If you have noticed that your energy is not what it used to be, that your motivation has dropped, that your libido has declined, or that you just do not feel like yourself anymore, you are not imagining it. These are real, physiologic changes that deserve a real medical evaluation.
Low testosterone is a clinical diagnosis, meaning it requires both symptoms and laboratory confirmation. We start with a detailed history of your symptoms, medical history, and medications, because many factors beyond testosterone can affect how you feel. We then check a morning total testosterone level, which is the standard screening test. Depending on the clinical picture, we may also check free testosterone, LH, FSH, prolactin, and other labs to help distinguish between primary and secondary causes of deficiency. This matters because the underlying cause can influence which treatment approach is most appropriate.
We treat symptoms, not numbers. If your total testosterone is 280 and you feel fine, you do not need treatment. If your total testosterone is 340 and you are struggling with fatigue, low libido, and brain fog, a conversation about treatment is may be warranted. Population reference ranges are averages, not individual thresholds.
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