) to keep estradiol to acceptable levels. Also, you need to track lipids for obvious reasons since Test can effect liver (in my case, my lipids always look fine). You also need to track hematocrit since TRT can increase it, and if that happens you may need to donate some blood to bring it back down, but I've never had to do that. BOTTOM LINE, periodic blood tests are important, and until you learn to interpret them results yourself, your doctor's interpretation of the tests are VERY important, especially for dialing in correct dosage. Even though I can interpret the results now, I still forward them to my MD, and visit her for a check up twice a year.
Anyway, I just thought this reply might be helpful for any of you on the fence about doing TRT. On the whole, I am very pleased I went ahead with it! Happy to answer any question you might have, if I can