
Originally Posted by
kelkel;612***3
Look, you need complete BW. Low test can be caused by many things that are correctable. It does not mean your low T for life. Your guessing here unless you've had the aforementioned "complete" BW. You need to find the reason your low before you bandaid it. I'd hate to see you jump on TRT from some doc who doesn't understand hormones (most dont btw) and have to deal with all the related issues.
Your low T could easily be caused by hypothyroidism. Hell, even high cortisol levels can pretty much shut down T production. Get the point! So, full BW including LH/FSH to determine if there's a pituitary issue is a necessity. If LH/FSH is low and T is low you may have a pituitary issue which would need an MRI to rule in or out adenomas. If LH/FSH is high and T is low then there may be a testical issue to address as primary hypogonadal. Make sure a full thyroid panel is run as well as cortisol and IGF-1, SHBG, albumin. Basically everything if possible. Then lets evaluate this properly. In the mean time if your D is low definitely supplement with D3. It will improve your free T level via suppression of SHBG. I'm also assuming your Estrogen test was a sensitive assay right?
Take some time and visit the TRT forum stickies and check the BW recommended in the Finding a Physician one. There are also some search engines there that may help you find a doc.
IMO, do not start any T supplementation until you figure this out.