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Just did an allergy test with my doctor. He came back and said that i wasn't allergic, but sensitive to all of them and perhaps combining foods would make me even sicker. Been dealing with fatigue, low testosterone, poor sleep, depression and anxiety for 5 years now. I also had a really bad incident of carotenoderma and suppressed liver and kidney function for 1.5 years. Just got a new doctor, so things seem to be moving quicker. He set me up for an allergy specialist and another specialist who has a well reputation of being open to trt (since trt is extremely frowned upon here. They even hate protein powders and creatine here in Norway) Could it be MCAS? Would trt help with food allergies and sensitivity? I don't have hypogonadism, but have really low testosterone (220 ng/dl). I don't have hypothyroidism, diabetes or autoimmune disease. 17year old Male

AlphaMD's Answer

I would argue that you do have hypogonadism with symptoms of fatigue, depression, anxiety and a total testosterone level below 300 ng/dL. Especially at age 17, that is very, very low.

TRT has been proven to help decrease inflammatory conditions, but no, it will not help with food allergies or sensitivity.

MCAS would not cause a testosterone level to be so low. You also did not mention any typical symptoms of MCAS like hives, itching, eye itching, facial swelling and flushing, abdominal cramping, diarrhea or wheezing. So while it is possible it might be MCAS, you do not have traditional symptoms to suggest that as being the most likely diagnosis.

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