No, injections are not your only option. If testosterone deficiency is confirmed and treatment is appropriate, options can include prescribed gels, injections, and other formulations, depending on availability and your medical circumstances. The Endocrine Society’s patient guide explains the choices. Treatment aims to restore appropriate hormone levels and improve symptoms, rather than produce a bodybuilding physique. Endocrine Society
Before buying anything, arrange an appointment with your doctor or an endocrinologist. Previous low results are useful history, but diagnosis generally requires symptoms alongside consistently low testosterone on two separate morning blood tests. Additional tests may help establish why it is low. Endocrine Society
Also, difficulty functioning deserves attention without dismissing it as “laziness.” Low testosterone could contribute, but sleep problems, depression, thyroid disease, anemia, medication effects, and other conditions can cause similar symptoms. Testosterone is not a guaranteed fix for energy or motivation.
If a reversible cause is found, treating that may help without testosterone replacement. If you want children in the future, mention this before treatment because testosterone can suppress sperm production. Prescribed treatment also needs ongoing monitoring. Endocrine Society
A useful starting point is to tell your doctor: “My energy and motivation are affecting my ability to function. Can we reassess my testosterone and investigate other possible causes before deciding on treatment?”