Is it hard for a fighter to obtain a TUE from NSAC?

Several mixed martial artists have publicly admitted that they take anabolic steroids as a part of testosterone replacement therapy (TRT) which has been prescribed by doctors. The executive director of the Nevada State Athletic commission (NSAC) Keith Kizer believes that this factor has created an impression among numerous individuals that steroid exemptions are given to permit MMA fighters to use the steroid testosterone.
During an interview with Ben Fowlkes of MMA Fighting Keith Kizer noted that certain individuals believed that any fighter could obtain exemptions for usage of testosterone. He noticed that he couldn’t say it about other states but he described the situation in Nevada. According to Kizer, it is 50/50 whether a request for steroid exemption will be approved.
TRT is a treatment which is required for adult males that suffer from hypogonadism (low levels of testosterone). If sportspersons correspond to the medical criteria, they may be allowed to use steroids.
The NSAC has strict requirements for those who try to obtain a therapeutic use exemption (TUE) for administration of steroids. An athlete must have the document that manifests that blood levels of testosterone are low. But if a fighter has reduced testosterone level, it is not sufficient to get a TUE. Treating doctors should identify reasons and medical conditions. The details linked with testosterone replacement therapy must be identified by physicians too. Each detail must display that certain sportsperson must take testosterone for medical purposes and administration of steroids will not give unfair advantage to the fighter.
Several top athletes of Ultimate Fighting Championship (UFC) have administrated steroids for TRT. Chael Sonnen, Nate Marquardt, Dennis Hallman and Dan Henderson belong to the starts of the UFC that administrate steroids for clinical purposes.
Keith Kizer proclaims that ban of steroids makes MMA safer. He notices that if a fighter takes steroids, he/she takes unfair advantage as if it is used knuckles that are hidden inside gloves. So, this is not only lying. This situation is connected with risks 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 say you not to bother him. But it is strangely that such fighter takes steroids.
It goes without saying that intake of steroids has possible risks to increase the harm which can be caused in MMA.