Some do not absorb well. Those who are hypothyroid are famous for that. Low thyroid can mean low energy and weight gain.
Some absorb good in the start, then the skin changes from the effects of the T (gets better) and that for some means the end of absorption.
TDs also lead to more T-->E aromatization than injections. For some the E increases, the increased E suppresses the HPTA and the natural T production fails. If the TD was absorbed well, then the HPTA would be completely shut down.
You doctor is a jerk, a steroid phobic republican or misinformed. I don't know what is worse. He was not going to do anything right. You may need to go out of town.
Ask the local pharmacies what doctors are prescribing testosterone ethanate or cypionate. Explain that you have T levels down through the floor and are seeking a doctor who will deal with your situation. You could show them your lab results!
Many guys struggle to get proper care. It is sad. Some get the testosterone and can't get their doctors to prescribe arimidex/anastrozole to control E2 levels. Many of those are driven to underground supplies. You need to get your E2 levels checked. Do not test for total estrogen. The LabCorp serum E2 (0-53) works well. You may be very high. You will feel best with E2 in the low twenties.
Test for total T, free T, TSH, free T3, free T4, PSA.
If all of that is working right, you may not want to have shrinking testes.
Do you know anyone who has a Sam's Club business membership? You can get a sub card under theirs. The primary card holder will never see what you purchase. 10ml 200mg/ml test cypionate Watsons costs $42.50, 10,000iu HCG APP costs $16.25, 50iu insulin syringes are $12.42 per 100 at Sam's or Walmart.
You can inject T cyp with an insulin syringe into the vastus lateralis. Injecting every week or every two weeks is completely wrong, even though that is mainstream practice. That creates T spikes that lead to E spikes and increased SHBG that reduces your %FT. I inject 28mg EOD. My HCG is 250iu SC EOD.
Elevated E is a main feature of metabolic disorder, the E reduces LH and that means less T. I think that all men in that state would profit from arimidex. Metabolic disorder is also pre-diabetes. Your CBC will cover that. Some might test for fasting insulin.
You can get your own lab work done via LEF.org, for about 1/2 of what the doctors and clinics will bill for. The 'male panel' will do the TT, FT, E2. Add thyroid labs to that.
A trial dose of hCG is 1mg/week. At $9/mg that gets costly. There are non-drug sources of anastrozole that many turn to, even if they have a prescription. With your weight, you might want to scale up the 1mg/wk by your weight against a 160lb reference. Depending on your E2 lab results, you may need more again. I would not exceed 2mg/wk.
Do not get onto injected T without the anastrozole. That would make your E2 worse! If you get lab work and have a cooperative doctor, you could take some anastrozole for relief before you get on T. You should still push to get onto the AI (aromatase inhibitor) from the very start and front load with 1mg/day for 2 or three days then start you dosing after that. The non-drug anastrozole comes in a liquid, 1mg/ml (60 ml $50.00), which allows for good dosing options other that breaking up a tiny expensive pill.
Get the script for arimidex, and take the prescribed amount with the liquid. Do not tell the doctor about what you are doing. Follow his changes based on blood work. Then you can make changes later based on the lab work yourself. You doctor will not understand dosing changes of .4mg/wk as he thinks your are using pills. Your doctor does not want to know about this.
With the elevated E2 that you probably have, you might have some female fat deposition patterns and perhaps some degree of gynecomastia. If any signs of gyno, all the more info to present to a doctor in support of the AI. TRT without AI would then make things real bad.
You need to learn all about this stuff, because chances are your doctor will not explain things.
Go to that other doc and get good copies of ALL OF your lab results. Always obtain good copies and never loose them. Have them in hand when you see another doctor. Have an androgel prescription label to document what you have been taking.
Tell the doc that TD test has been useless, your lab results will substantiate that, and ask to be put on 100mg test cyp per week, 250iu HCG EOD [I can supply research material to support that], and arimidex to get E2 under control with a target level in the lower 20's - the E2 levels of a young lean male. You need all three items to get optimal results. Without the AI, I would expect quite poor results.
If you take 100mg test cyp per week, you are under control of how you do that. Injecting EOD or twice a week will be better for you. You do not need to inject into the gluts with 1.5" needles!
Cut and paste this into a file for future reference.
I will work with your via PMs through the doctor things and details of getting started.
PM me and tell me where you are located and I will try to help you located a TRT or age management doctor.