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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified MD
Category: Endocrinology
Satisfied Customers: 63757
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I am 41 yr old man.. I have been feeling very tired and run

Customer Question

Hi, I am 41 yr old man.. I have been feeling very tired and run down for sometime, with low sex drive and low mood at times. I had checked my routine bloods which were all normal except low testosterone which I have check on few occasions all have been below 8 and the recent one at 6. I had also check the fsh, LH, prolactin were all normal .
Physically I do feel my muscle mass is lower, though I initially thought it could be due to inactivity.. But, recently I have been doing weight training, showing minimal improvement.
I am 6ft1inch tall and weigh 96 kg,
I wanted to know if I should consider testosterone replacement and should I be doing anything else.
I am a GP.
Submitted: 3 months ago.
Category: Endocrinology
Expert:  Shantal-Mod replied 3 months ago.
Hello,
I'm Shantal and I'm a moderator for this topic.
I've been working hard to find a Professional to assist you with your question, but sometimes finding the right Professional can take a little longer than expected.
I was checking to see if you had already found your answer or if you still need assistance from one of the Professionals.
Please let me know if you wish to continue waiting or if you would like for us to close your question?
Thank you,
Shantal
Expert:  Dr. Thomas, MD replied 3 months ago.

Hello.

Thanks for the question.

You should be consulting with an endocrinologist if possible.

You need a free testosterone, SHBG, thyroid function testing, and adrenal testing.

Testosterone interacts with all of these.

Only that way will you get a complete picture.

Then, if it is truly a testosterone problem, you can consider replacement.

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