I recently have been having the standard hypogonadism symptoms that I've read many times here on the site. I went to the doctor to get a test, and unfortunately my regular doc was unavailable, so I only was able to see the physician's assistant.
She declined to order up most of the tests I asked for, but she did run a thyroid panel, tested for anemia, and tested for free testosterone. The thing of most interest to me was my Free-T, which came back at 10.8, with 10-30 being "in range".
E2 was not tested for, and I would not be surprised if my 10.8 FT is being dominated by aromatization.
I have a follow up with my regular doctor on Friday, and she specializes in athletic medicine at the University of Michigan, so I think that I can make my case with her. Given my Free-T levels, do you guys think I should ask for a larger test panel, or should I push for a more therapeutic diagnosis by asking to start TRT and retest the full list in a few months.
The bottom line is that I am having the symptoms, and even though my labs were "in range" they are not acceptable to someone who is 29 and in good shape. If that 10-30 represents a bell curve, then I'm in the lower 5%, and I don't want to be in the worst 5% of anything
Does insurance even pay for TRT? Would I have to have lab results that were sub-clinical, and not just low, in order for insurance to pick up the tab?
Thanks in advance