I have been living with symptoms of low T for years on and off. I generally live a very healthy lifestyle. In terms of eating, sleeping, exercise. I have read the ‘things that lower T’ sticky and the only thing that pops out at me is head trauma. I had a concussion a year ago and my symptoms seem to have gotten worse since. I had serious gastro issues that were at there worst at age 19. I basically had a celiacs without the genetic markers for it. (Atrophic vili) ie. not absorbing food. Based on symptoms and weight gain this is all but in the past and still only have minor gut issues. However it did last several years and I was so sick I had almost no libido. That was almost 8 years ago though and since at times have put on a good amount of muscle had a good libido and generally felt like my hormones were at healthy levels. This would coincide with a very strict diet/lifestyle/lifting that is almost unsustainable.
The last couple of years I have generally been feeling fatigued, low confidence, social anxiety/isolation, I go weeks/months without morning wood, low libido, muscle loss. I have VERY sparse facial and body hair, almost unnoticeable armpit hair. No loss or gain there, I have always been like that. Physically I am 5’9 160. I have always been naturally fit(have a six pack/look strong).
I am considering TRT, I don’t seem to be able to get out of life what I want and hormones seems to be whats holding me back. The way my hormones are looking and the way I am feeling leads me to believe if I don’t get on trt now it will happen in my thirties anyways. Why suffer for the next 5-10 years with these symptoms and lose my twenties when I am gonna likely start trt soon enough.
The DUTCH test has a lot of info and metabolites as well as hormones but it seems that Test, estro progesterone, DHEA are all low. Cortisol reponse is blunted, DHT/5a reductase is below range. On previous test similar story with SHBG also very high/above range
Obviously trying to justify this to myself and very hesitant but also so tired if living like this
I am very happy to hear any input or interpretation of the labs