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I was every year more and more tired and could not find out why. I have always lived a very heavy life style. Tried several different doctor, ran several different tests and finally someone ran my testosterone levels and they were in the high 200s and my estradiol sensitive was in the low single digits. Also despite a good diet and exercise my cholesterol levels were off, blood pressure slightly elevated, fasting blood sugar close to 100. So i decided to give TRT a try. All my symptoms now are gone and I feel great again.