Been on TRT for a few years now, and with a good amount of understanding of the issue, I opted for injections over cream or pellets, and am glad I did. With some frequent blood tests in the initial year, I was able to dial in my protocol very quickly. I don't think you will be able to get the pellet dosing dialed in just right that quickly, as you are committed to whatever they put in you, correct or incorrect dose, until the next implantation. Then it's another waiting game. Much easier to adjust the dose up or down with small and frequent injections, coupled with blood tests. With two shots a week, my peak and trough differences aren't too dramatic (only measure troughs, but "feels" consistent and smooth), as opposed to potentially well upwards of 1000 down to a couple of hundred with pellets (I also have experience with that feeling, having initially been prescribed one large shot per week, and definitely felt the difference). Ideally, I'd think small daily shots of prop would best emulate natural daily fluctuations, but that's a lot of pinning. I understand creams can emulate the sawtooth pattern even better, but I didn't want to run the risk of my little girls growing full beards because they wanted to give daddy a hug. Finally, with pellets, the invasiveness (i.e., risk of pain and infection) and high cost was a big turnoff. My $70 bottle of cyp (that's with no insurance), can last me five months. I think the cost savings there are significant.