How can a fighter obtain a TUE in MMA?

Certain mixed martial artists have publicly acknowledged that they administrate anabolic steroids as a part of testosterone replacement therapy (TRT) which has been recommended by doctors. Keith Kizer, the executive director of the Nevada State Athletic Commission (NSAC), states that this factor has created an impression among many people that steroid exemptions are given to allow MMA fighters to use the steroid testosterone.
During an interview with Ben Fowlkes of MMA Fighting the executive director of the NSAC said that certain persons believed that any fighter could obtain exemptions for usage of testosterone. He noticed that he couldn’t say it about other states but he mentioned about the situation in Nevada. According to Kizer, it is 50/50 whether a request for steroid exemption will be approved.
TRT is a treatment that is required for adult males who have hypogonadism (low levels of testosterone). If athletes correspond to the medical criteria, they can be allowed to take steroids.
The NSAC has strict requirements for those who want to obtain a therapeutic use exemption (TUE) for administration of steroids. A sportsperson must have the document that displays that blood levels of testosterone are low. But if an athlete has low testosterone level, it is not sufficient to obtain a TUE. Treating doctors must identify reasons and medical conditions. The details related to testosterone replacement therapy must be identified by doctors too. Every detail must display that certain athlete must use testosterone for clinical needs and intake of steroids will not give unfair advantage to the sportsperson.
Several top athletes of Ultimate Fighting Championship (UFC) have administrated steroids for TRT. Chael Sonnen, Nate Marquardt, Dennis Hallman and Dan Henderson are included in the group of stars that use steroids for medical purposes.
Keith Kizer, the executive director of the NSAC confirms that ban of steroids makes MMA safer. He notices that if a fighter uses steroids, he/she takes unfair advantage as if it is used knuckles that are hidden inside gloves. So, this is not just cheating. This aspect is connected with dangers for life. If you say to a fighter that you can put knuckles in the gloves so, as no one will observe it, this person will ask you not to bother him. But it is strangely that such athlete administrates steroids.
No one doubts that usage of steroids has potential dangers to increase the harm which can be caused in MMA.