I have some of the symptoms of low-T, low sex drive, low energy, very little interest in sex (wrecked my last relationship), depressed mood. Saw my primary care physician this week and asked for some hormone tests. He was only willing to initially test for what I believe to be total testosterone. My doctor's nurse called with total testosterone results today and said I was normal. I said come on, I want more than that. She said total testosterone was 376 which I believe is just a little above the cutoff for low T (300 or 350?).
I am 11% body fat, am 185 & 5'11", I workout every day (two days lifting, 1 day cardio), I eat a high protein, low carb diet with plenty of vegetables, have no fat around my waist, and am very active. From what I have read a TT of 376 at age 39 is quite low and could warrant T replacement therapy. I obviously won't be seeing my primary care physician for this. I know I need more tests including some of these: total testosterone, free testosterone, estrogen (E2), prolactin, thyroid, thyrotropin, cortisol, sex hormone binding globulin (SHBG) levels, follicle stimulating hormone (FSH), Luteinizing hormone (FH). SHBG and free T are the most important from what I've read. Can anyone tell me which specific tests I should request on my next blood draw? I know I need a few more tests before starting anything like T replacement.
I am looking into finding an endocrinologist who will listen and take me seriously. I am quite muscular and have no problem building muscle. By looking at me no one would ever suspect I have low T. I don't want to waste my time going to doctors who have no intention of Rx'ing T. I hope to find a doctor who does prescribe T for his/her patients and has an open-mind. I live in SE Wisconsin and hope to find one nearby. If anyone here knows of a good endo. or GP who does this kind of work please let me know.
Just found out my insurance will cover none of this. So figures.. How common is this; being not covered? After reading a lot of stories on here this appears to be a formidable process to put it lightly especially when I will have to be paying out of pocket (tests being very expensive). I already find myself concluding that living with low T is probably easier and way less frustrating than trying to get help for it. Kinda sad.
Back to reading stickies.