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This is correct and something I know all to well. If this is the case diet and exercise can correct this situation unless of course testosterone is suboptimal.

Then you would be spinning your wheels. Often people are scripted SSRI's or ADHD medication when the problem is hormonal, either sex hormone and/or thyroid hormone related. Either one of these deficiencies will cause depression and/or anxiety and brain fog.

More often doctors have no idea what normal levels are and only follow reference ranges which some people slip through the cracks because most need to be in the high normal reference ranges to feel normal.

Sure there are people who do very well in the mid to low normal ranges, but that doesn't mean you will.