question from a user
44 year old male, 6’2” 218lbs 16% body fat, very active in terms of weightlifting and working out in general. Took a finger prick test from Everlywell out of curiosity last month and total T came in at 387 which they claim is “normal”. Just feeling sluggish and seem to be always tired. Would the recommendation be to get another test with you guys? What other options in terms of treatments do you offer? Thanks!
AlphaMD's Answer
If those feelings have been ongoing for 6 to a few years but weren't there before and you have no other health issues, it sounds like it could be low T.
It's a fact that all Testosterone goes down over time with age, so if you are 387 now you were higher 20 years ago. By how much would just be a guess, but the idea is for a lot of men low T is when, not if.
We'd want to listen to the symptoms & would be fine using your current test results as a starting benchmark, but we've helped plenty of men in the 300s. 300s can still be considered primary or secondary hypogonadism, as it is still low, just not "insurance will pay for it" low.
Even if not with us, I would suggest pursuing TRT based on those results and how you feel.About treatment options: Injections, topical creams, oral medication, hair health, weight loss medication like Semaglutide, easy access to ED medications.
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