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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can low testosterone levels be treated?

I am a 25 year-old male who suffers from symptoms of low testosterone. Normal levels are between 241-827. Five years ago (aged 20) I first brought symptoms to the attention of my doctor. Results were on the lower end of normal at 381. Being in normal range the doctor didn t do anything about it. Didn t look further into my symptoms, nothing. Five months ago I took another test ordered by a new doctor. At that time my level was 249. Bear in mind that the absolute low for the normal threshold is 241. At twenty-five years old I was a mere eight points above normal out of a 586 point range. Bear in mind also that testosterone levels are at peak levels early in the morning. Both tests were at 9am. Typically (from what I recall) mens testosterone levels fall as much as **30%** throughout the course of the day. That being the case, by the end of the day my levels could be as low as 174. Guys. I m twenty-five years old. Not forty-five. Not sixty. I am twenty-five years old. I should be in my prime and yet I don t feel like a man at all. Which leads to my symptoms... I am exhausted all of the time. I have trouble losing weight and putting on muscle. I gain weight very easily. I have nearly zero libido. I have a hard time getting erect. I have a hard time staying erect. My erections are never rock-hard. I haven t felt completely hard since I was sixteen. Anymore I can barely tell whether i m hard or not without looking at it. I don t feel swollen. I don t feel it at all. I have nearly zero libido. My fiancee is drop-dead gorgeous and great in bed. She s an easy 9/10 in my eyes. Even so most of the time I have zero interest in sex. This really puts a strain on our relationship. I don t know what else to say. I met with an endocrinologist (upon my insistence for a referral) and all she did was look at my level, say i m within normal range and sent me on my way. I am goddamn tired of not feeling like a goddamn man. I want to at least try supplements. I am miserable. What can I do?
Thu, 23 Aug 2018
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General & Family Physician 's  Response
Hello. There may be certain lifestyle changes to help increase testosterone levels. Adding resistance exercise and losing weight are two changes that can have an effect.

Research has indicated that resistance exercise, such as lifting weights, is related to temporary increases in testosterone levels. However, those increases are typically much higher in younger men than older men and don’t appear to greatly increase the overall level of testosterone.

Most exercise, especially cardiovascular exercise, can contribute to the loss of excessive weight, which can help to increase levels of testosterone. This is particularly true for people who are obese.

Some types of herbal supplements claim to be “testosterone boosters.” The makers of these products claim that the ingredients help to increase levels of testosterone. However, there isn’t enough research to support their effectiveness. Additionally, these products are not closely regulated by the Food and Drug Administration. You may find there are more natural steps that may help to boost your testosterone level.

Some foods may play a role in helping your body moderate your testosterone levels. Making sure you get enough foods that are rich in zinc and vitamin D may help to keep your testosterone at a normal level. Here are eight testosterone-boosting foods that could help you get the vitamins and minerals you need to keep your testosterone levels healthy.

Garlic has also been credited for increased testosterone levels. Results of one study in rats fed diets that were supplemented with garlic or a compound found in garlic noted an increase in testosterone levels in the testicles.

Testosterone replacement therapy is used to help treat people with abnormally low levels of testosterone. These abnormally low levels usually affect normal body functions, which can contribute to decreased muscle mass and a lower sex drive, among other effects.

For this treatment, testosterone medication is prescribed. This medication is testosterone in pills, patches, and gel that you apply to your skin, and liquid that you inject into your body. It helps to increase your body’s overall testosterone level and eliminate or decrease certain symptoms of low testosterone.

Testosterone injections are one of the more common forms of testosterone replacement therapy. They are typically given by a doctor. You need them less frequently than other forms.

regards- Dr Sanjay Kini
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