question from a user

Hi, I’m 25 years old. Test is 404. I work out 5 days per week, am pretty lean and fit and healthy I had previously considered TRT but ultimately turned away due to the lack of long term medical studies on taking TRT from young adult age into further decades. Specifically, on optimising versus straight clinical low test, as I am about 4 points over the limit for “low T” Main symptoms are brain dog, general fatigue, low libido and ED, as well as depression and anxiety Curious as to what you make of my situation

AlphaMD's Answer

A few things to note:

You may have relative hypogonadism where your numbers just being low aren't the main factor to determine treatment. 400 would be within that range. You will lose Testosterone over time, it is very likely that given 10 years time you would be low enough to be considered "low T" numerically if not already symptomatically. 25 may be young but you would not be the youngest man to get on TRT, we have seen 21 with primary hypogonadism and they felt terrible. That is an outlier of course, but it is to say that symptoms should drive treatment & not the number.

Your symptoms are common of those who suffer from low T. A consultation would probably benefit you with your provider or otherwise.

Personally I went on TRT at 27, and was mad that I hadn't done it sooner after struggling with weight all my life only to find I was very low.

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