TRT: Fatigue and Brain Fog Remain - What to Take?

[Clayboy_123]

Been on prescribed test cyp 200mg per week for almost 2 years. Also prescribed adderall.
Problem is still have terrible brain fog and chronic fatigue daily. I think adderall despite the dose actually makes me sleepier but more focused than caffeine solo.

I see where sam-e is recommended. What about an Ssri like Prozac? Previously preserved Wellbutrin which made me irritable.

What about vitamin d3 or b-12? My labs only showed low d though (in the low 20's)

 

[CoastWatcher]

Two hundred milligrams a week is at the upper end of TRT dosing. What is your total and free testosterone level and trough and have had a problem with estradiol and/or thyroid? Has sleep apnea been ruled out? Your cortisol levels?

 

[Nelson Vergel]

Clayboy

You do not mention your sleep quality. Nothing will work with poor sleep. Neurotransmitters are replenish while sleeping. Not even Adderall can help.

 

[Clayboy_123]

Sleep has been great . No issues.

 

[Vince]

I do use 200mg of sam-e every morning and high dose Co q-10. Once I started TRT, all my brain fog cleared up.

 

[CoastWatcher]

Sensitive estradiol and thyroid (TSH, t3, t4, rt3, and antibodies) - where do they sit? Cortisol?