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Nice topic. I wish I knew what led to my hypogonadism. Some of mine is age related (49 yo been on treatment 2.5 yrs) and I had a baseball practice accident (ball to the gonads) that may be a contributing factor. But I think barring the accident, I would still be low and probably was for quite some time before seeking treatment. Can you be primary and secondary? Maybe I am. Probably resistance at the cellular level too. Or maybe it is the water and omega 6.