I am based in Canada so I am most knowledgeable when it comes to the actual process of how TRT works in Canada. I do have a fairly good understanding of how TRT works in the US since I have partnered to some degree with Royal Medical Center in the US, a main reputable US based TRT Clinic. That said I may not know all the ins and out when it comes to the process of each countries setup but I will do my best to explain everything based on my understanding of it all.

TRT in Canada:
In Canada there are TRT clinics, well sort of, these are simply what I would call more specialized doctors that focus on TRT for both Men and Women but you still need to jump through the Canadian Medical System hoops of first getting tested (Which is a good start), then "IF" your blood work determines you are not in a normal  range of Testosterone for your age and sex, (So below normal), then you can proceed to a doctor consult where a TRT plan is initiated. Keep in mind if you are right on the cusp of falling into the below normal range but not actual in it, well so sorry you do not qualify for TRT even if you have all the symptoms of low Testosterone. Canada TRT Clinics will generally charge you for blood work, the initial doctors consult and then periodic follow up fees.

We do have a "FREE" option in Canada since we have a Free Canada Wide Medical System which can work great for some qualified TRT patients. You can simply go to your family doctor and ask for blood work to determine if you have low Testosterone and depending on the doctor they can also prescribe a TRT treatment for you but this is a real hit and miss situation as most family Doctors are not generally trained all that well in this area and many are not comfortable prescribing a TRT option. Most will also be super conservative with the TRT dose which in some, cases is not enough since they really only look at Testosterone levels and not so much what your symptoms are. So they are happy to get you somewhere in the middle ranges even if there does not seem to be much of a benefit from it.

So what if you are low on Testosterone but not low enough and you have all the classic low Testosterone symptoms? Keep in mind I am in no way encouraging anyone to do anything illegal or conduct in shady affairs, I am only offering up information on this subject. Since buying, owning and purchasing Testosterone in Canada is fully legal you can source out your own Testosterone which is kind of a catch since selling Testosterone is the illegal part as Testosterone is considered a controlled substance in terms of selling it. However, finding Testosterone for sale outside a registered pharmacy is not that hard of you do a little bit of Internet digging, quality may be subject though?

So in other words, if you happened to source out your own Testosterone and then go see your doctor for blood work, your doctors obligation is to keep you healthy and not make judgments on your conduct same would be true for smoking, drinking too much, poor diet, being overweight, not getting enough exercise, or taking drugs which would include Testosterone. Again! Your doctors job is to advise and help you stay healthy and so they are required to setup blood work and monitor your Testosterone levels and help you stay in healthy ranges even if your doctor is not prescribing your supplied Testosterone. The cost of actual Testosterone outside of a registered Pharmacy is relatively inexpensive! for example a 10ml bottle of a 400mg per mil Testosterone blend is only about $100 and even if you where taking a higher TRT dose of 200ml per week that would last you 20 weeks, So around $20-$25 per month. Probably cheaper than your protein powder cost each month. You may also require a small amount of an Anti Estrogen medication but if your Testosterone dose is in normal ranges, most likely you will not require an AI.

TRT in the US:
So how does the US compare? First of all the legalities are much different in the US when it comes to any steroid including Testosterone. Outside of a doctors prescription they are illegal to buy, sell own and use. I am sure same as in Canada you can also take a similar Family Doctor approach in the US but from my understanding you will have to pay for any blood work testing, doctor visits and medications depending on your medical plan.

Another very popular option is using a reputable TRT Clinic like Royal Medical Center, they generally offer more of a flat rate payment system where you are charged a certain amount each month and this includes all your TRT treatment drugs that are usually shipped to your residence and any ongoing blood work and consultations. You may have to pay an up front fee to get your initial blood work and the first consultation that may or may mot be offset into any on going monthly fees.

TRT Clinics in the US have very specialized doctors that are knowledgeable in Hormone Replacement Therapy. They not only look at your blood work but also your symptoms since blood work only tells half of the story and since every human is different there isn't a one size fits all Testosterone range for everyone. Some people can function perfectly normal with very low Testosterone levels while others even at higher levels struggle with low TRT symptoms. TRT Clinics in the US take all of this into account which is not the case with Canadian TRT Clinics and Family Doctors. The downside is this can become more of a business and less of a practice since TRT Clinics make most of their income from having long term Clients. So in effect they could be looking for any reason to proceed with a TRT treatment when perhaps there are other options available? That said I feel most reputable TRT Clinics ultimately want the best outcome for their patients.

I hope this help you no matter if you live in Canada or the US. Each country has their own benefits and shortcomings but ultimately what is most important is helping anyone experiencing low Testosterone feel better and get their health in order.