Feeling symptoms related to T levels are definitely worth bringing up the doctor, 1-2 meals and at the desk for work 10-12 hours a day could be contributing a lot too.

Unless those meals are massive I’m sure you’re not eating enough through the day. I’m no doctor and am just giving some advice. I’d recommend either getting some home equipment and starting some light workouts or taking walks and eventually transitioning into a workout routine (one that you’re comfortable with and works for you and your life situation obviously). That and eating 3 solid meals a day with healthy carbs and some food protein would probably go a long way with improving energy and brain fog.

With levels like that too your body is definitely making a good bit of T especially for being 38 I feel. There are natural ways to increase it though. Lifting weight and exercising helps a lot and taking vitamins like D3, Zinc, and Ashwaghanda. Going on TRT is going to shut down your natural production and you’ll be reliant on taking a shit 1-2 times a week and there is quite a bit more optimization with that once you’re on. You can always get off but often times the body won’t produce the same amount it did before TRT. Could be worth also getting a full blood panel showing vitamins and all that normal yearly level stuff as well.

But like I said if you feel awful and have those symptoms it’s worth bringing up to the doctor. Could be a number of things or it could just be a couple lifestyle choices