Try to find a doctor that does the Bio-T injections for low T. The injections are about every six months. What doc does is inject bio identical. My doc does them he claims the bio identical is better without sny of the side effects of creams or patches.
I had the injections with b in b two weeks my T level went from 400 to over 1000
Google Bio-Tbto see if there is a doctor in your area. I will warn you it is a bit pricey but averaged out over what you might be paying now it might not be more