I’ve been looking into possibly getting started on TRT for a few months now. Right now, I’m leaning toward it, but wanted to get some additional insights.
Background: I’m a 40 year old man and have begun to notice some symptoms of low testosterone. In particular, I have low sex drive, much fewer erections (though quality of them is still great), find that recovery is slower/I get tired more easily. I got my levels checked and am still within the normal range (415), but that’s a 33% drop from my first test two years ago.
Although overall, I live a healthy lifestyle (lift 4-5 times a week, plus 3 cardio sessions, no alcohol, clean diet). In addition, about 7 months ago I changed jobs to something much less stressful and with better hours so sleep quality and quantity is up quite a bit. As a result, I was a bit surprised to notice some of these symptoms worsening, particularly the fatigue/slower recovery. My most recent blood work did show that I’m pretty Vitamin D deficient, but other than that everything else is very healthy. I know that the Vitamin D issue could explain some of the fatigue and have started supplementing 5000 IUDs a day. However, I also did some rough math and if my T-levels keep dropping at this rate, I’ll be below the normal range in a little over a year. Is it worth waiting, or would you recommend just getting on TRT now?
Here are some of the most recent labs as well:
Total T - 415 ng / dL
Free T - 14.0 pg/ML
SHBG - 34.5 nmol/L