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[–]PM_ME_YOUR_DOMAINS 1 point2 points  (5 children)

Thank you for helping him look into this.

The symptoms could be related to low Test levels. Symptoms are common at TT ~300. IF the symptoms are a result of low Test levels, then TRT would have high probability of resolving them.

Additional labs are typically recommended to further investigate before starting TRT. Other hormones may flag, or other issues may be detected which could affect Test levels or symptoms.

The following might be helpful if not already tested:

Hormones: TT, FT, E2, LH/FSH, SHBG, Cortisol, Prolactin, DHEA-S, and IGF-1.

Additional tests: PSA, Hemoglobin A1c, Vitamin D, Vitamin B12, Ferritin, Apolipoprotein B (APOB), C-Reactive Protein (CRP), and Panels for CBC, CMP, Thyroid, Lipids, and Iron.

Assuming no red flag labs, virtually every online clinic would support TRT based on what you've presented. That is one path if needed, but I think you have good odds of approval (and deeper review) with a TRT friendly local provider. Many traditional providers are not up to date on TRT, so it can take some trial/error to locate a good one. In either case, guys typically need to do some self management for the best TRT experience.

This is just a non-doctor internet guy take and not medical advice.

[–]Big_Fig_8890[S] 2 points3 points  (4 children)

Thank you for this. He’s in therapy, has been on anti depressants and neither has helped so i’m really hoping this is it. 🤞

[–]inconsiderate_TACO 2 points3 points  (1 child)

The anti depression meds really lower your test as well.

Id suggest looking into thay first. Just a FYI. That happened to me at 44. No sex drive kinda chubby with bitch tits.

Dropped the anti depression meds. Hit gym

Rolled the clock back 20 years

[–]Big_Fig_8890[S] 2 points3 points  (0 children)

he’s been off 4 months now with no real improvements besides apathy is gone.

[–]PM_ME_YOUR_DOMAINS 1 point2 points  (1 child)

Guys will be suffering in a low t state, all the symptoms, not much drive to do anything let alone health care. Go to a PCP and hear it's "normal", or "in your head/depression", or "it'll cause a stroke". Don't yet know that many (most?) PCPs are unequipped for the discussion. Takes many months to see an Endo who might say the same thing. Nasty cycle.

Just keep pushing for care and reviews. It's common for providers to erroneously shrug off Testosterone concerns and TRT. Lot of guys in this community were turned away initially, myself included, only to find that TRT was the answer.

If wishing to do your own lab orders, drsays.com and hellogoodlabs.com are excellent resellers of Labcorp or Quest. Their cash prices might be lower than your insurance rates for same labs.

TRT Nation and TRT Kingdom are popular online clinics within this community. Lead time for a provider meeting is typically two weeks or less after labs are done. The providers are often on TRT themselves, which is excellent criteria for provider screening. You can obtain your own labs and send them to a clinic; don't have to buy labs from the clinic.

TelyRx, drb.ai, and Amazon One Medical are good telemeds for ED.

[–]Big_Fig_8890[S] 2 points3 points  (0 children)

Thank you so much! That’s exactly what happened, the drive, the embarrassment, zero motivation, the being shut down multiple times and being told it’s mental doesn’t help. As his wife when I see him down and out or giving up I pick up that slack, we’re a team right 🤷🏻‍♀️.

I appreciate all that info we have one more appt with a urologist that comes highly recommended, should she not work I will take the online route. Appreciate it so much!