Even if the doctor was one of the best hrt in the country, it does not mean that they didn't fail to provide the correct treatment for you. Thats why this sucks so bad is that there are few doctors that can actually help.
Along with good labs, you should commit to seeking out a doctor with skills in hormone modulation therapy
The most experienced medical professional advisers iterate through the loop a minimum number of times, no matter how many hormones are initially dysfunctional. Ie: 1) -> 2) -> 3) -> 1) -> 2) -> 3) -> STABLE.
The group of medical professional advisers in this category is small, eg: Dr Crisler, Dr Mark L Gordon, Dr Jeffrey Dach, Dr. Eugene Shippen, and a few others.
This is the fastest possible route to getting tuned, ie: almost no mistakes along the way. These core medical professional advisers don't accept insurance, and each visit is much more expensive that a visit to your local doc, and usually includes a lot of travel.
The intermediate experienced medical professional advisers iterate through the loop many times , ie: 1) -> 2) -> 3) -> 1) -> 2) -> 3) -> 1) -> 2) -> 3) -> 1) -> 2) -> 3) -> STABLE.
Most members elect a partial approach whereby they team up with a local, but more expensive medical professional adviser than their local doc, and they learn the info that their medical professional adviser doesn't understand, and together they get tuned faster, but not via the fastest possible route.
The least experienced medical professional advisers are effectively using "trial-and-error" instead of 3). They never restore a patient to anywhere near optimum health.
To find a more skilled medical professional adviser, try googling the terms "testosterone" and "bioidentical" and your local town name(s), and identify a medical professional adviser in your area whose websites are at least heading in the same direction as the website of some of Dr Crisler's buddies, eg:
I accept these medical professional advisers are the elite, but at least you need to get closer to these, than where you are now.
Then follow-up and make an appointment with your newly chosen medical professional adviser.
This is more complex than I thought. What's the fastest and lowest cost route to hormone optimization ?
My recommendation is that your hormone modulation therapy will be fast-tracked if you visit a medical professional adviser such as Dr Crisler, and get a quick tune up, and then simply repeat his therapy under the care of your local medical professional adviser.
My recommendation is that if you want to "drive" your existing doctor from the back seat, by asking questions on this forum, or any other forum, and then suggest to your doctor what he must do next, then expect to take years to recover your optimum health. You will get there, we'll help make sure that happens, but you will take years to get there.