Tough question. I would be very reluctant to start TRT at your young age because it has to be for life and that is a very long time. Also, your T levels are not all that low.
On the other hand, I am on TRT and I love it. But I stated at age 70.
Exactly what is making your life so miserable? Could there be causes other than low T?
I guess I've spent more time focussing on my levels that were hovering around 300 than the ones around 400. If I wasn't so symptomatic I wouldn't pay as much attention to them.
My symptom list is long, but includes:
-extreme fatigue
-zero sex drive
-night sweats
-difficulty falling and staying asleep
-muscle and joint pain/weakness
-brain fog/inability to concentrate
-extreme muscle soreness
My symptoms have definitely been taking their toll on my relationship, health and work performance.
426 TT is really not all that bad chiefly. I would stick it out a bit before jumping on TRT.
Try some heavy lifting and get some more zinc, good quality vit e in you, you said you had a sleep study done right?
I agree, low 400's isn't what concerns me, it's the other tests plus my symptoms that have me concerned. The inability of any doctor to find another cause for my symptoms has kinda left me clueless as to what it could be, so I've kinda latched onto less than optimal T as the culprit.
I've been lifting for roughly 17 years, but as my symptoms have become more pronounced I've found it difficult to lift with the intensity that I used to. The soreness that I experience after a workout lasts for a week so I have to be careful to avoid injury and ensure that I can perform my job. The fatigue also keeps me from working out like I used to. I still lift, and always will, it's just been a struggle as of late.
I supplement with zinc, magnesium, high quality fish oil, vitamin E, D, and B. I try to get most of my nutrients from my diet though. I had a sleep study years ago and no abnormalities were found.
What is your e2 level. We want all the blood work. You can get off antidepressants you just think you can't. I guarantee ssri are effecting your body in a negative way. SSNRI and SSRI are big pharma and your docs wet dream. It means $$$$ & $$$$$ to them. What were the symptoms you described to your huckster..I mean doctor before he prescribed that poison?
Regrettably, E2 is the one thing that I've never had tested. I don't have any physical symptoms of high E2 (I'm hairy, lean, no man boobs, etc.) but it's still something that I'd like to have checked just to eliminate it as a potential cause.
I agree, I'd love to be off the SSRI. I've come off it several times over the years (under the care if my doctor) to see if my symptoms would improve, but no such luck. All I got was my anxiety back.
The reason I started on an SSRI was because of panic attacks. The goal has always been to keep my dose as low as possible. I know they aren't good for me, but I struggle with work performance and personal life when off the Citalopram. For what it's worth, I've always been on a very low dose, hopefully that has minimized any damage to my hormone levels.
I was on a SSRI for 20 years, within two months of starting TRT my doctor winged me off and here I am now a year later and never felt better, no depression at all. I believe SSRI's also drive your metabolism into the gutter which can lead to weight gain. When you take a step back and look at the bigger picture you may realize that many of your issues are directly related to being on SSRI's, they are a nasty drug and in my opinion over time do more harm than good.
That was a goal that I presented to a doctor I met with at a compounding pharmacy. He said that many of his patients end up weaning off SSRIs and sleep aids after starting TRT. Was he just telling me what I wanted to hear? Maybe, but there seems to be some merit to it.
I'm guessing (not speaking for OP) panic, and anxiety attacks as culprit for the medication.
Correct. I began experiencing panic attacks that I was unable to control without medication. Other than the anxiety and difficulty sleeping I've always been a healthy dude, physically and mentally.
Thanks to everyone for the replies to far. I really appreciate the input.