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I would get a consult with a good holistic medicine doctor. Chronic fatigue is often due to some form of toxicity (mold?) or unresolved infection. Trying to go through a mainstream organization like Kaiser is likely worse than worthless. Dr. Will Cole is well-regarded, but there are many others as well. Step one is always to try to identify and resolve the cause of a problem and while TRT might help, if another problem is still in place TRT is less likely to work for very long and could make things worse.