I am a trt guy on Test cyp weekly injections / hcg / and aromasin. I am and have been depressed for a long time with anxiety like most of us low T guys experience and I've always held off on the antidepressants.
Today I was told by my doctor to start paxil and this is actually for the purpose mainly of anxiety but (depression /anxiety) do we ever really just have only one? Anyways, I expressed that I did not like SSRI's the 1st and only time I tried it in the past and I was then given a script for effexor which is an SNRI.
In that 1 office visit is an attempt to treat a serotonin specific issue and on the other hand an attempt to medicate a serotonin and norepinephrine issue but no diagnostics done to determine if either let alone both are insufficient or over sufficient. Yet both drugs are equally acceptably prescribed to me as if they're 1 in the same.
To my knowledge, serotonin inhibits much of dopamine and all 3 transmitters at play here seem to have a role in hormone function as well. Most ppl on SSRI's seem to get libido issues and poor cognitive function as well as fat gain on and those symptoms are some of the worst of my Low T list so, I definitely do not want to add them into my life by taking any drug that will induce themy or make them worse.
From a endocrinology or TRT standpoint, is there any reason why some seem to like a DRI like wellbutrin and on a deeper level is there a reason why (related to trt) dopamine seems to be a better answer? To be even more clear in what I'm looking to learn here, is there a reason one would not want to take an SNRI OR SSRI or DRI? I do not want to start this and regret it and or wish I had taken a different medication for this anxiety / depression I am in. Thanks for the help to all and I hope others can gain something here as well. Good luck and health to you all.