Hello Doctor,
I am 41 yrs with low libido, low energy, ED, muscle loss.
Key labs: Earlier Total T 3.17 / Free T 5.12 with low
LH (0.92)
SHBG,
TSH (1.55),
Prolactin, PSA (0.81), Hb (14) all normal.
History: Past anabolic steroid (Stanozolol) use for ~2 yrs, stopped years ago → likely recovering secondary hypogonadism.
I prefer a long-term, stimulation-based approach (Clomiphene ± hCG) before considering TRT.
Request guidance.