I'm 52-year old, otherwise healthy male (eat right, go gym every day, no medications, etc). A couple of months ago, it was like I hit a wall (ED issues, insomnia, fatigue especially in the morning after breakfast, lack of concentration). I did two T measurements about a month ago: one at 9 AM after fasting showed 426 (total T) and the other two weeks later in the afternoon showed 359 (total T) and 65 pg/ml (free T). The second test also showed lower DHEA-Sulfate of 86 ug/dL. The second test was done by an urologist who thinks I have lower T (nothing else abnormal showed up in their tests). I also have a bit lower hemoglobin (13.5) and I went to see a hematologist who ruled out anemia and mentioned that my T levels are actually not that bad. Also, I went to see a cardiologist and my heart is fine. So, I ran out of options what else could be the cause and settled on low T.
Since the tests, I changed my workout routine (start doing free weights, HIIT, previously I did mostly swimming and yoga) and changed my diet to include eggs, healthy fats (previously I would avoid them to keep my cholesterol low because that the prevailing school of thought years ago). It seems like the lifestyle changes are helping since I start sleeping better but I still experience morning fatigue and ED issues.
Are these typical symptoms of lower T? If so, how long would it take to restore "normal" T levels naturally? I also take DHEA (recommended by the urologist), fish oil and vitamin D supplements, and occasionally Prime Lab's Prime Test.
it would be useful to see if your T levels and other hormone levels were different before you hit the wall. they could have been similar before the event. Low T does not always translate to fatigue.
low T symptoms are kind of a vague cluster. for example thyroid, metal poisoning, and head injuries have a lot of the same symptoms.
if i were your doctor i'd ask you about everything that preceded hitting the wall by 6 months. travel, shots, supps, new medication, dental work, any medical intervention, head injury, changes in environment (for example moving near a coal power plant or cell tower). illness? most people, including myself, have a hard time recalling this stuff.
with your numbers you should be able to get on testosterone and have insurance pick it up. right? that would rule it out as a cause.
i have been on T for 6 weeks and almost ruled it out as a cause for my symptoms. you can spend a lot of time and money testing...reading...learning about mechanisms. but the real way to know imo is to test it on yourself. take your best guess. test. move on to next best guess if unsuccessful.
the interesting thing about you is you had an event....this is new. it's not something that's been around for a decade. that tells me something changed. people don't age 15 years in a few months.
do consider things that you are doing for health. like eating a lot of fish. new vitamins. though they seem innocuous certain health practices can wreck your health. for example lots of fish oils or fish with heavy metal contamination. certain people react badly to certain supps as well. for example folates...part of the B vit fam.