33yo male. Suffering from depression, anxiety, no sex drive, ED, fatigue, and general low self worth. Saw my family md on 8/24. She did a ton of labs to see if any glaring issues. Test results for testosterone:
8/24 total testosterone 205 (250-1100ng/dl)
Free testosterone 50.2 (35.0-155.0 pg/dl)
% free testosterone 2.45% (1.5-2.2)
She got results and referred me to endocrinologist. Endo said no referral needed "lose weight and levels come up and free test levels are okay."
Time of appt weight was 223lbs. Was disappointed but my md was adamant that this was a good reason. I didn't understand how my free being okay was good when my total was so low, it's a free portion of my total and the rest is carrier bound but I am still limited by my total?
Follow up my md is out on pregnancy leave. See another md. This md thought it time to recheck as I was now at 198lbs. He thought if it low again that I surely needed to be seen.
12/6 total testosterone 247 (250-1100ng/dl)
Free testosterone 70.1 (35.0-155.0 pg/dl)
He calls me and says that for a 33yo that this was a problem and surely effecting my quality of life that he will resubmit to endo referral. 1week later and office calls again. The endo called and said "no need to be seen, free is good." I told MA that I was upset that free maybe okay but total was way low for my age. Even if I freed up all my bound test my theoretical total would still not be much above my total as it's my frickin TOTAL. She said she understood and would resubmit my request for another endo but the md who say me was off till after new years. So I call a HRT sent my labs and just need my physical to be done before they tx. Are they all legit. Found them as a sponsor on another board. Don't think i can post their name? Also my insurance allows me to see any md, a family member was getting test shots through a md that's in town, his free test was in the 350s and the family md treated him, I called and have a appt on the 4th. I don't understand the endos reluctance to even see me. Are they right so my free is okay = I'm okay even though my total is low. My labs were drawn at 630 am hate to see them later in the day. The rep from the HRT seems cool, are they legit? Pharmacy usually used by them usually legit. Also he asked if I had any ideas on a tx plan I wanted to talk about. Any input on what I need to start out modestly. Thanks for reading sorry for any typos or grammar as I typed this out on my phone.