Defy is one of, if not the most reputable clinic out there. That said, you're still always better with a knowledgeable doc that you can meet with face to face and develop a relationship with if at all possible. The doc's title means absolutely nothing, unless you can find one who has their A4M Certification which is always a plus. They just need to know hormones. It's really not rocket science like some make it out to be.

Just start making some calls to local docs and see if they'll treat based on symptoms, not numbers on a chart and if they'll allow self injections along with HCG and an AI if needed. You should not need to make an appointment to do this, just get a nurse on the phone as you don't want to waste their time or yours. Hormone replacement is not expensive if done correctly.