These are all of my most recent labs. I’m a bit confused on which route I should go . I’ve been told for the most part it looks like secondary hypogonadism . And I’ve also been told TRT and HCG may not be a good option as my cortisol is low . An endocrinologist said to test cortisol in a stimulation test and if low, to do hormone replacement therapy before TRT. But as I look at HRT, it looks like many side effects and long-term ones. I’ve already tested for pituitary tumors; none were shown. Please someone give me some answers and lead me in the right direction. I want to raise my test but also don’t want an adrenal emergency if I take TRT and my cortisol lowers more. At the same time, my RBC and Hemos are already high or slightly elevated, but I do have mild sleep apnea and use a CPAP. I didn’t drink much before the last two tests. Also, they were taken at 5:30 p.m.
