Need test or just AI is enough?

[EquilibriumZ]

First question really should be how does he feel? If he feels ok with no debilitating issues I'd have him work on lifestyle, nutrition and of course add vit D. What's causing the low test and higher estrogen is simply aging. As we age test decreases and E rises. A mid-fifties out of shape male can have higher E than a female of the same age. Lifestyle, good nutrition and lower body fat can combat this to some extent. So, how does he say he feels?

It's hard to say how he feels cause he lives in a country with shitty economy and etc. In the past few years i see him more tired and stressed than ever (due to work and etc) he smokes alot of cig and probably wont quit. Doesnt exercise at all. Nutrition is not that good. He doesnt seem to have motivation for a better lifestyle, physically and mentally drained and tired of life.

Does this answer the question?

[Bonaparte]

It's hard to say how he feels cause he lives in a country with shitty economy and etc. In the past few years i see him more tired and stressed than ever (due to work and etc) he smokes alot of cig and probably wont quit. Doesnt exercise at all. Nutrition is not that good. He doesnt seem to have motivation for a better lifestyle, physically and mentally drained and tired of life.

Does this answer the question?

TRT (especially unsupervised) would be a bad idea for him.
He needs to improve his diet and lifestyle before anything else. If he doesn't care enough to do that, he wont do his HRT properly either, and will only damage his health further. Everything you just told us accounts for his hormone levels.

[EquilibriumZ]

TRT (especially unsupervised) would be a bad idea for him. He needs to improve his diet and lifestyle before anything else. If he doesn't care enough to do that, he wont do his HRT properly either, and will only damage his health further. Everything you just told us accounts for his hormone levels.

Now that i rethink about the diet, it's just homemade persian food that the maid makes. It's not like he eats anything fast food as in mcdonalds. The food that he eats outside the house is basically kebab with rice not burgers and etc. He does care about his health in a way that if you tell him to take this medication on these day, he will or get a bloodtest and etc. And he can show his result to a doc but they will probably tell him to discontinue "steroid use" cause that's what the book taught them.

My question is what are the criterias that need to be fulfilled in order to consider unsupervised trt ? I strongly believe that if he gets a "boost", he will make significant change in his exercise habits because he ll have the energy to do it. I m saying this cause i have seen him do random stretches small exercises on the ground before going to work as in he is trying to get back in life


Thank you for taking the time to read these things and giving your advice! And oh ya, any advice on how i can help him drastically?