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Gel and injection have similar efficacy, although you absorb more via injections, the gel is more expensive and you have to be somewhat cognizant of cross contamination with your spouse (not a major concern though, you'd have to be hugging them soaking wet with the gel).
If you're a man over 35 I'd always recommend getting your test checked.
The risk from being on TRT is the fact that you'll likely have to stay on in perpetuity, you might also need to regulate your estrogen if that's a factor (depending on the TRT dose and your body).
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