Low low testosterone
May 18, 2005
First off - Thank you for being one of the angels available to us who are trying to figure out how to best live with this virus, what would we do without you and your colleagues? Question - recent labs for 29 y/o male with wasting syndrome, fatigue,depression.. testosterone total 76 (350-1030ng/dl) %free 0.6 (1.5% - 3.2%) free 4.6 (52 - 280pg/ml) shbg 2.3 (0.5 - 1.5 ug/dl) what would be the best course of action here? these results come from lab tests before start of therapy with Kaletra and Truvada, cd4 was 30 vl >750,000, have been taking now for 3 weeks, doing relatively well, thank you for your help.
Response from Dr. Young
Thanks for your post.
It would appear that you do indeed have a very low testosterone level. This finding is not unusual, especially among men with low CD4 counts, like you.
Fortunately, treatment of low testosterone (hypogonadism) is quite easy and readily available (and should make you feel much better). Most of my patients use one of two different topical testoterone products (Androgel or Testim). These are once-daily gels that are applied to the skin. Some insurers don't pay for the topical products and for their customers, a once-weekly injectable form of testosterone is used.
If you were my patient, I would be recommending starting on testo replacement.
Good luck, good health and thanks for reading. BY
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