Recently switched to my 4th TRT doc went though my GP>Endo>GP>Telemedic practice now. Just getting everything set up with them long story short started with issues of low energy, libido, mood in general. Fast forward 3 years I’ve still got the same issues as pre trt. I’ll have new test results hopefully within the week. I’m currently trying to think of things I need to ask the new DR in regards to treatment and things I can personally look at in the new labs being done.
TESTOSTERONE, TOTAL, LC/MS/MS 690 ng/dL 250-1100
TESTOSTERONE, FREE 221.2 pg/mL 46.0-224.0 TESTOSTERONE,BIOAVAILABLE 464.5 ng/dL 110.0-575.0
SEX HORMONE BINDING GLOBULIN 9 nmol/L
ALBUMIN,SERUM 4.6 g/dL
ESTRADIOL 33 pg/mL
TSH 1.30 mIU/L
Previous doctor didn’t do labs often and often did not check the correct labs it was kind of a here try this let see if you feel better in 3 months, or hey lets try some anti-depressants and see what happens.
TLDR: What addition questions should I be asking as to why energy,libido, and general mood hasn’t changed with trt and if other hormones are at play.