question from a user
Hi. I am 46 and about normal weight for my height. I have all the low T symptoms except for ED for past few years. However My test is 750, my free T is 16 and my SHBG 65, e2 10. Don't have sleep apnoa thyroid issues etc but am in low dose Prozac. Would I be a candidate based off of how crap ive been feeling and low free T?
AlphaMD's Answer
Unfortunately, there is an almost certainty that your natural testosterone production is permanently compromised due to your use of a SSRI(Prozac).
Knowing that, it is possible you are experiencing what is known as relative hypogonadism. This is when someone who was once naturally at the high range of normal (~1100) would start to feel symptoms at mid-range levels.
If you have a large number of low T or hypogonadal symptoms, and they're not caused by something else going on, then yes you are a candidate for TRT. One's baseline Testosterone production always goes down over as you age, meaning even if you are on the higher end and not considered low T by range based evaluations, your Testosterone was still far higher 26 years ago and it's reasonable you would feel the difference. We have helped men in similar situations before. The best way to be sure is usually a consultation to discuss how those symptoms feel, onset, etc.
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