|Fatigue with low testosterone
Jan 8, 2004
I have recently noticed more fatigue, My viral load has been undectectable for 3 years and my CD4 has been dropping slowly(currently 180). I hear some opinions that the health of the immune system is judged more by viral load (lack of it) and another school of thought that indicates cD4 count is a better overall measure.
I have a total testosterone of 161...the normal range on the test indicates 241-827.
Considering my overall fatique should I consider testosterone replacement therapy? Are there significant risks associated with such therapy?
| Response from Dr. Henry
Your HIV doc is the best person to try and address what can be done to boost your CD4 count. A below normal testosterone level in an HIV + male with fatigue often warrants a trial of testosterone replacement. It usually takes just 2-3 months to observe whether a benefit is experienced by the patient. I watch for signs of prostate problems, liver problems, and lipid problems--most patients do fine over the first several years. KH
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